OneOncology

Operates network of community oncology practices

Vice President – RCM Business Operations

Business OperationsConfirmed live in the last 24 hours

Full-time$180k - $230k

About the Job

Requirements

A bachelor's degree in Healthcare Administration, Business, or a related field is required.
At least 10 years of progressive leadership experience in revenue cycle management (RCM), including at least 5 years in a senior leadership role overseeing multi-specialty revenue cycle functions, is required.
Prior experience supporting or leading RCM functions in a large organization is required.
Experience supporting a growing management services organization (MSO), large physician group, or private equity-backed healthcare platform is required.
A customer/client service approach to work is required.
Strategic thinking and hands-on operational execution capability are required.
Strong financial acumen and the ability to connect revenue cycle performance to enterprise-level goals are required.
Leadership, communication, and change management skills are required.
Organizational skills and the ability to work across multifunction organizations are required.
The ability to work with cross-functional colleagues at the same executive level to accomplish objectives is required.
The ability to work in a high-growth environment with regularly changing priorities is required.
The ability to assess dynamic situations, identify priorities, and drive them forward is required.
A data-driven mindset and commitment to process excellence and compliance are required.
The ability and willingness to review claims, denials, and patient authorizations to guide the team on focus areas is required.
Willingness to travel up to 40% is required.

Responsibilities

Coordinate day-to-day execution of all RCM functions with the Chief Revenue Officer and other RCM Vice Presidents to optimize performance, communicate proactively with practices, manage risks and issues, and support the overall RCM team.
Work with the Chief Revenue Officer to manage RCM operational infrastructure supporting growth through practice acquisition and integration.
Drive development, production, and communication of key performance indicators (KPIs) and metrics across the RCM platform.
Coordinate delivery of high-quality RCM services to practices, including timely and proactive communication with practice leadership.
Develop, monitor, improve, and communicate KPIs including days in accounts receivable, days sales outstanding, clean claim rate, denial rate, and cash collections; develop dashboards and reporting cadence for executive visibility.
Embed KPIs into day-to-day RCM operations so each RCM team assesses its performance against them.
Develop action plans and work with other RCM Vice Presidents to reduce days sales outstanding, improve collections, and coordinate RCM responses to vendor issues, government actions, payer actions, and other macroeconomic challenges.
Coordinate internal RCM team operations, including planning and leading leadership meetings and managing the risk and issues log.
Coordinate end-to-end revenue cycle operations with the Chief Revenue Officer, including patient access, prior authorization, coding, charge capture, billing, accounts receivable follow-up, denial management, and payment posting.
Oversee oncology workflows including infusion and drug billing, J-code and National Drug Code mapping, prior authorization for high-cost therapies, and Medicare Part B compliance.
Oversee urology workflows including procedure bundling, surgical authorization, and device billing.
Oversee surgery workflows including global periods, modifier usage, and inpatient/outpatient billing distinctions.
Maintain a proactive approach to identifying RCM issues and risks before they affect practice or company operations.
Coordinate timely communication with internal teams including Operational Regional Leadership, Accounting, Revenue Recognition, Financial Planning and Analysis, and the Executive Team.
Support development and execution of RCM strategy aligned with organizational goals, payer trends, and reimbursement models.
Evaluate and optimize technology platforms, including electronic health record/practice management systems, clearinghouses, artificial intelligence, automation tools, and business intelligence reporting.
Collaborate with finance, clinical operations, information technology, compliance, and managed care teams to integrate revenue cycle operations during onboarding of new practices and service lines.
Manage a team of RCM leads based on team needs.
Work with other RCM Vice Presidents to build a performance-based culture focused on accountability, reliability, process excellence, and continuous improvement.
Assist other RCM Vice Presidents in hiring, training, and monitoring employees joining the corporate RCM team.
Work with other RCM Vice Presidents to ensure adherence to Centers for Medicare & Medicaid Services, Office of Inspector General, Health Insurance Portability and Accountability Act, and payer-specific regulations across specialties.
Partner with Compliance and other RCM Vice Presidents to manage and communicate internal and external audits, corrective action plans, and payer escalations.
Assist other RCM Vice Presidents in implementing internal controls and quality assurance/quality control processes for clinical documentation, coding accuracy, and claim submission.
Perform other duties as assigned to support the organization's mission.

Desired Qualifications

A master's degree is preferred.
Experience integrating newly acquired practices into a centralized RCM function is preferred.
Familiarity with practice management/electronic health record systems such as OncoEMR, NextGen, eClinicalWorks, Athena, or Epic is preferred.

OneOncology is positioning community oncologists to drive the future of medical care through a patient-centric, physician-driven, and technology-powered model to help improve the lives of everyone living with cancer and other diseases. Our team is bringing together leaders to the market place to help drive OneOncology’s mission and vision.

Why join us? This is an exciting time to join OneOncology. Our values-driven culture reflects our startup enthusiasm supported by industry leaders in oncology, urology, technology, and finance. We are looking for talented and highly-motivated individuals who demonstrate a natural desire to improve and build new processes that support the meaningful work of independent physicians and the patients they serve.

Job Description:

This individual will be responsible for helping coordinate the day-to-day execution of all RCM functions, working with the Chief Revenue Officer (“CRO”) and the other RCM Vice Presidents to optimize performance, ensure proactive communication with practices, manage risks and issues along with the overall OO RCM team. This role will also work with the CRO to manage the operational infrastructure within RCM to support continued growth through practice

acquisition and integration. In addition, this individual will drive development, production and communication of KPI’s and metrics usage across the RCM platform.

Responsibilities:

Operational Leadership

Work closely with the CRO and the other RCM VP’s to coordinate delivery of high-quality RCM services to practices including timely and proactive communication to practice leadership.
Develop, monitor, improve and communicate KPIs such as days in A/R, day sales outstanding (DSO’s), clean claim rate, denial rate, and cash collections; develop dashboards and reporting cadence for executive visibility.
Embed the KPI’s into everyday RCM operations such that each RCM team assesses performance based on these KPI’s.
Develop action plans and work alongside the other RCM VP’s to constantly drive down DSO’s, improve collections, coordinate RCM responses to external, macro-economic challenges such as vendor issues, government actions, or payor actions.
Coordinate internal RCM team operations – including leading planning for and leading leadership meetings, managing risk and issues log.
With the CRO, coordinate the various end-to-end revenue cycle operations including patient access, prior authorization, coding, charge capture, billing, A/R follow-up, denial management, and payment posting.
Oversee specialty-specific workflows such as:
- Oncology: Infusion and drug billing (e.g., J-codes, NDC mapping), prior
- authorization for high-cost therapies, Medicare Part B compliance.
- Urology: Procedure bundling, surgical authorization, and device billing.
- Surgery: Global periods, modifier usage, inpatient/outpatient billing distinctions.
Develop and maintain a proactive approach for RCM to stay ahead of issues or risks before they impact practice or OneOncology operations.
Ensure timely communication and coordination with other internal OneOncology teams such as Operational Regional Leadership, Accounting, Revenue Recognition, FP&A and the Executive Team of OneOncology.

Strategic Management

Support the development and execution of RCM strategy aligned with organizational goals, payer trends, and reimbursement models.
Evaluate and optimize technology platforms (EHR/PM, clearinghouse, AI, automation tools, BI reporting).
Collaborate closely with finance, clinical operations, IT, compliance, and managed care teams to ensure cohesive revenue cycle integration during onboarding of new practices and service lines.

Team Leadership & Development

Manage a team of RCM leads based on team needs.
Work alongside the other RCM VP’s to build a performance-based culture based on accountability, reliability, process excellence, and continuous improvement.
Assist the other RCM VP’s in hiring, training, and monitoring of employees joining the Corporate OneOncology RCM team.

Compliance & Risk Management

Work with other RCM VP’s to ensure adherence to CMS, OIG, HIPAA, and payer specific regulations across specialties.
Partner with Compliance and the other RCM VP’s to manage and communicate audits (internal and external), corrective action plans, and payer escalations.
Assist other RCM VP’s to implement internal controls and QA/QC processes around clinical documentation, coding accuracy, and claim submission.

Other duties as assigned to help drive our mission of improving the lives of everyone living with cancer.

Qualifications/Competencies:

Bachelor’s degree in Healthcare Administration, Business, or related field required, Master’s degree preferred.
10+ years of progressive leadership experience in RCM, with at least 5 years in a senior leadership role overseeing multi-specialty revenue cycle functions required.
Prior experience in supporting or leading RCM functions in a large organization is required.
Experience supporting a growing MSO, large physician group, or PE-backed healthcare platform required.
Experience integrating newly acquired practices into a centralized RCM function preferred.
Familiarity with PM/EHR systems such as OncoEMR, NextGen, eCW, Athena, EPIC, etc preferred.
Customer/client service approach to every activity.
Strategic thinker with hands-on operational execution capability.
Strong financial acumen and ability to tie revenue cycle performance to enterprise-level goals.
Excellent leadership, communication, and change management skills.
Strong organizational skills and ability to work across multi-function organizations.
Ability to work with cross functional colleagues at the same executive level to accomplish objectives.
Ability to work in a high growth environment with regularly changing priorities.
Demonstrated ability to assess dynamic situations and cut through the noise to assess and drive priorities.
Data-driven mindset with a commitment to process excellence and compliance.
Ability and willingness to deep dive into claims, denials, patient authorizations to help guide team on focus areas.
Up to 40% travel

Salary Range: 180K-230K

About the Company

OneOncology

Operates network of community oncology practices

OneOncology builds a network of community-based oncology practices and partners with them to deliver advanced cancer care across the United States. It works by investing in clinical, operational, and technical capabilities and providing a shared data analytics and technology platform, while local practice leadership remains in place. This approach differentiates OneOncology by preserving physician leadership and community focus, aided by a centralized, data-driven system that coordinates care and standardizes practices. The goal is to widen access to high-quality cancer treatment in communities nationwide and improve patient outcomes.

Company size: 501-1,000
Company stage: Acquired
Total funding: $685M
Headquarters: Nashville, TN
Founded: 2018

Recently Posted Jobs

Explore more opportunities at OneOncology

See more jobs