OneOncology

Role Description The Senior Manager, Practice IT Strategy supports the Director, Practice IT Strategy in developing and advancing the IT vision and roadmap for OneOncology's ITSM Practices. This role serves as a hands-on strategic partner for assigned practices, driving execution of IT strategy, supporting roadmap and budget development, and ensuring practices receive a high-quality, responsive IT experience. - Partner with the Director, Practice IT Strategy and ITSM practice leadership to execute IT strategies that align with practice business objectives and OneOncology standards. - Serve as the primary IT strategic partner and day-to-day point of contact for assigned practices, building strong relationships with practice leaders and executive stakeholders. - Contribute to the development and ongoing maintenance of IT roadmaps for assigned practices, focusing on scalability and maturity of practice technology. - Support practices with IT budgeting and financial planning for technology investments, partnering with the Director on strategic planning conversations. - Create and deliver quarterly business reviews (QBRs) for assigned partner practices, presenting progress against roadmap, IT support performance, and recommendations to practice leadership. - Use the IT maturity scorecard to evaluate assigned practices and recommend improvements that move them up the maturity curve. - Partner closely with the Service Delivery team to monitor IT support metrics, share results with practices, and act on feedback to drive continuous improvement. - Scope IT projects for assigned practices and coordinate with the IT project engineering team to ensure timely, on-budget execution. - Provide Oncology and Urology specific IT knowledge, educating practices on software, hardware, and technologies relevant to their specialty. - Collaborate with peers across IT and the business to keep initiatives aligned with organizational goals. - Stay current on industry trends and emerging technologies, sharing insights with the Director and practice teams. - Additional responsibilities as assigned to help drive our mission of improving the lives of everyone living with cancer. Qualifications - Bachelor's degree in Information Technology, Business Administration, Healthcare Administration, or related field. - Previous experience in IT support, IT engineering, software development, clinical app support, or other information technology field. - 5+ years in healthcare IT, leading or executing technology initiatives within a healthcare organization. - Demonstrated experience contributing to IT roadmaps, supporting budgeting cycles, and conducting technology assessments. - Experience working directly with senior stakeholders, including physician leadership where applicable. - Working knowledge of ITSM (IT Service Management) principles and best practices. - Excellent verbal and written communication skills. - Ability to travel to practice sites as needed up to 30%. - vCIO or fractional CIO consulting experience is highly desirable. Requirements - Ability to translate IT strategy into actionable plans and execute against them within practice environments. - Working knowledge of healthcare business drivers, priorities, and basic financial management concepts. - Experience contributing to IT roadmaps and process improvement initiatives. - Familiarity with healthcare industry technologies, with a particular interest in Oncology and Urology solutions. - Strong interpersonal and communication skills, with the ability to build trusted relationships with physician leadership and cross-functional stakeholders. - Ability to evaluate technology environments, support business reviews, and analyze performance metrics. - Experience supporting practices through technology adoption and change. - Ability to define IT project requirements and coordinate with operational teams for execution. - Customer-focused mindset with a proactive approach to identifying issues and driving them to resolution. - Comfortable working in a dynamic, fast-paced startup culture across multiple practice environments. - Attendance is an essential job function. Company Description 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. 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.

Role Description The Sr. RCM Coding Audit Specialist is responsible for providing general coding expertise, including radiation oncology coding, and advice to OneOncology partners practices including physicians as well as to internal team members. This role is responsible for supporting practices in coding as well as education. Responsibilities: - Perform physician audits, including specialty-focused audits, compile dashboard results, and provide documentation feedback with coding and billing education to providers. - Advise practices and the RCM team on best practice coding and provide coding support to practices as needed with hands-on coding and billing, in addition to coding education and training. - Analyze data, identify issues, reach conclusions, and propose strategies for resolution of complex coding issues, along with leadership. - Research billing and coding guidelines for any OneOncology practice specialties and advise of coding and guideline updates and changes. - Apply and disseminate current billing and coding regulations, auditing, and professional standards. - Identify process improvement opportunities that enhance the performance of the department and/or practice. - Partner with the leadership team to ensure compliance with all federal, state and local regulations. - Review medical documentation for accuracy related to payer medical record requests as needed. - Effectively abstract and code multi-specialty services including radiation oncology services among other sub-specialties such as imaging, medical oncology, pathology and E/M. - Other duties as assigned to help drive our mission of improving the lives of everyone living with cancer. Qualifications - CPC or other coding certification required - Bachelor’s Degree or equivalent experience required - 2+ years of coding experience required - Medical Oncology and Radiation Oncology coding experience preferred - Demonstrated success in using data to make decisions and drive behavior change in support organizations Requirements - This job description does not contain a full listing of activities, duties or responsibilities required of this role. Duties, responsibilities and activities may change, or new ones may be assigned at any time with or without notice. Benefits - #LI-REMOTE

Role Description The Drug Authorization Specialist role functions as a liaison between clinical staff, physicians, and patient accounting, ensuring that patient insurance requirements for reimbursement are met before treatment occurs while maintaining knowledge on drugs used to treat patients. Communicate as needed with patients on coverage that may affect their financial liability. - Obtains pre-authorizations for Physician Orders as required by the patient’s insurance carrier. - Communicates with physician/clinical staff on reimbursement issues and/or pre-certification requirements by the patient’s insurance carriers. - Communicates with physician/clinical staff concerning off-label drug use. - Coordinates and communicates information required or requested by Patient Accounting within the mandated timeframe. - Ensures up-to-date documentation on patient accounts in Electronic Medical Record and Patient Management on follow-up or ongoing drug authorizations. - Keeps current on drug and insurance carrier requirements, utilizing all sources available to stay abreast of drug information (indications, Pharma programs, pre-certification requirements, etc.). - Follows policy and procedures outlined by management to ensure standardization of processes across the clinics. - Responsible for patient assistance coordination with the Patient Advocate and communicates with clinical staff to coordinate treatment plan requirements for indigent drug. - Educates patients about their insurance coverage and benefits, including deductible, copay, coinsurance, and estimated out-of-pocket costs as needed. - Determines patient financial ability to pay and provides financial counseling services regarding payment arrangements and financial assistance for uninsured and underinsured patients by phone or in person as needed. - Maintains continued authorizations of drugs ensuring that all treatment dates are covered for reimbursement. - Resolves items in task management related to drug authorization issues. - Additional responsibilities may be assigned to help drive our mission of improving the lives of everyone living with cancer. Qualifications - High School diploma or equivalent required. - Medical insurance background. Requirements - Attendance is an essential job function. - Excellent written and verbal communication skills with the ability to effectively communicate and establish collaborative relationships with physicians, patients, clinical and administrative staff, and the public. - Excellent customer service skills. - Knowledge of clinic office procedures, medical practice, and medical terminology. - Ability to recognize, evaluate, and solve problems. - Strong organizational skills and attention to detail. - Proficient in the use of end-user computer applications regarding productivity (MS Word, Excel, Outlook), database, and patient scheduling and other medical information systems. - Ability to operate various types of office equipment. Company Description 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 marketplace to help drive OneOncology’s mission and vision. 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.

Resolve patient inquiries and balances by reviewing aging reports, generating statements, and facilitating payment arrangements. Collaborate with financial counselors and insurance collectors to ensure effective account management and support for...

Role Description The Radiation Oncology Operations Director will report to the SVP, RCM and is responsible for optimizing workflows related to medical documentation and coding across all radiation clinics and EMRs. This role ensures accurate, timely, and compliant documentation, charge capture, coding alignment, while driving consistency across all sites through training, performance management, and continuous process improvement. The position serves as the operational bridge between clinical teams and revenue cycle functions to achieve compliant billing while maximizing financial performance and reducing revenue leakage. Responsibilities: - Workflow Ownership & Optimization: - Serve as the organizational lead to optimize workflows within Radiation Oncology to ensure compliant, timely and accurate documentation and billing. - Collaborate on end-to-end charge capture and documentation workflows across all sites with Radiation Oncology site leadership. - Lead planning, execution, and stabilization of system implementations and workflow changes. - Identify and resolve operational inefficiencies impacting revenue capture and clinical throughput. - Standards & Governance: - Develop and maintain companywide standards for: - Charge capture workflows - Clinical documentation requirements - CPT coding alignment - ICD-10 coding workflows - Ensure consistent adoption across all centers. - Partner with compliance and RCM to maintain regulatory and payer alignment. - Training & Education: - Design and implement a comprehensive training curriculum across clinical and operational roles. - Develop role-specific training materials and system walkthroughs. - Deliver hands-on training for new workflows, templates, and system updates. - Establish onboarding programs for new hires. - Performance Management & Analytics: - Define and track key performance metrics including charge lag, missing charges, denial trends, and documentation timeliness and accuracy. - Conduct regular audits and identify root causes of performance gaps. - Drive corrective action plans and targeted retraining initiatives. - Continuous Improvement: - Establish recurring education programs including annual refreshers and targeted retraining. - Lead continuous process improvement initiatives to enhance efficiency and revenue capture. - Partner with operations leadership to scale best practices across markets. - Cross-Functional Alignment: - Ensure alignment between clinical workflows and revenue cycle processes. - Act as liaison between clinical, RCM, and IT teams. - Support system selection, implementation, and future transitions. - Additional responsibilities as assigned to help drive our mission of improving the lives of everyone living with cancer. Qualifications - Bachelor’s degree or equivalent experience. - 7+ years of experience in Radiation Oncology operations. - Deep understanding of charge capture workflows, CPT and ICD-10 coding, and documentation standards. - Proven experience leading or supporting EMR, billing system, or workflow implementations, including planning, go-live execution, stabilization, and end-user adoption. - Strong working knowledge of healthcare compliance, payer requirements, and audit readiness, with experience partnering with Compliance and RCM teams to maintain standardized practices. - Experience designing and delivering role-based training programs for clinical and operational staff, including onboarding, workflow changes, and system updates. - Ability to define, track, and interpret operational and revenue cycle metrics (e.g., charge lag, denials, documentation accuracy), conduct root-cause analysis, and drive corrective actions. - Experience with workflow optimization, system implementation, and training delivery. - Experience working cross-functionally with clinical, operational, and RCM teams. - Familiarity with coding/workflow platforms preferred. Requirements - Attendance is an essential job function. - Ability to lead end-to-end workflow design, system implementation, and stabilization efforts, identifying inefficiencies and managing change. - Ability to establish governance standards and ensure alignment between clinical, compliance, and revenue cycle stakeholders. - Ability to design, deliver, and sustain role-based training programs tailored to clinical and operational audiences. - Skilled in analyzing performance metrics, conducting audits, leading root cause analysis, and driving corrective actions. - Demonstrated continuous improvement mindset, with experience scaling best practices across sites or markets. - Proven ability to drive operational performance and revenue improvement. - Strong collaboration, verbal, and written communication skills. Company Description OneOncology is positioning community oncologists to drive the future of cancer care through a patient-centric, physician-driven, and technology-powered model to help improve the lives of everyone living with cancer. Our team is bringing together leaders to the marketplace to help drive OneOncology’s mission and vision. Our values-driven culture reflects our startup enthusiasm supported by industry leaders in oncology, 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 community oncologists and the patients they serve.

Role Description The Authorization Specialist role is responsible for all administrative aspects of outpatient diagnostic testing and procedure benefit verification and authorization. This role will ensure patient’s insurance requirements for reimbursement before diagnostic testing or procedure. - Obtains pre-authorizations for Physician Orders for diagnostic testing or procedure as required by the patient’s insurance carrier. - Ensures the financial feasibility of treating each patient in our clinics by communicating and working closely with patients, physician, nurse, and social worker. - Works in specific areas of concern in the department on a project basis. - Assists Patient Finance Manager in training staff, projects, and implementations. - Maintains in-depth knowledge of authorization process as well as reimbursement methodologies. - Maintains knowledge of collection techniques and collection laws. Qualifications - High School diploma or equivalent required. - One year experience in a directly related role preferred, but not required. - 1+ year(s) of Prior Authorization experience. - Medical insurance background required. Requirements - Attendance is an essential job function. - Ability to work effectively with all levels of management and other colleagues. - Ability to demonstrate initiative and mature judgment. - Ability to demonstrate high degree of professionalism and adaptability. - Ability to demonstrate proficiency in the use of end-user computer applications (MS Word, Excel, Outlook), database and patient scheduling and other medical information systems. - Ability to demonstrate strong customer service delivery skills. - Ability to utilize websites, portal and electronic options when available to increase efficiency. - Ability to follow oral and written instructions. - Ability to recognize and solve problems using creative thinking skills, hands-on problem solving skills and the ability to analyze and respond to data. - Skilled at effective verbal and written communications, including active listening skills and skill in presenting findings and recommendations. - Skilled at multi-tasking, organizational skills and superb attention to detail. - Working knowledge of Hospice and other payer requirements. - Knowledge of clinic office procedures, medical practice and medical terminology. Company Description

Role Description The Clinical Nurse Manager reports to the Director, Clinic Operations and is part of the Clinical Team at OneOncology. This individual provides clinical and operational guidance across multiple oncology practices to support the delivery and high-quality, efficient, standardized workflows. This role partners with practice leadership, physicians, pharmacy teams, and corporate departments to optimize clinical workflows, infusion operations, quality programs, and regulatory compliance. This position serves as a subject matter expert in oncology nursing and ambulatory outpatient practice while driving operational improvements, standardization of best practices, and performance across the organization. This position is available in Nashville, TN or may work remotely if near a major airport. Responsibilities - Clinical Operations: - Provide operational support and guidance to oncology clinics and infusion centers across multiple practice locations. - Evaluate clinical workflows as needed and implement standardized processes to improve patient care, safety, and efficiency. - Support clinics and infusion leadership with operation challenges and patient flow optimizations. - Assist practices with implementation of new clinical programs, services, and operational initiatives. - Infusion Services Optimization: - Support infusion center operations including chair utilization, scheduling efficiency, and staffing models. - Collaborate with pharmacy and clinical teams to optimize infusion workflows and medication administration process. - Assist with the evaluation and implementation of infusion-related equipment and technologies. - Quality and Performance Improvement: - Collaboration with quality team to support practices with quality metrics, regulatory programs, and operational benchmarks. - Assist with initiatives related to quality reporting, patient safety, and clinical documentation standards. - Work with clinical and operational leaders to promote evidence-based oncology nursing practice. - Cross-Functional Collaboration: - Partners with corporate teams including pharmacy, revenue cycle management, information technology teams, compliance, and quality teams. - Practice Support and Engagement: - Serve as a liaison between corporate leadership and practice teams. - Provide guidance and support to nurse managers and clinic leadership. - Facilitate knowledge-sharing and collaboration across practices to promote operational excellence. - Other Duties: - Provide guidance on implementation and ongoing maintenance of nursing competencies and continuing education programs. - Identify and advise on opportunities for margin improvement. - Perform additional duties and projects assigned by the Director of Clinical Operations. - Additional responsibilities as assigned to help drive our mission of improving the lives of everyone living with cancer. Qualifications - Graduate from an accredited school of Nursing. - Current unrevoked/unrestricted RN license in home state. - BSN or Masters prepared RN. - OCN certification preferred. - ONCOEMR experience. - Experience in ambulatory oncology or infusion center operations. - Experience working across multiple clinical sites within a healthcare structure preferred. - 3+ years management or leadership experience in the outpatient oncology setting. - Experience in identifying process inefficiencies, implementing process improvements, and driving operational excellence is highly desirable. - Strong technical skills in Microsoft Office Suite (Word, Excel, PowerPoint). - Ability to travel up to 25%.

Role Description The Manager, Insurance AR is an exciting new role that will help practices on the OneOncology platform better manage and monitor their accounts receivable (AR) and Billing issues. This position will provide OneOncology practices with oversight of their Accounts Receivable and Billing Processes. This will include: - Proactively monitoring practice’s AR - Identifying root causes of AR build-up (e.g., payer policy changes, payer behavior/system trends, clinical/workflow within practice) - Determining strategies to improve practice AR metrics and billing processes to prevent denials - Evaluating AR and Billing performance for both offshore and onshore AR and Billing teams Responsibilities - Lead Billing/AR operations for OneOncology shared services overseeing multiple practices - Drive practice Billing/AR KPI’s to reach established targets - Develop strategy for denial prevention by using system functionality/billing edits - Develop long-term relationships and lead through influence with key resources at payers to help drive down Practice AR - Identify and troubleshoot billing and payer issues by analyzing denials, aging AR, and payer feedback - Understand national payer guidelines, large local payer guidelines, coding requirements, and billing-related regulatory requirements - Identify root causes and trends leading AR to age and proactively address them - Become familiar with payer policies regarding corrected claims, payer portals, appeal levels, and timely and appeal limits - Maximize AR tool to identify high priority claims and monitor performance of RCM team - Create best practices for resolving patient AR, including workflows that can be done pre and post visit - Maintain relationships with key stakeholders at partner practices to understand billing processes and system capabilities - Work collaboratively with other members of RCM leadership team - Interface with physicians regarding any billing RCM issues - Additional responsibilities as assigned to help drive our mission of improving the lives of everyone living with cancer Qualifications - Bachelor’s degree or equivalent healthcare-related experience required - 7+ years of experience in community oncology/surgical/urology industry and/or similar field leading AR resolution and Billing processes - Working knowledge of Billing, Collections, Government Payers, Managed Care Payers, Private, and Third Party Insurances required - Thorough knowledge of ICD10, CPT, HCPCS, and coding guidelines for all lines of business, including but not limited to urology and surgery; coding certification preferred - Ability to multi-task and oversee multiple projects at once - Knowledge of OncoEMR, Modernizing Medicine (EMMA), Candid, and Intergy a plus Essential Competencies - Deep understanding of physician practice operations - Experience utilizing claim scrubbing software, writing and maintaining billing/claim rules that produce clean claims - Ability to communicate to practice leadership regarding clinical or operational workflows that could be leading to Billing/AR issues - Strong ability to communicate across all levels of a payer to support AR resolution - Solid analytical skills with the ability to deep dive into groups of accounts or claims to determine root cause - Good skills with Excel to slice and analyze data from the EMR and Practice Management system - Experience with Billing/AR escalations including writing 1st and 2nd level appeals and managing payer escalations - Ability to grasp clinical concepts that may be leading to AR build-up - Attendance is an essential job function

Role Description As a member of the Navigating Care Product & Engineering team, this role is responsible for executing technical work that supports our DevOps and QA initiatives across both internal systems and client-facing products. You will directly contribute to ensuring our platforms meet security standards and requirements and helping us scale that program across the Engineering organization. The ideal candidate is a strategic thinker with strong analytical skills and a proven ability to tackle complex problems while delivering measurable improvements in security compliance. This role reports to the VP, Software Engineering. This is a full-time, fully remote position based in the United States. Responsibilities: - Lead & perform technical evidence gathering for audits & compliance reviews, ensuring accuracy, completeness & audit readiness. - Own the creation and governance of system documentation, including PHI data stores and data flows. - Execute release certifications and tracking of certification requirements, including MIPS reporting. - Partner with leadership to help shape & evolve the compliance strategy, including the integration of AI into the program. - Drive cross-functional implementation and validation of compliance requirements across systems and workflows. - Architect & maintain automated test suites to validate compliance requirements - Pre-production environments, Production smoke testing. - Lead audit readiness and execution efforts for external frameworks (e.g., HITRUST, SOC 2), including auditor engagement and response coordination. - Continuously improve compliance processes, tooling and documentation to improve efficiency, scalability and control effectiveness. - Additional responsibilities as assigned to help drive our mission of improving the lives of everyone living with cancer. Qualifications - 5+ years of experience in a technical role supporting HIPAA and HITRUST environments (e.g. support desk, SRE, or software engineering). - Proven ability to produce clear, accurate compliance documentation for both technical and non-technical audiences (policies, checklists, audit evidence, deployment guides). - Extensive experience leading & supporting external audits (HITRUST, SOC 2, or similar), including ownership of evidence collection, control validation and auditor coordination. - Preferred certifications: CCSFP (HITRUST), CISA, CISM, CISSP. Requirements - Attendance is an essential job function. Benefits - This job description does not contain a full listing of activities, duties or responsibilities required of this role. Duties, responsibilities and activities may change, or new ones may be assigned at any time with or without notice.

Role Description The Medical Billing Specialist is responsible for all aspects of charge capture including accurate entry of charges, timely charge posting and charge audits. The individual will need to have expertise in medical coding and insurance billing as well as a strong understanding of insurance reimbursement processes and regulations. The successful candidate will work closely with RCM leadership, patients, physicians, and insurance companies to ensure that accurate and timely billing is completed. Responsibilities - Review, audit and manipulate charges from interfaced files to ensure timely and accurate charge capture for billing. - Audit/manually enter Pathology/Molecular, Psychology, Genetic Counseling and other charges into practice management system and communicate outstanding charges and/or questions with clinical staff. - Run and audit various reports to ensure all required billing information has been received and is accurately captured in practice management system. - Create daily charge file from lab application software to ensure proper charge capture. - Reconcile scheduled appointments to ensure charge capture and communicate outstanding billing issues with clinical staff and/or providers when applicable. - Communicate openly with Clinical staff and RCM teams in a collaborative manner to ensure timely and accurate charge posting. - Review medical records as needed to ensure coding accuracy which includes diagnosis, procedures, and modifiers. - Work assigned Unity tasks daily to resolve items identified by ACE claim edits, rejections, denials, collectors or other RCM teams. - Identify and work tickets to resolution in various statuses within the Practice Management system daily. - Ability to review, interpret and apply knowledge of billing guidelines and medical policies. - Train with team members or other employees to enhance personal knowledge and abilities, when assigned by management. - Ability to work autonomously and have a team-oriented, collaborative mindset to ensure charges are captured timely and accurately. - Maintains a complete understanding of HCPCS/ICD/CPT Oncology coding and specific carrier requirements/knowledge. - Follows policy and procedures outlined by management to ensure standardization of processes. - Additional responsibilities may be assigned to help drive our mission of improving the lives of everyone living with cancer. Essential Competencies - Attendance is an essential job function to maintain productivity and meet goals. - Possess detailed knowledge of billing, HCPCS, CPT and ICD codes. - Ability to work effectively with all levels of management and other colleagues, demonstrating initiative, mature judgment and customer service orientation. - Effective verbal and written communications, including active listening skills and skill in presenting findings and recommendations. - Exceptional multi-tasking, organizational skills and superb attention to detail. - Strong analytical skills and ability to meet assigned deadlines. - Strong knowledge of Windows-based applications (Word, Outlook, Excel, etc). - Must possess high degree of professionalism and adaptability. Qualifications - High School diploma or equivalent required. - Previous experience in Charge Entry, Billing or Coding required, preferably in an Oncology Healthcare setting. - Expertise in insurance policies and regulations related to medical billing, including Medicare, Medicaid and commercial plans. Company Description OneOncology is positioning community oncologists to drive the future of cancer care through a patient-centric, physician-driven, and technology-powered model to help improve the lives of everyone living with cancer. 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, 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 community oncologists and the patients they serve.