Role Summary:  

The Senior Vice President of Operations is a senior MSO leader responsible for partnering with physician practice leadership to drive operational excellence, financial performance, and sustainable growth across an assigned portfolio of physician practices. Reporting to the Chief Operating Officer, this leader will own end-to-end performance of the portfolio, with scope including the number of practices, geographic footprint, and total revenue expected to grow year over year as OneOncology expands. The successful candidate should anticipate that responsibilities will scale accordingly and welcome the opportunity to take on broader scope over time. 

The SVP brings hands-on operational leadership of multi-site physician practices together with deep financial acumen, including P&L ownership, budget development, margin discipline, and capital deployment. The SVP works shoulder-to-shoulder with practice physician leaders and administrators to elevate every practice in the portfolio to its highest level of performance: financially healthy, operationally efficient, and positioned to grow. The objective is to build practices that thrive so that they can deliver exceptional, accessible, compassionate care to the patients and communities they serve. 

Success requires the ability to lead through influence within a matrixed MSO structure, coordinating Finance, Accounting, Revenue Cycle Management, IT, Compliance, HR, and other shared services in support of practice priorities, while flexing leadership style across Affiliated, Owned, and Friendly-PC practice models, each with distinct governance and economic structures. 

Responsibilities:  

• Own full P&L accountability for the assigned portfolio of physician practices, including revenue, margin, EBITDA, and cash flow performance against budget and strategic targets. 

• Lead the annual budgeting, forecasting, and long-range planning process in partnership with practice leadership and MSO Finance; deliver financial results that fund reinvestment, physician compensation, and growth. 

• Translate financial performance into clear, actionable insights for physician partners; build practice leaders' financial literacy so decisions at every level are grounded in sound economics. 

• Identify and execute margin improvement opportunities across labor, supply chain, payor mix, drug acquisition economics, and ancillary services. 

• Partner with practice physician leaders and administrators to elevate operational performance across access, throughput, patient experience, clinical quality metrics, and staff engagement, so practices function at their highest level for the patients they serve. 

• Coordinate the full suite of MSO functional areas (Finance, Accounting, RCM, IT, Compliance, HR, Procurement, Clinical Operations) in service of practice priorities, ensuring the MSO functions as a true partner to the practice rather than an overlay. 

• Drive implementation of national corporate initiatives across the portfolio, adapting national programs to local practice context, culture, and regulatory environment. 

• Maintain a working understanding of state-specific regulations affecting practices in the portfolio and ensure operations remain compliant as the practices grow. 

• Develop and execute regional strategic plans in partnership with practice leadership, including service line expansion, ancillary growth (imaging, lab, infusion, radiation, pharmacy, interventional radiology, ambulatory surgery centers), physician recruitment, and new site development. 

• Identify and pursue opportunities that increase patient access, deepen community presence, and strengthen the long-term competitive position of each practice. 

• Lead enterprise strategic initiatives as assigned by the COO, contributing to the maturation of the MSO's operational capabilities. 

• Build trust-based relationships with physician owners, boards, and clinical leaders; serve as the senior MSO point of accountability for practice partners. 

• Communicate practice and corporate priorities clearly and consistently across executive leadership, MSO teams, and practice teams to keep all stakeholders aligned and moving in the same direction. 

• Represent the patient and physician perspective in MSO decision-making, ensuring corporate initiatives strengthen rather than distract from the clinical mission. 

• Additional responsibilities as assigned to help drive our mission of improving the lives of everyone living with cancer. 

Required or Preferred Qualifications: 

• Bachelor's degree required; Master's in healthcare administration, business, finance, or related field strongly preferred. 

• 15+ years of progressive healthcare experience, with a minimum of 10 years in senior leadership roles within oncology, urology, radiation oncology, or comparable physician-led specialty practice settings. 

• Direct P&L ownership and demonstrated financial accountability at scale. Prior roles may include CEO, COO, CFO, Executive Director, VP of Operations, or VP of Clinical Services within an MSO or physician practice. 

• Deep knowledge of community oncology, radiation oncology, and/or urology practice operations and economics. 

• Experience operating within or alongside an MSO supporting physician practices is strongly preferred. 

• Travel flexibility up to approximately 60% on average. 

Essential Competencies:  

• High financial and operational acumen, with fluency in physician practice P&L mechanics, healthcare reimbursement, and the operational levers that drive practice performance. 

• Proven track record of influencing, leading, and facilitating large-scale strategic initiatives in a community physician practice setting. 

• Demonstrated ability to lead through a matrixed MSO structure and to flex management approach across Affiliated, Owned, and Friendly-PC practice models with differing economic and governance structures. 

• Strong executive presence and communication skills, able to engage credibly with physician owners, boards, executive leadership, and frontline practice teams. 

• Decision-making grounded in financial analysis, budget discipline, and operational data. 

• Working understanding of the interdependent systems that power community practices, including EMR, RCM, Practice Management, scheduling, and analytics, and how they translate into financial and patient outcomes. 

• Nimble, solutions-oriented business mind; bias toward clarity, action, and accountability. 

• Patient-first orientation, with the ability to keep the clinical mission at the center of every operational and financial decision.  

• Attendance is an essential job function. 

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. 

#LI-REMOTE