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:

The Senior Manager, Payer Relations reports to the Vice President, Payer Relations and is responsible for leading a team of Contract Managers to support payer contracting strategies, negotiations, and contract performance across OneOncology’s partner practices. This role oversees the contract lifecycle, evaluates financial and operational performance, and ensures contractual arrangements align with organizational objectives and regulatory requirements.  

The Sr. Manager partners closely with practice leadership, payers, and internal stakeholders to optimize reimbursement, resolve complex contracting issues, and support the development of value-based care initiatives. This is a remote position, with the option to work from OneOncology’s corporate office in Nashville, Tennessee, for employees located in the area. Occasional travel may be required based on business needs. 

Responsibilities: 

• Lead, coach, and develop Contract Managers, establishing clear expectations and driving team performance. 

• Evaluate payer contract performance and identify opportunities to optimize reimbursement and financial outcomes. 

• Partner with leadership to develop and execute payer contracting strategies across assigned practices and markets. 

• Ensure contractual agreements align with financial objectives and legal and regulatory requirements. 

• Support complex payer negotiations, contract reviews, approvals, and concurrent contracting activities. 

• Collaborate with internal teams on financial analyses, revenue initiatives, and contracting priorities. 

• Resolve payer-related issues and provide timely support to partner practices. 

• Maintain accurate contract documentation and ensure contractual terms remain current. 

• Educate practice stakeholders on payer requirements, processes, and contract management tools. 

• Build and maintain strong relationships with payers, practice leadership, and internal stakeholders. 

• Leverage financial reporting and modeling to support contracting decisions and strategic recommendations. 

• Manage competing priorities and complex projects in a matrixed environment. 

• Mentor team members and support the development and advancement of value-based care initiatives. 

• Additional responsibilities as assigned to help drive our mission to improve the lives of our patients. 

Qualifications:  

Required 

• Bachelor’s degree in business, finance, healthcare administration, or a related field. 

• Minimum five years of healthcare contracting experience within a hospital, clinic, physician practice, or healthcare system. 

• Demonstrated experience negotiating physician contracts. 

• Strong understanding of healthcare laws, regulations, and contracting requirements.  

• Current industry experience negotiating physician contracts. 

• Ability to work remotely and travel as business needs require.  

Preferred 

• Five to ten years of people management experience, including leading remote teams. 

• Master’s degree in a related field.  

• Previous or current experience in payer contracting.  

Competencies: 

• Strong written and verbal communication, negotiation, and interpersonal skills. 

• Comprehensive knowledge of Medicare, Medicaid, and commercial insurance. 

• Proficiency with contract management systems and implementation processes. 

• Strong relationship management, conflict resolution, and stakeholder collaboration skills. 

• Excellent analytical, critical thinking, and problem-solving abilities with strong attention to detail. 

• Knowledge of value-based care programs and development strategies. 

• Ability to prioritize and manage multiple complex projects and competing deadlines. 

• 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.