Role Summary:  

We are seeking an accomplished Vice President, Practice Technology to lead the technology strategy, architecture, and day-to-day operations of every system that runs a OneOncology clinic. This executive owns the full clinic technology stack: the medical oncology EMR; the service line platforms for radiation oncology, diagnostic imaging, and laboratory; and the end-to-end revenue cycle technology supporting clinic billing operations. The VP will modernize and consolidate this footprint into a secure, highly available, cloud-forward platform, accelerate AI and analytics adoption at the point of care, and ensure tightly integrated systems across every site — with patient safety, uptime, financial integrity, and consistent care delivery as the non-negotiable measures of success. This role reports to the Chief Technology Officer and partners directly with clinical, operations, and finance leaders across the network.  

This is a full-time position based in our Nashville, TN headquarters. 

Responsibilities:  

• Own the end-to-end IT strategy, architecture, and operations for the full practice technology portfolio — including the medical oncology EMR, practice management, radiation oncology systems (Varian, Elekta), diagnostic imaging (PACS/VNA and the modality fleet spanning PET/CT, CT, MRI, ultrasound, and cystoscopy), laboratory systems, pharmacy systems, and the revenue cycle management stack supporting clinic billing. 

• Define and execute the multi-year roadmap to modernize and consolidate clinic systems — migrating off on-premise practice infrastructure to centralized cloud-hosted, vendor-hosted, and SaaS platforms while reducing technical debt, operating cost, and variability across sites. 

• Ensure every clinic platform operates as a highly available, resilient system — with uptime, performance, disaster recovery, and incident response standards that protect uninterrupted treatment delivery, timely diagnostics, accurate billing, and a seamless patient experience. 

• Lead the revenue cycle technology agenda for clinic operations — including charge capture, coding, claims, denials, payment posting, patient financial experience, and the integrations between EMR, practice management, and downstream RCM platforms — partnering with finance and RCM operations leaders to drive cash flow, clean claim rates, and net collections. 

• Serve as the senior IT relationship owner with strategic clinic-system vendors — EMR, practice management, treatment systems (Varian, Elekta), PACS/VNA, lab, pharmacy, RCM, and AI/analytics partners — managing roadmaps, integrations, service levels, escalations, and contracts. 

• Partner closely with medical &radiation oncologists, radiologists, physicists, dosimetrists, therapists, imaging and lab technologists, pharmacists, practice administrators, and revenue cycle leaders to translate clinical and operational workflows into well-integrated technology solutions. 

• Lead the evaluation, integration, and lifecycle management of AI and analytics capabilities across the clinic — including ambient clinical documentation, auto-contouring and treatment planning assistance, image-based diagnostic AI, predictive analytics, and revenue cycle automation — ensuring they are validated, governed, secure, and clinically and financially additive. 

• Establish and uphold the security, privacy, and regulatory posture across all clinic systems — including HIPAA, HITRUST-aligned controls, identity and access management, audit logging, vendor risk management, and FDA / medical-device considerations for treatment and imaging platforms. 

• Oversee interoperability across the clinic stack — using DICOM, HL7 v2, FHIR, and modern API patterns to deliver a unified patient record and a clean flow of structured data into the enterprise data platform for analytics, quality reporting, and real-world evidence. 

• Build and operate a 24x7 support and incident management capability for clinic systems — including monitoring, on-call rotations, runbooks, change management, and post-incident reviews — with a tiered support model that scales from fully managed practices to those running mature internal IT. 

• Build, mentor, and lead a high-performing, distributed clinic systems organization spanning EMR and clinical applications, service line systems, revenue cycle technology, integration engineering, and clinical support — and manage the MSP and vendor partners that extend the team. 

• Lead the clinic systems workstream for new practice partnerships, mergers, and acquisitions — assessing existing systems, defining integration plans, sequencing cutovers, and onboarding practices onto the OneOncology platform on time, on budget, and with business continuity preserved. 

• Govern technology investment and standards across the portfolio — chairing or participating in architecture review, AI governance, and clinical technology committees to ensure strategic alignment, security, and compliance for every platform decision. 

• Lead vendor management across the OneOncology network — consolidating fragmented practice-level contracts into enterprise agreements, driving every platform toward a defined set of product standards, and ensuring vendors deliver the scalability, roadmap alignment, service levels, and total cost of ownership needed to support network growth and new practice onboarding. 

• Manage the clinic systems P&L — operating budget, capital plan, and vendor spend — and report progress, risk, and outcomes to the CTO, executive leadership, and the Board. 

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