Senior Vice President, Operations

About the Organization

OneOncology is building a patient-centered, physician-led, and technology-enabled model that helps community oncologists shape the future of care while improving outcomes for people facing cancer and other diseases.

The company is bringing together experienced leaders to advance its mission and vision, backed by a culture that blends startup energy with the depth of expertise found across oncology, urology, technology, and finance.

Why This Role Is Attractive

This is a strong opportunity for a highly driven operations leader who enjoys building better processes, supporting independent physicians, and making a meaningful impact on patients and the communities they serve.

Role Overview

The Senior Vice President of Operations is a senior MSO leader who partners with physician practice leadership to strengthen operational performance, improve financial results, and support long-term growth across a portfolio of physician practices. Reporting to the Chief Operating Officer, this leader is accountable for the full performance of the assigned portfolio, with scope expected to expand as the organization grows.

This position combines hands-on leadership of multi-site physician practices with deep financial ownership, including profit and loss responsibility, budget planning, margin management, and capital allocation. The SVP works closely with physician leaders and administrators to help each practice operate efficiently, stay financially healthy, and remain positioned for sustainable expansion.

Success in this role depends on the ability to lead through influence in a matrixed MSO environment, coordinating Finance, Accounting, Revenue Cycle Management, IT, Compliance, HR, Procurement, Clinical Operations, and other shared services in support of practice needs. The role also requires adaptability across Affiliated, Owned, and Friendly-PC practice models, each with different governance and economic structures.

Key Responsibilities

• Take ownership of the complete financial performance of the assigned physician practice portfolio, including revenue, margin, EBITDA, and cash flow relative to budget and strategic goals.
• Lead annual budgeting, forecasting, and long-range planning with practice leaders and MSO Finance, ensuring results support reinvestment, physician compensation, and growth.
• Turn financial results into practical, easy-to-understand guidance for physician partners and help strengthen their financial understanding.
• Find and implement opportunities to improve margins through labor, supply chain, payor mix, drug acquisition economics, and ancillary services.
• Work with physician leaders and administrators to improve access, throughput, patient experience, clinical quality, and staff engagement.
• Align the work of shared service teams across Finance, Accounting, RCM, IT, Compliance, HR, Procurement, and Clinical Operations with practice priorities.
• Roll out national corporate initiatives across the portfolio while adapting them to local practice needs, culture, and regulatory requirements.
• Keep current on state-level regulations affecting the practices and help ensure ongoing compliance as the portfolio grows.
• Develop and execute regional growth plans with practice leadership, including service line expansion, ancillary services, physician hiring, and new site development.
• Pursue opportunities that expand patient access, deepen community presence, and strengthen each practice’s long-term market position.
• Lead enterprise initiatives assigned by the COO and contribute to the ongoing development of MSO operational capability.
• Establish trusted relationships with physician owners, boards, and clinical leaders as the primary MSO accountability partner for the practices.
• Communicate priorities clearly across executive, MSO, and practice teams so that all stakeholders stay aligned and moving in the same direction.
• Bring the patient and physician perspective into MSO decision-making to ensure corporate initiatives support, rather than distract from, the clinical mission.
• Handle additional duties as needed in support of the organization’s mission.

Qualifications

• A bachelor’s degree is required; a master’s degree in healthcare administration, business, finance, or a related field is strongly preferred.
• At least 15 years of progressive healthcare experience, including a minimum of 10 years in senior leadership positions within oncology, urology, radiation oncology, or similar physician-led specialty settings.
• Proven direct ownership of P&L responsibility and financial accountability at scale.
• Relevant background may include leadership roles such as CEO, COO, CFO, Executive Director, VP of Operations, or VP of Clinical Services within an MSO or physician practice.
• Strong understanding of community oncology, radiation oncology, and/or urology operations and economics.
• Experience working within or alongside an MSO that supports physician practices is highly preferred.
• Ability to travel up to approximately 60% on average.

Core Competencies

• Strong command of financial and operational drivers in physician practice environments, including reimbursement and the levers that affect performance.
• Demonstrated success leading and influencing large strategic initiatives in a community physician practice setting.
• Ability to operate effectively in a matrixed MSO structure and adapt leadership style across different practice models.
• Executive-level presence and communication skills with the ability to engage physician owners, boards, senior leaders, and frontline teams.
• Decision-making based on financial analysis, budget discipline, and operational data.
• Understanding of connected practice systems such as EMR, RCM, practice management, scheduling, and analytics, and how they affect financial and patient outcomes.
• Practical, action-oriented leadership style with a focus on clarity and accountability.
• Strong patient-first mindset that keeps the clinical mission central to operational and financial decisions.
• Attendance is an essential requirement of the role.

Additional Information

This job description is not a complete list of every activity, duty, or responsibility that may be required. Responsibilities may change over time, and new duties may be assigned with or without prior notice.