Radiation Oncology Operations Director

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.

Job Description:
Role Summary:

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 complaint, 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.

Required Qualifications:
Bachelor’s degree or equivalent experience.

7+ 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

Essential Competencies:
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

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.

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