The VP of Pharmacy Services oversees all pharmacy-related services, setting standards for drug and therapeutics management and leading the OneOncology Pathways Program. This role provides strategic leadership to pharmacy staff and serves as the clinical expert for corporate pharmacy decisions and regulatory accreditation.
OneOncology
29 Remote Job Openings at OneOncology
The Credentialing Specialist manages all aspects of the privileging and credentialing process for physicians and allied health professionals. This includes processing applications, verifying information, and maintaining confidential provider files and licenses.
The Patient Assistance Specialist provides financial counseling and drug assistance for uninsured and underinsured patients. They manage patient enrollment in assistance programs and maintain comprehensive documentation in EMR and Practice Management Systems.
The Authorization Specialist is responsible for obtaining and verifying prior authorizations for oncology treatments, imaging, and medications to prevent treatment delays. This role involves collaborating with clinical staff and insurance payers to resolve denials and maintain accurate records in the EHR system.
The Sr. Authorization Specialist is responsible for obtaining pre-authorizations and managing appeals for proton therapy treatments. They collaborate with patients, physicians, and insurance companies to ensure timely approvals and accurate reimbursement.
The Patient Financial Counselor educates patients on insurance coverage, deductibles, and out-of-pocket costs while managing payment arrangements. They also determine eligibility for financial assistance and document all account activity in medical record systems.
The Insurance AR Specialist manages monthly accounts receivables, follows up on outstanding balances, and handles claim re-files. They are responsible for researching and resolving insurance payment issues for oncology, radiology, and proton therapy services.
Design and develop custom Drupal modules and themes on Acquia Cloud to support the OnePlace intranet portal. Execute content migrations from legacy systems and implement third-party API integrations.
Lead and mentor a team of engineers responsible for the reliability, performance, and scalability of a Databricks-based data platform. Own operational health, incident management, and the establishment of operational KPIs to ensure data pipelines meet business SLAs.
Manage and resolve outstanding insurance balances by analyzing payer activity and addressing denied or underpaid claims. Collaborate with clinical and billing teams to reduce days in AR and improve overall revenue cycle performance.
Lead and oversee all prior authorization functions for oncology services to optimize approval rates and reduce denials. Supervise authorization staff and collaborate with clinical and revenue cycle leadership to ensure seamless patient care and financial performance.
The specialist ensures compliance with FDA and ICH guidelines by preparing and maintaining regulatory documents for clinical trials. They collaborate with cross-functional teams and network practices to streamline regulatory processes from study initiation to completion.
Lead the operational accounting function for the UUG practice entity, overseeing a team to ensure timely and accurate accrual-based accounting under US GAAP. Collaborate with FP&A and senior executives to drive financial integrity, process improvements, and the integration of new physicians and service lines.
The Patient Financial Counselor provides financial guidance to patients regarding insurance coverage, out-of-pocket costs, and payment arrangements. They are responsible for processing financial assistance applications and documenting all account activity in medical record systems.
The specialist manages fee schedule data for payer reimbursement, ensuring accuracy through loading and auditing. They are also responsible for identifying, researching, and resolving underpayment discrepancies and managing appeals.
Manage a team of analysts to handle the negotiation and execution of clinical research contracts for OneOncology. Collaborate with cross-functional teams to reduce study activation timelines and ensure compliance with FDA and NIH regulations.
Supervise the daily operations of the Patient AR team to ensure accurate, timely, and compliant billing. Manage patient bad debt, maintain AR days benchmarks, and oversee staff performance through audits and counseling.
Drive the execution of clinical innovation initiatives by guiding cross-functional teams and subject matter experts to improve cancer care. Design and scale innovative clinical services while partnering with practices to optimize workflows and track performance via KPIs.
The Contract Manager is responsible for the full lifecycle and performance of payer contracts for assigned physician practices. This includes leading negotiations, developing payer strategies, and ensuring financial targets and regulatory compliance are met.
The Triage Nurse monitors and responds to patient communications, assessing symptoms and side effects to coordinate appropriate care. They collaborate with physicians and scheduling teams to manage patient needs and prevent unnecessary hospitalizations.
Coordinate day-to-day execution of all RCM functions and optimize performance through KPI development and monitoring. Manage operational infrastructure to support growth via practice acquisition and integration while ensuring regulatory compliance.
The specialist provides coding expertise and auditing for radiation oncology and other specialties to partner practices and internal teams. They are responsible for performing physician audits, providing education, and ensuring compliance with federal and state regulations.
The Radiation Oncology Operations Director optimizes medical documentation and coding workflows across all radiation clinics to ensure compliant billing and maximize financial performance. This role serves as the operational bridge between clinical teams and revenue cycle functions to reduce revenue leakage and drive consistency.
The Insurance AR Specialist is responsible for managing accounts receivable, including following up on claims, resolving insurance issues, and refiling claims as necessary. They will also communicate with patients, physicians, and insurance carriers to ensure timely payments and accurate account documentation.
Patient Accounting Liaison (Call Center Based Patient AR)
OneOncology
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Full Time
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2 months ago
OneOncology
The Patient Accounting Liaison manages inbound calls to collect past due balances, establish payment plans, and address billing or coding inquiries. They also assess financial hardship eligibility and maintain accurate patient account documentation.
The Senior Manager is responsible for managing revenue cycle performance, building relationships with practice executives, and implementing standardized workflows across locations. They will analyze performance data to identify gaps and lead initiatives to improve operational efficiency within the oncology practice network.
The Compliance Director will develop, implement, and manage compliance programs for affiliated physician practices, including conducting risk assessments and ensuring regulatory adherence. They will also serve as a subject matter expert on healthcare privacy, billing, and reimbursement while fostering relationships between corporate and practice-level operations.
The specialist will coordinate with providers and staff to identify workflow improvements, integrate technology, and facilitate training sessions, working closely with the Director of Practice Development on strategy implementation. Duties include conducting practice observations, consulting on best practices, reporting project status, and developing scalable policies and procedures.
The Contract Manager will oversee the contract life cycle and performance of assigned physician practices, including negotiations and strategy development. This role involves ensuring compliance with financial targets and legal requirements while providing support for payer-related issues.
