Vp, Practice Controller
OneOncology • Nashville, TN • Full Time
Posted on Mon, Oct 26, 2026
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: Role Summary The VP, Practice Controller will report directly to OneOncology’s Chief Financial Officer . This is a fantastic, high-profile, executive level role for someone who enjoys a combination of making a difference, interacting with physicians/practices, leading a large team of accounting professionals, driving operational initiatives, developing accounting solutions to enhance business development and practicing a combination of operational and technical accounting. This individual will be one of the key accounting and finance leaders in the organization having direct, everyday interactions with the OneOncology C-Suite/Executive Team members as well as everyday interactions with our practice leaders. This individual will also interact daily with a broad, cross-functional group of operational, clinical, financial and corporate teams. This individual oversees a large practice accounting organization consisting of more than 75 accounting professionals including several Sr Director/Director level direct reports and will work hand in hand with the Corporate Controller and their team in driving the proper accounting across the affiliated oncology practice platform. The Vice President - Practice Controller is responsible for leading a large, dynamic accounting team through growth, change, acquisitions and integrations. This position is responsible for the majority of our partner practices’ accounting and financial reporting functions, which includes working through accounting, operational and strategic opportunities and issues. The Vice President - Practice Controller is responsible for overseeing the month-end close process of our individual partner practice’s accrual basis financial statements, management and continued build out of the practice accounting team, and relationship development and management with our partner practices. The individual will also work with two other divisional controllers who oversee accounting for our owned urology/oncology/radiation practices to develop standardized and automated solutions across the entire OneOncology platform. Due to the large number of affiliated platform practices – all of whom retain authority over their own practices – and the large practice accounting teams serving more than 30 practices, the Vice President - Practice Controller, must possess strong business and accounting skills as well as very strong relational and communication skills. This position is a highly active, practice-facing position interacting with a broad group of individuals both internally and externally. Responsibilities: Serves as the primary practice facing accounting leader to the individual affiliated oncology practices Manage the overall practice accounting team, currently consisting of over 75 accounting professionals including several Sr. Director/Director level direct reports who are responsible for revenue recognition/recording, accounts receivable, accounts payable, prepaids, fixed assets, and other general GAAP income statement and balance sheet accounting Lead the monthly practice accounting close process, including close coordination, collaboration with Corporate Accounting (which is responsible for overall OneOncology financial reporting) and financial reporting for each practice in accordance with tight close timelines for our parent company Serve as a primary and trusted advisor to the Chief Financial Officer as we set priorities, develop talent and serve the practices Grow and develop the practice accounting team. Evaluate staff, responsibilities and individuals for appropriate performance, skills, potential for improvement, growth and promotions Work closely with the operations team to deliver financial results and operational insights to the business via monthly operating reviews and other practice meetings Work closely with the OneOncology Corporate and Fin Ops teams to understand and communicate practice operational and financial trends to help make strategic decisions and develop financial forecasts Work closely with the Business Development/Strategic Finance team to understand future practice affiliations and integration timelines Coordinate new practice integrations with dedicated finance and operational integrations teams Serve as a key business partner throughout the Company, working closely with members of the Executive Team, FP&A, Strategic Finance, Business Development, and other departments as needed Develop, coordinate, communicate and enforce financial reporting policies, procedures and controls at the practice level Ensure balance sheet account reconciliations are completed and reviewed timely for accuracy and completeness Develop standardization and automation improvements to the existing accounting processes working with the other finance and accounting leaders including a dedicated Sr. Director of Standardization, Integrations and Financial Systems. Regularly evaluate and enhance financial and operational process changes to improve efficiency and scalability Participate in the continued optimization of the Company’s ERP system (Workday) via workgroups and oversee ERP integrations on new partner practices Coordinate accounting research and technical accounting conclusions on complex accounting issues with Corporate Accounting Support Strategic Finance, Business Development, and FP&A on acquisition evaluation and lead acquisition accounting In conjunction with Corporate Accounting, Treasury, and Accounting Operations teams, lead new partnership practice accounting processes including opening balance sheet assessments Ensure timely completion of significant accounting processes, such as Due To/From (DTDF) with our partner practices and oversee annual audit information with each practice leader Additional responsibilities as assigned to help drive our mission of improving the lives of everyone living with cancer. Required or Preferred Qualifications: Minimum 15 years of accounting leadership experience in a public accounting or corporate accounting environment that demonstrates a commanding knowledge in accounting – some level of healthcare experience strongly preferred, but not required Prior experience leading large teams of accounting professionals in multi-layered teams Prior experience within a Big Four or large regional accounting firm strongly preferred Proven knowledge of GAAP, FASB, and SEC regulations Knowledge of internal accounting controls, industry practices (healthcare specific preferred) and the ability to research and document complex accounting and financial topics Proficiency in Microsoft Office, with advanced skills in Excel, Word and Powerpoint. Workday experience a plus Bachelor's or Master’s degree in Accounting required Active CPA license strongly preferred but not required Travel flexibility (average travel ~ once per month) Accounting executive expectations - willingness and ability to engage with practices and internal teams on nights and weekends as needed Position located in Nashville and will be 5 days per week in the office Essential Competencies: Display a detail-oriented and organized approach to daily activities and a self-starter attitude Prior proven ability to lead a large group of accounting professionals consisting of multiple layers of leadership, including development of goals and targets, holding the team accountable for achievement of those goals and targets and challenging team members to reach their full potential Strong technical US GAAP accounting skills with prior experience applying accounting judgments to complex accounting issues (keeping in mind the Company has a Corporate Accounting Team who lead the technical accounting functions) Must possess a client service mentality understanding that our primary purpose is the success of our practices Must enjoy communicating and working with physicians and their individual practice personnel. Must be comfortable building relationships with non financial leaders. Ability to delegate to lieutenants, but remain informed at a detailed level to address individual practice concerns and help practice accounting leaders make good judgments High growth nature of OneOncology means the practice accounting team will be constantly hiring new practice accountants – this leader must be comfortable operating in a constantly growing and hiring environment with the ability to discern accounting talent and invest in/develop future leaders Ability to work in a cross-functional team environment and lead cross-functional initiatives, while also building strong partner and interdepartmental relationships Capacity to convey complex accounting concepts to non-financial individuals, such as physicians/practice administrators Ability to deliver both favorable and unfavorable financial impacts to leaders, including practice leaders and physicians Strong analytical and problem-solving abilities and knowing “when” to loop in subject matter experts for assistance and review Ability to effectively motivate others, works with a sense of urgency, and prioritizes tasks Demonstrate strong interpersonal, communication, analytical, and problem-solving skills Ability to work independently in a fast-paced environment Demonstrate “Situational Analysis” – ability to maintain constant awareness of factors that may impact our relationship with our partner practices Strong prioritization skills to help the practice accounting leaders sort through the many different practice and corporate requests 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.
AuditFriendly salary estimate
The employer did not post a salary for this role. Based on AuditFriendly's salary intelligence model (comparable live postings, role, seniority, and location), we estimate base pay of $100,000–$120,000 per year (median ~$105,000). This is an AuditFriendly estimate, not an employer-provided figure.
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What the data says about this job
- Advertised pay for Controller in Greater Nashville: a median of $132,500 across 22 priced postings. Explore the market
- OneOncology's roles typically close in 6 days; the market median is 14 days. Time to close
- 7% of OneOncology's 15 tracked postings are more than six months old. Posting hygiene
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