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Manager, Practice Accounting; Service Revenue

Astera Cancer Care · Nashville, TN

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FULL-TIME Posted Sep 19, 2026 110K–170K a year

Job Description

Position: Manager, Practice Accounting (Service Revenue)

One Oncology 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 One Oncology’s mission and vision.
Why join us?

This is an exciting time to join One Oncology. 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

The Manager, Practice Accounting will report to a Director of Practice Accounting. This role requires a results-driven individual with an advanced understanding of technical skills around base accounting, proficient communication skills among a variety of audiences from Staff to Senior leadership, the ability to develop and maintain relationships with internal stakeholders/physician practice leadership, and overall natural curiosity with the desire to continue to learn.

The Manager, Practice Accounting is a high-profile role that will oversee a team of 4-8 Staff/Senior Accountants to support the accrual-based accounting functions for a region encompassing 2 – 3 One Oncology partnered practices. This includes, but is not limited to, overseeing and coordinating Company’s monthly close process, ensuring proper accounting for all their partner practices, performing and documenting technical accounting research, ensuring proper revenue recognition across all practices, and analyzing financial trends.

The Manager will partner closely with the financial operations team, operations, treasury, and corporate accounting team to dynamically develop proper accounting positions and evaluate transactions under US GAAP. This role will have significant exposure to and work daily with the Director, Practice Accounting, VP Finance, and Chief Financial Officer while also working closely with the Regional Vice President of the Operations team for their practice’s region.

They will also interface with the Revenue Cycle Management and Data and Analytics team. In addition, they will be a key point of contact for the practice leaders, which can include both practice administrators and practicing physicians/CEOs. This will include the opportunity to travel to physician oncology clinics or business offices to present financial results to practice leadership on an occasional basis.

The individual must be skilled at communication with all constituents with the ability to distill accounting information in a way that nonaccounting stakeholders can understand and assimilate the information and its overall impact on the financials. One Oncology has a collaborative, energetic, and fast-paced culture and this individual will need to have the ability to integrate into this ever-changing environment.

We have experienced and will continue to experience high growth. This is a great opportunity to continue to develop your managerial and financial reporting skills.
Responsibilities
• Develop strong working and collaborative relationships with our partner practice leadership to both assist the practices as well as hold them accountable for proper accounting processes/financial reporting
• Hold staff and seniors to the same expectation with practice by developing, training, and providing feedback on practice communication.
• Present financial and accounting matters for the region to the CFO and other leaders within Finance
• Provide leadership to multiple practice accounting teams…

Additional Details

City
Nashville
State
Tennessee
Country
US
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