Director, IT Projects & Integrations

Role Summary:  

We are seeking a highly motivated and experienced Director, IT Integrations and Projects to lead practice integrations, IT projects, and the enterprise Tech Refresh program. Reporting to the VP, IT Support Model, this Director owns the playbook and execution for every kind of practice onboarding — anchor integrations, tuck-ins, and full mergers — and leads the multi-year Tech Refresh program that brings practice site hardware and infrastructure up to OneOncology’s standards. The Director is accountable for delivering integration milestones on schedule, on budget, and with minimal disruption to clinical operations, while building a repeatable, scalable engine that supports OneOncology’s continued growth. 

This role is onsite/hybrid in the corporate Nashville, TN office.  

Responsibilities:  

• Lead all IT practice integrations and projects within ITSM, including anchor practice integrations, tuck-in integrations, and merger-driven onboardings — from initial due diligence through go-live and post-go-live stabilization. 

• Build and continuously refine a repeatable integration playbook covering discovery, planning, network and identity cutover, application onboarding, end-user readiness, and hypercare — so each new integration is faster, cleaner, and more predictable than the last. 

• Lead the enterprise Tech Refresh program, refreshing site hardware and infrastructure — including end-user devices, networking, wireless, servers, and supporting systems — to bring every practice up to OneOncology’s technology standards. 

• Own the integration and project portfolio for ITSM — sequencing work, allocating resources, and balancing competing demands across simultaneous integrations, refresh waves, and other practice-impacting projects. 

• Establish project governance, status reporting, risk management, and executive communications for every integration and Tech Refresh wave — giving leadership and practice partners a clear, honest view of progress, risks, and decisions needed. 

• Coordinate across IT workstreams — infrastructure, networking, end-user services, security, identity, applications, and clinical IT — to ensure each integration and refresh effort lands as a single, cohesive delivery rather than a set of disconnected workstreams. 

• Build, mentor, and lead a high-performing team of project engineers— cultivating a culture of accountability, customer focus, and shared ownership across the function. 

• Drive data-driven decision making across the function, using portfolio dashboards, integration scorecards, and refresh metrics to surface trends, root causes, and opportunities to improve speed, quality, and cost. 

• Partner with architecture, security, and