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How much do radiation oncology jobs pay per hour?

As of Sep 1, 2026, the average hourly pay for radiation oncology in the United States is $176.96, according to ZipRecruiter salary data. Most workers in this role earn between $192.31 and $192.31 per hour, depending on experience, location, and employer.

What is radiation oncology?

Radiation oncology is a medical specialty that focuses on treating cancer and certain other diseases using various forms of radiation. Radiation oncologists develop personalized treatment plans that use targeted high-energy rays to destroy or damage cancer cells while minimizing harm to surrounding healthy tissue. This field involves close collaboration with other cancer specialists to provide comprehensive care, and treatments can be used alone or in combination with surgery, chemotherapy, or immunotherapy. The goal is to control or eliminate tumors, relieve symptoms, and improve patients' quality of life.

What are the key skills and qualifications needed to thrive in radiation oncology?

To thrive in Radiation Oncology, you need a solid background in medical physics, radiation therapy principles, and oncology, usually supported by a relevant medical degree and board certification. Expertise with linear accelerators, treatment planning systems, and dosimetry software is essential for effective and safe patient care. Strong communication, attention to detail, and empathy are crucial soft skills for collaborating with multidisciplinary teams and supporting patients through complex treatments. These competencies are vital for delivering precise cancer treatments, ensuring patient safety, and fostering positive clinical outcomes.

What are some common challenges faced by professionals working in radiation oncology, and how are they typically addressed?

Radiation Oncology professionals often encounter challenges such as managing complex treatment plans, keeping up with rapidly evolving technology, and addressing patient anxiety related to cancer therapies. Collaboration within a multidisciplinary team—including medical physicists, dosimetrists, oncologists, and nurses—is essential for delivering safe and effective treatment. Ongoing training, regular team meetings, and clear communication with patients and colleagues help address these challenges and ensure high-quality care.

What is the difference between Radiation Oncology vs Radiation Therapist?

AspectRadiation OncologyRadiation Therapist
CredentialsMedical degree, residency, board certificationRadiation therapy certification, associate or bachelor's degree
Work EnvironmentHospitals, cancer centers, clinics; involves patient diagnosis and treatment planningHospitals, clinics; administers radiation treatments under supervision
Job RoleDiagnoses cancer, develops treatment plans, oversees patient careSets up and delivers radiation therapy as prescribed

Radiation Oncology involves diagnosing and planning cancer treatments, requiring medical degrees and extensive training. In contrast, Radiation Therapists focus on delivering radiation treatments based on oncologists' plans. Both roles work closely in cancer care but differ in responsibilities and credentials.

Are radiation oncologists in high demand?

Radiation oncologists are in high demand due to the increasing prevalence of cancer and the need for specialized treatment. The field offers strong job growth prospects, competitive salaries, and opportunities in hospitals, cancer centers, and academic institutions, often requiring board certification and advanced training.

Is radiation oncology a stressful job?

Radiation oncology can be a stressful job due to the high responsibility of delivering precise treatments and managing patient outcomes. It requires strong attention to detail, technical skills, and the ability to handle emotional situations, which can contribute to work-related stress. However, many professionals find the work rewarding and maintain good work-life balance with proper support and time management.
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What cities are hiring for Radiation Oncology jobs?

Cities with the most Radiation Oncology job openings:

What are the most commonly searched types of Radiation Oncology jobs?

The most popular types of Radiation Oncology jobs are:

What states have the most Radiation Oncology jobs?

States with the most job openings for Radiation Oncology jobs include:

Infographic showing various Radiation Oncology job openings in the United States as of August 2026, with employment types broken down into 1% Locum Tenens, 3% As Needed, 81% Full Time, 8% Part Time, and 7% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $368,086 per year, or $177 per hour.

Radiation Oncology, Radiation Oncologist

CommonSpirit Health

Lexington, KY

$175.75/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 28 days ago


CommonSpirit Health rating

7.0

Company rating: 7.0 out of 10

Based on 541 frontline employees who took The Breakroom Quiz

421st of 898 rated healthcare providers


Job description

Job Summary and Responsibilities

As our Radiation Oncology Physician, you will join CHI Saint Joseph Medical Group, part of CommonSpirit Health, in Lexington, Kentucky. You will become part of a collaborative oncology program with an established referral base, meaningful opportunities for long-term growth, and the resources of one of the nation's largest health systems.


Every day you will provide primarily outpatient Radiation Oncology care at Saint Joseph Hospital and Saint Joseph East Hospital, with a low volume of hospital consultations.


To be successful in this role, you will be a board-certified or board-eligible Radiation Oncology physician comfortable with all external beam treatment modalities. The leading disease sites include breast, lung, colorectal, and head and neck cancers. You will bring strong clinical skills, a collaborative mindset, and an interest in helping grow the program, with the potential to develop into a future Medical Director role.

  • Monday through Friday from 8:00 a.m. to 4:30 p.m. with 36 patient-facing hours
  • No call
  • Manage an average of approximately 20 patients on treatment each day.
  • Collaborate with two Radiation Oncologists, three Medical Oncologists, two Surgical Oncologists, one Radiation Oncology APP, four Radiation Therapists, one RN, two office coordinators, and employed dosimetry and physics teams.
  • Epic EMR and MOSAIQ, with Eclipse planning software, onsite CT simulation, and current Elekta equipment as the program prepares for a move to a new location with new equipment.

We are offering a competitive base salary with productivity and quality incentives, as well as a recruitment package that may include a sign-on bonus, relocation assistance, student loan repayment, and a residency stipend. Benefits include comprehensive medical, dental, vision, and retirement coverage, paid time off, a CME allowance, malpractice coverage, strong operational and administrative support, and the stability and resources of a national health system. Final compensation and recruitment incentives will be discussed directly with qualified candidates and may vary based on experience, training, location, and specialty.


Job Requirements

Required

  • Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) degree from an accredited institution
  • Board-certified or board-eligible in Radiation Oncology
  • Active Medical License in the State of Kentucky, or ability to obtain prior to employment
  • DEA certificate
  • Completion of ACGME Radiation Oncology Residency

Where You'll Work

About CHI Saint Joseph Medical Group and CHI Saint Joseph Health

CHI Saint Joseph Medical Group is part of CHI Saint Joseph Health and CommonSpirit Health, serving patients throughout Lexington and central and eastern Kentucky. The Radiation Oncology program is supported by established cancer care services, an employed medical group, and close alignment with Saint Joseph Hospital and Saint Joseph East Hospital.

Additional facility and program details:

Saint Joseph Hospital is a 433-bed hospital in Lexington and was founded in 1877 as Lexington's first hospital. Saint Joseph East is a 217-bed full-service community hospital serving Fayette and surrounding counties.

Cancer care services in Lexington include radiation oncology, medical oncology/hematology, surgical oncology, breast care, hepatobiliary surgery, infusion services, imaging, and related outpatient support.

Radiation Oncology services are currently connected to Saint Joseph Hospital and Saint Joseph East, with Lexington cancer care locations including Bob-O-Link Drive and Blazer Parkway.

The program is planning a move to a new location with brand new equipment, with likely conversion to Varian and continued use of Eclipse planning software.

The opportunity offers established patient volume, a large employed referral base, and potential long-term medical director growth.

The Lexington oncology network includes two additional radiation oncologists, three medical oncologists, two surgical oncologists, one APP, employed dosimetry and physics, and dedicated clinic staff.

The practice is positioned within a broader CHI Saint Joseph Health network that serves central and eastern Kentucky through nearby hospitals, outpatient clinics, and referral relationships.

About the Community - Lexington, Kentucky

Located in the heart of the Bluegrass region of Kentucky, Lexington offers the amenities of a growing metro area with a strong sense of community, family-friendly neighborhoods, access to universities, equine culture, bourbon tourism, outdoor recreation, and convenient regional travel.

Physicians and their families enjoy:

  • A strong place for families, with established neighborhoods, access to public and private school options, and higher education anchors including the University of Kentucky and Transylvania University.
  • Outdoor recreation including parks, trails, horse farms, Keeneland, the Kentucky Horse Park, and easy access to the Red River Gorge and other Bluegrass-region destinations.
  • A vibrant local culture with restaurants, breweries, bourbon experiences, live music, college sports, arts, history, and year-round community events.
  • Blue Grass Airport provides convenient local air travel with nonstop flights to multiple destinations and connecting access to major markets.
  • A highly livable long-term home base for physicians seeking professional opportunity, manageable lifestyle, and a central Kentucky community with both regional reach and local character.

#HEC


Pay Range
$450,900 - $742,024 /year

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