Case STudy

OneOncology Scales from 7,000 to 20,000 Employees
with Cascade AI for HR

Specialized AI fuels HR agility during growth | Expansion for broader IT & Ops

The Challenge 

OneOncology expanded its nationwide network of oncology practices by more than 2x in a year and a half, growing from 7,000 to over 20,000 employees — while HR headcount grew only slightly. 

With every acquisition, OneOncology’s HR team faced rising complexity: 

  • A lean HR staff supporting a rapidly expanding workforce.
  • Dozens of clinic networks, each with unique policies and benefits. 
  • Managers needing guidance on infrequent but high-stakes workflows in Workday. 
  • Employees hesitant to raise sensitive questions about pregnancy, fertility, or retirement with HR directly. 

Without a new approach, the team risked being overwhelmed by repetitive inquiries, especially during critical cycles like Open Enrollment. 

x
Growth in staff 
with only minimal HR headcount growth in the same time period.

Solution

Cascade AI partnered with OneOncology to deploy AI agents for HR, trained on the company’s policies, benefits, and systems. Unlike general-purpose copilots, Cascade was: 

Context-
aware

delivering accurate answers tailored to employee role and location.

Workday-integrated

guiding managers step-by-step while respecting role-based permissions. 

Privacy-
first

creating a safe space for employees to ask personal questions.  

Embedded everywhere

accessible via intranet, Workday, onboarding, Slack, and HR communications. 

This wasn’t just another chatbot. It became the first stop for all HR inquiries. 

Deploy AI Agents
Across Your Operations,
in Weeks 

See what Cascade can resolve, execute, and automate across your enterprise. 

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