Director, Billing Optimization

Thank you for considering a career at Ensemble!

Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country.

Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference!

O.N.E Purpose:

• Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations.

• Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation.

• Striving for Excellence: Execute at a high level by demonstrating our “Best in KLAS” Ensemble Difference Principles and consistently delivering outstanding results.

The Opportunity:

At Ensemble Health Partners, we are redefining how billing operations support financial performance and client success. We are seeking an innovative and strategic Director, Billing Optimization to lead initiatives focused on reducing denials, improving cash collections, decreasing unbilled days, and transforming billing operations across a complex multi-client environment.

This role offers a unique opportunity to build optimization strategies from the ground up while influencing enterprise-wide change. The Director will partner with leaders across Revenue Cycle, Revenue Integrity, Front-End Operations, and Denials Management to identify root causes, implement solutions, and drive measurable operational improvements. *This position will require business travel, up to 25%, within market.

Key Responsibilities

• Lead analysis of denials, rejections, and claim edits to identify trends, root causes, and improvement opportunities.
• Develop and implement innovative solutions that improve billing performance and operational efficiency.
• Drive enterprise-wide optimization initiatives aimed at reducing unbilled days and accelerating cash collections.
• Present findings, recommendations, and process improvement strategies to executive and operational leaders.
• Partner with stakeholders across Revenue Cycle Operations, Revenue Integrity, Denials Management, and Client-Facing teams.
• Build scalable workflows and operational frameworks that support long-term business growth.
• Lead and develop a growing team while fostering accountability, engagement, and continuous improvement.
• Serve as a strategic thought partner in shaping the future state of billing operations across multiple clients and markets.
• Balance hands-on analytical work with strategic leadership responsibilities in a fast-paced healthcare environment.

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Required Qualifications

• Bachelor’s degree or equivalent work experience
• 3 + years of leadership experience within healthcare revenue cycle operations
• 3+  years of Patient Access experience in a hospital or large health systems
• Strong expertise in identifying root causes and developing actionable solutions to complex operational challenges.
• Experience across multiple functional areas of the revenue cycle.
• Demonstrated success driving process improvement and operational optimization initiatives.
• Advanced critical thinking and analytical problem-solving abilities.
• Strong communication and presentation skills with the ability to influence stakeholders at all levels.
• Intermediate to advanced Microsoft Excel skills.
• Proven ability to thrive in a dynamic, fast-paced, multi-client environment.
• Adaptability, curiosity, and a willingness to challenge traditional approaches to achieve better outcomes.
• Experience with Epic, Cerner, or other major healthcare information systems.
• Knowledge of clearinghouse operations and claim management processes.
• Experience working for a payer, health system, consulting organization, or healthcare technology company.
• Demonstrated advanced usage of AI and the management of teams using AI to lean in to process and technological improvements, to include the exploration, experimentation, and application of AI.
• Exposure to automation technologies, AI-enabled tools, Microsoft Copilot, Claude, bots, or workflow automation platforms.
• Experience leading enterprise transformation or operational excellence initiatives.

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Leadership Competencies

• A continuous improvement mindset.
• Strong root-cause analysis capabilities.
• Creative and innovative thinking.
• Effective cross-functional collaboration.
• Strategic decision-making abilities.
• Leadership presence and team development skills.
• Ability to influence change across a complex organizational structure.

Why Join Ensemble?

• Define the future of billing operations within a nationally recognized revenue cycle organization.
• Make a meaningful impact on patient outcomes, client performance, and healthcare operations.
• Lead transformative initiatives with executive-level visibility.
• Build and grow a high-performing team.
• Work in a highly collaborative environment supporting more than 35 healthcare clients across the country.
• Be part of an organization that embraces innovation, technology, and continuous improvement.

**This position pays between $88,200- $127,000 based on experience, and is eligible for annual incentives.

**This is a remote position; however, candidates must be willing and able to travel to and work onsite at client, temporary, or corporate office locations as business needs dictate.

Join an award-winning company

Five-time winner of “Best in KLAS” 2020-2022, 2024-2025

Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021-2024

22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024

Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024

Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022-2023

Energage Top Workplaces USA 2022-2024

Fortune Media Best Workplaces in Healthcare 2024

Monster Top Workplace for Remote Work 2024

Great Place to Work certified 2023-2024

• Innovation
• Work-Life Flexibility
• Leadership
• Purpose + Values

Bottom line, we believe in empowering people and giving them the tools and resources needed to thrive. A few of those include:

• Associate Benefits –  We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs. 
• Our Culture – Ensemble is a place where associates can do their best work and be their best selves. We put people first, last and always. Our culture is rooted in collaboration, growth, and innovation.  
• Growth – We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement. 
• Recognition – We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company. 

Ensemble is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws.  Ensemble also prohibits harassment of applicants or employees based on any of these protected categories.

Due to business, operational, payroll, and regulatory requirements, this position is limited to individuals who reside and are authorized to work within the United States. Applications generated from outside the United States will not be considered.  Individuals may reapply when located within the United States.

Ensemble provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. If you require accommodation in the application process, please contact TA@ensemblehp.com.

This posting addresses state specific requirements to provide pay transparency.  Compensation decisions consider many job-related factors, including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position.  A candidate entry rate of pay does not typically fall at the minimum or maximum of the role’s range.

Employment Disclaimers – Ensemble