Senior Denials Prevention Process Improvement Advisor

Ensemble Health Partners

Denials Prevention Process Improvement Advisor leading analysis on clinical and technical denials for Ensemble, a healthcare revenue cycle management provider.

Posted 5/21/2026full-timeRemote • Ohio • 🇺🇸 United StatesSenior💰 $69,000 - $104,100 per yearWebsite

About the role

Key responsibilities & impact

Lead the performance of deep dive analysis on clinical and technical denials
Identify patterns and trends relative to acute denials
Perform root cause analysis on denied accounts
Guide and influence subject matter experts through assessments of operations
Oversee completion of denial prevention committee reports
Establish and maintain client relationships to drive best practice implementations
Create materials and train denial prevention staff

Requirements

What you’ll need

4 year/ Bachelor's Degree in Healthcare administration, Business or related discipline
Certified Specialist Managed Care (CSMC) preferred
LEAN Six Sigma Black Belt and Certified Revenue Cycle Representative (CRCR) preferred
Project Work
Intermediate Excel & Access Skills
Project Management
Data Analytics
Demonstrated advanced usage of AI for process improvements

Benefits

Comp & perks

Bonus Incentives
Paid Certifications
Tuition Reimbursement
Comprehensive Benefits
Career Advancement

ATS Keywords

✓ Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

data analyticsroot cause analysisproject managementintermediate Excel skillsintermediate Access skillsAI for process improvements

Soft Skills

leadershipcommunicationrelationship managementinfluencingtraining

Certifications

Certified Specialist Managed Care (CSMC)LEAN Six Sigma Black BeltCertified Revenue Cycle Representative (CRCR)