Director, Virtual Utilization Review

Ensemble Health Partners

Director of Virtual Utilization Review at Ensemble guiding client partnerships and transformational change in healthcare revenue cycle management. Leading strategic initiatives with a global team for improved performance.

Posted 6/3/2026full-timeRemote • 🏈 Anywhere in North AmericaLeadWebsite

About the role

Key responsibilities & impact

Build strong, trusted relationships with clients and serve as a strategic partner
Develop a deep understanding of client KPIs and SLAs within the first 60 days
Identify and execute proactive opportunities to improve performance, satisfaction, and outcomes
Oversee complex multi-client utilization review and utilization management operations
Drive measurable improvements in performance, productivity, and SLA attainment
Lead data-driven decision-making using dashboards and analytics tools
Champion adoption of new technologies and investment capabilities
Lead large-scale change initiatives across people, process, and technology
Partner cross-functionally to implement process and system improvements
Lead, develop, and mentor a large, multi-layered team (125–175 employees globally)
Manage and empower direct reports (minimum of 3 leaders)
Foster a high-performing culture aligned with organizational values

Requirements

What you’ll need

Active Registered Nurse (RN) license
Proven experience leading complex, multi-client utilization review / utilization management operations (RPM environment preferred)
Strong background in Revenue Cycle Management (RCM) (or equivalent healthcare leadership experience)
Experience managing multi-geography teams
Demonstrated success in client relationship management and partnership development
Strategic mindset with experience driving organizational transformation
Data-driven leadership approach, with strong analytical skills
Proficiency in Power BI (dashboard navigation and insights)
Working knowledge of EMR systems (Cerner, Epic, or Meditech preferred) with both front- and back-end understanding
Proficiency in Microsoft Office Suite
Experience leading change management initiatives across people, process, and technology

Benefits

Comp & perks

Comprehensive benefits package designed to support physical, emotional, and financial health
Healthcare
Time off
Retirement
Well-being programs
Professional development
Professional certification reimbursement
Tuition reimbursement
Quarterly and annual incentive programs

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

utilization reviewutilization managementRevenue Cycle Managementdata analysischange managementanalytical skillsdashboard navigationEMR systemsMicrosoft Office Suite

Soft Skills

client relationship managementstrategic mindsetleadershipmentoringcross-functional collaborationhigh-performing cultureorganizational transformation

Certifications

Registered Nurse (RN) license