Ensemble Health Partners

IT Support

• Interviews uninsured/under-insured patients to determine eligibility for a state Medicaid benefit or location Financial Assistance program.
• Assists with application processes to facilitate accurate and appropriate submissions.
• Follows-up on submitted applications to insure timely billing or adjustment processing.
• Reviewing all referred uninsured/under-insured patients for program eligibility opportunities, initializing and coordinating the application process to facilitate accurate and appropriate submissions.
• Effectively communicating with the patient to obtain documents that must accompany the application.
• Following submitted applications to determination point, updating applicable insurance information and ensuring timely billing or adjustment posting.
• Documenting all relevant actions and communication steps in assigned patient accounting systems.
• Maintaining working knowledge of all state and federal program requirements; shares information with colleagues and supervisors.
• Developing and maintaining proactive working relationship with county/state/federal Medicaid caseworker partners, working collaboratively with other revenue cycle departments and associates.

Public Benefit Specialist

Product Manager

• Demonstrate understanding of RCM terms, industry standards, business processes, and Ensembles applications and information flow
• Understand, analyse, and document the business needs
• Build process flows for current and future state
• Breakdown business needs into features and stories and back them with diagrams and documentation
• Bring feature requirements to PM and Manager/Co-manager for peer review
• Realize requirements, know the value and reasoning behind current prioritization
• Managing and creating forward looking product backlog
• Prioritizing the backlog items based on changing requirements
• Think comprehensively to align non-functional (security, performance, etc) and reporting requirements to Functional features to ensure holistic development
• Work across different verticals ops-engineering-product-analytics-implementation to seek feature related feedback, understand and resolve dependencies
• Work with offshore engineering teams to clarify business requirements during offshore hours.
• Present requirements to the team during sprint planning, unblock the engineering teams and act as of proxy PM
• Work with the teams to build high level estimates, define timelines and respectively add features to roadmap
• Overseeing all stages of product creation including design and development, to understand any risk
• Monitoring and evaluating product development, to mitigate any risk
• Collaborate with engineering, product, and data teams to deliver updates
• Participating in grooming, scrum meetings and product sprints
• Perform feature acceptance
• Demonstrate deliverable to stakeholders

Senior Product Manager

• Interview uninsured/under-insured patients to determine eligibility for a state Medicaid benefit or location Financial Assistance program.
• Assist with application processes to facilitate accurate and appropriate submissions.
• Follow-up on submitted applications to ensure timely billing or adjustment processing.
• Review all referred uninsured/under-insured patients for program eligibility opportunities, initializing and coordinating the application process.
• Effectively communicate with the patient to obtain documents that must accompany the application.
• Document all relevant actions and communication steps in assigned patient accounting systems.
• Maintain working knowledge of all state and federal program requirements; share information with colleagues and supervisors.
• Develop and maintain a proactive working relationship with county/state/federal Medicaid caseworker partners.

Events

• Lead and oversee the planning, coordination, and execution of charitable, community impact, and volunteer events in collaboration with healthcare clients and community partners.
• Design scalable event processes, templates, and repeatable workflows to support growth and consistency.
• Serve as the primary lead for vendor relationships, nonprofit partners, charitable committees, and client collaboration.
• Ensure events reflect organizational values, client partnership expectations, and community needs.
• Identify and map all top-tier client charitable events across the year.
• Develop and maintain an annual executive charitable event calendar capturing priority client engagements.
• Track participation and outcomes to strengthen executive visibility and client partnerships.
• Capture and communicate the impact of charitable events through photos, data, quotes, and firsthand accounts.
• Research and pursue charitable grants, sponsorships, and community funding opportunities to support philanthropic initiatives.

Corporate Charitable Events Coordinator

Frontend Engineer

• Review payer and regulatory updates and identify changes needed in technology systems
• Collect, review, and action plans for large sets of data
• Collaborate with IT and operational teams for necessary changes
• Ensure compliance with payer portals and regulatory standards

Analyst, Front End Systems

Compliance

• Work closely with the Compliance and Internal Audit Team to support the mission of the Ensemble Compliance Program through the execution of compliance investigations and resulting corrective actions.
• Investigates and coordinates responses to internal and external inquiries / investigations for potential and actual violations of the Ensemble Compliance Program.
• Enter and update all reported concerns, questions and incidents regarding compliance matters in the Compliance Department incident management system and compile statistical and status reports, as requested.
• Communicates effectively, both written and verbal, to department leadership, associates and clients regarding concerns, incidents and investigations as appropriate.
• Provides support to departments in correcting compliance issues and completion of required disciplinary actions with associates involved in compliance program policy violations.
• Provide guidance and support of all organizational compliance programs and applications, to ensure compliance with regulatory requirements and best practices.

Compliance Analyst II

• Interviews uninsured/under-insured patients to determine eligibility for a state Medicaid benefit or Financial Assistance program
• Assists with application processes to facilitate accurate and appropriate submissions
• Follows-up on submitted applications to ensure timely billing or adjustment processing
• Reviewing all referred uninsured/under-insured patients for program eligibility opportunities
• Initializing and coordinating the application process
• Effectively communicating with the patient to obtain documents that must accompany the application
• Following submitted applications to determination point
• Documenting all relevant actions and communication steps in assigned patient accounting systems
• Maintaining working knowledge of all state and federal program requirements
• Developing and maintaining proactive working relationship with county/state/federal Medicaid caseworker partners

Procurement

• Conduct sourcing activity from beginning to end based on Five Pillars (Strategy, Value, Information, Performance, Relationship) of vendor management
• Provide business case upon assessment of vendor proposals with logic, tactics, and cost breakdowns
• Work cross-functionally with client delivery, operational leaders, and project managers to drive service strategy to execution in a timely manner
• Meet targets of cost reduction targets on a project or annual basis
• Maintain relationships with vendors and provide feedback of performance, relationship, and vision
• Manage issues and schedule changes of vendors and capture cost impact while leading an action plan for resolution
• Develop and implement Annual Service Category Strategy by assessing service trend or future vision, ratings of vendor performance, and cost competitiveness
• Lead Annual Price Review (APR) discussion, and kaizen (continuous improvement) for assigned services to continually reduce costs
• Create and maintain cost models and playbook for services
• Actively participate in insource versus outsource discussions to benefit Ensemble
• Benchmark new vendors and support due diligence process with all relative stakeholders (IT, Finance, Compliance, Legal)

Vendor Management Sourcing Manager

• Interviews uninsured/under-insured patients to determine eligibility for a state Medicaid benefit or location Financial Assistance program.
• Assists with application processes to facilitate accurate and appropriate submissions.
• Follows-up on submitted applications to ensure timely billing or adjustment processing.
• Reviewing all referred uninsured/under-insured patients for program eligibility opportunities, initializing and coordinating the application process to facilitate accurate and appropriate submissions.
• Effectively communicating with the patient to obtain documents that must accompany the application.
• Following submitted applications to determination point, updating applicable insurance information and ensuring timely billing or adjustment posting.
• Documenting all relevant actions and communication steps in assigned patient accounting systems.
• Maintaining working knowledge of all state and federal program requirements; shares information with colleagues and supervisors.
• Developing and maintaining proactive working relationships with county/state/federal Medicaid caseworker partners, working collaboratively with other revenue cycle departments and associates.

Analyst

• Communicate directly with payors to follow up on outstanding underpayments, file underpayment appeals with payors, resolve account variance and ensure timely and accurate recovery of underpayments.
• Identify root cause of underpayments, denials, and delayed payments to clients.
• Work with the client team to identify, document, and address root causes of issues in the A/R.
• Maintain a thorough understanding of applicable state and federal insurance regulations as well as payor specific requirements, taking actions on underpayments accordingly.
• Document all activity accurately with all pertinent information in the client’s host system, Ensemble IQ, or other appropriate tracking system.
• Demonstrate initiative and resourcefulness by making recommendations and communicating trends and issues to management.
• Operate as a strong problem solver and critical thinker to resolve underpayments.
• Meet all productivity and quality standards as established by Ensemble and Revenue Recovery leadership.
• Compile and analyze data to identify underpayments, and trends in the underpayments and report to leadership findings in a timely and consistent manner.
• Work collaboratively with other departments, including Managed Care, Billing, Coding, Revenue Integrity, and Payor Strategy.
• Work multiple projects, reports, and tasks efficiently in a fast-paced, KPI-driven, atmosphere autonomously.

Revenue Recovery Analyst I

• Product Owner is a key member of the Product Management vertical at Ensemble and manages the product development process within an organization.
• They research and determine clients needs, convert needs to consumable requirements, determine value and incorporate them into product roadmap.
• They are the primary contact for the offshore development teams and scrum teams for clarifying business requirements and unblocking them.
• They collaborate amongst scrum, engineering, data and product management teams to ensure the products meet specific objectives as outlined by stakeholders and clients.
• After product feature development, the Product Owner will conduct a final review and submit their approval before releasing the product into production.
• Demonstrate understanding of RCM terms, industry standards, business processes, and Ensembles applications and information flow
• Understand, analyse, and document the business needs
• Build process flows for current and future state
• Breakdown business needs into features and stories and back them with diagrams and documentation
• Bring feature requirements to PM and Manager/Co-manager for peer review
• Realize requirements, know the value and reasoning behind current prioritization
• Managing and creating forward looking product backlog
• Prioritizing the backlog items based on changing requirements
• Think comprehensively to align non-functional (security, performance, etc) and reporting requirements to Functional features to ensure holistic development
• Work across different verticals ops-engineering-product-analytics-implementation to seek feature related feedback, understand and resolve dependencies
• Work with offshore engineering teams to clarify business requirements during offshore hours.
• Present requirements to the team during sprint planning, unblock the engineering teams and act as of proxy PM
• Work with the teams to build high level estimates, define timelines and respectively add features to roadmap
• Overseeing all stages of product creation including design and development, to understand any risk
• Monitoring and evaluating product development, to mitigate any risk
• Collaborate with engineering, product, and data teams to deliver updates
• Participating in grooming, scrum meetings and product sprints
• Perform feature acceptance
• Demonstrate deliverable to stakeholders

Vice President

• Lead client success across multiple clients
• Oversee onsite revenue cycle operations team
• Engage with clients for performance improvement and strategic planning
• Develop long-range strategic plans for systems and processes

VP, Client Delivery

Operations

• Analyze complex problems and develop innovative solutions.
• Prioritize and manage multiple projects simultaneously to meet deadlines.
• Organize and maintain detailed records and documentation.
• Adapt to changing priorities and work under pressure.
• Coordinate with team members to ensure smooth workflow and communication.
• Essential role in onboarding new clients in coordination with the SOM team.
• Lead small to mid-sized process improvement projects, completing tasks and monitoring progress to ensure timely completion.
• Support the organization’s Operational and Client Delivery leaders through the successful implementation of all best practice recommendations for existing and new clients.
• Review documentation, data analysis, and project deliverables for accuracy and compliance with established standards.
• Ensure thorough documentation of business processes, flowcharts, and narratives; assist in updating and maintaining records.
• Support root cause analysis investigations and corrective action planning; assist in tracking KPIs and reporting results to management.
• Facilitating clear communication of project updates.
• Identify opportunities for operational improvement and recommend solutions to enhance team performance and efficiency.
• Assist in scheduling, preparing materials, and organizing meetings for the Operations Readiness Team.

Operations Readiness Coordinator II

• Assist in strategic direction, priorities, accountabilities, and ongoing quality improvement related to onsite Revenue Cycle operations.
• Conduct analyses and provide recommendations, requiring strategic innovative thinking skills, and complex cross-functional operations experience.
• Create and maintain onsite operations strategic integration plans with clearly defined objectives, desired outcomes, and timelines of implementation.
• Develop long-range strategic plans for systems and processes that support a high performing, patient-centered revenue cycle.
• Develop strategies to identify root cause surrounding client issues and concerns and work with revenue cycle or onsite leadership at client sites to create processes to address those issues and potential improvements.

AVP, Client Delivery

• Lead strategic and operational initiatives across multiple domains within Self-Pay Services and related functions.
• Oversee comprehensive revenue cycle assessments for new and existing clients.
• Lead integration planning and execution for onboarding clients into Ensemble’s operational model.
• Develop and implement bad debt strategies that optimize recovery while maintaining compliance.
• Manage relationships with external bad debt vendors, including performance monitoring and contract adherence.
• Drive automation and technology enhancements within Self-Pay workflows to improve efficiency and reduce manual processes.
• Provide oversight for mailroom and correspondence teams ensuring timely and accurate delivery of patient communications.
• Lead a team of operational trainers responsible for onboarding and continuous education of staff.
• Direct bridge teams focused on stabilizing client performance and bringing metrics within SLA.
• Analyze root causes of performance gaps and implement corrective action plans.

Public Benefit Specialist

Senior Product Manager

Public Benefit Specialist

Corporate Charitable Events Coordinator

Analyst, Front End Systems

Compliance Analyst II

Public Benefit Specialist

Vendor Management Sourcing Manager

Public Benefit Specialist

Revenue Recovery Analyst I

Product Manager

VP, Client Delivery

Operations Readiness Coordinator II

AVP, Client Delivery

AVP, Revenue Cycle