Ensemble Health Partners

Director

• Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups.
• Accountable for leveraging data-driven intelligence to drive operational excellence across Ensemble Health Partners.
• Oversee developing, implementing, and maintaining various data and analytic solutions in a customer-friendly manner.
• Assist the SVP, Finance & Business Development in developing and implementing a comprehensive analytics solution to monitor net patient revenue across our portfolio.
• Project completion to senior leadership, set operational priorities/objectives, and responsible for tactical/strategic analytic efforts.
• Direct the creation of data-driven solutions (dashboards and reporting tools) to strengthen enterprise analytics; evaluate market trends and competitive analytics to inform organizational decision-making.
• Direct advancement and implementation of analytics and AI solutions to measure, monitor, and benchmark net patient revenue performance across the enterprise; provide strategic leadership in establishing key performance metrics.
• Serve as a strategic partner to senior executives and operational leaders to align data, analytics, and AI capabilities to organizational priorities.
• Provide consultative leadership to operational executives, facilitating data-driven decisions and operational excellence; serve as a trusted advisor on analytics strategy and implementation across the organization.
• Establish cross-functional partnerships and collaborations to ensure analytics solutions address complex business needs; oversee integration of diverse data sources to create comprehensive insights and drive meaningful outcomes.
• Liaise with clients and their financial staff to effectively ingest and analyze data, ensuring accuracy and relevance; serve as a critical contributor in advising clients based on data analysis results, providing actionable insights and recommendations to drive business decisions.
• Build, lead, and mentor a high-performing team of analytics professionals; establish departmental goals and objectives, evaluate performance, and foster professional development and succession planning.
• Oversee recruitment, retention, and development strategies for analytics talent; establish a culture of innovation, continuous learning, and excellence within the department aligned with organizational values.
• Establish service excellence standards and accountability measures; ensure consistent delivery of trusted, timely, and high-impact analytics solutions to stakeholders throughout the organization.
• May be required to perform other job-related duties as requested.

Director, Net Patient Revenue Analytics

Full-stack Engineer

• As a lead software engineer your role will be to evangelize, influence and implement the technology strategy for Ensemble software delivery teams.
• You will focus on the biggest needs across the organization and develop reusable components, patterns, and tooling to address them.
• You will influence behaviors through code reviews and hands on design sessions.
• Partner with business delivery leadership to conceptualize solutions that meet their complex needs.
• Design, develop, test, deploy, monitor, maintain, and continuously improve software
• Translate product concepts into project commitments that deliver incremental value to our customers frequently and with high quality
• Focus on the biggest needs across the organization and develop reusable components, patterns and tooling to address them
• Actively mentor the engineering team through code reviews, and hands on design sessions
• Responsible for the team's technical deliverables and the quality of it.

Lead Software Engineer

Accounts Receivable

• Manager, Accounts Receivable will support the designated leadership team in Revenue Cycle in the selection, direction and development of Accounts Receivable department team members
• Responsible for assisting team members with problematic claims and answering questions regarding operational processes
• Responsible for the performance and effectiveness of the department's staff
• Develop short and long-term plans and objectives to improve revenue and manage overall payment and denials trends
• Work with insurance companies to identify reasons for denied payment for services
• Work with peers in Coding and Billing to identify, correct, and reduce denials trends
• Empower staff to develop methods of process improvement
• Performs ongoing process improvement of daily activities related to accounts receivable functions
• Obtains or generates reports to analyze trends in unpaid claims and denial activity
• Develops and manages departmental budget, including overtime
• Establishes departmental goals with the staff to optimize performance
• Collects, interprets, and communicates performance data
• Works with internal and external customers to make key decisions
• Works closely with ancillary departments to establish and maintain positive relations
• Provides timely communication to peers and team members
• Plans agendas and leads meetings

Manager, Accounts Receivable

Vice President

• Reporting to VP, Patient Access; establish processes and policies for Patient Access across clients; determine and set strategy for Patient Access; improve processes, promote operational efficiency, enhance patient experience, meet regulatory compliance; engage and collaborate with operational leaders; provide vision, leadership and oversight for Patient Access functions and Senior Access leaders; modernize Patient Access: goal setting, tracking and reporting metrics, implement action plans, review and implement new technologies, standardize policies and processes, develop communication tools; accountable for comprehensive communication strategy promoting employee engagement; determine staffing levels and strengthen recruiting and retention; organize functions with clear accountabilities; develop leadership team by selecting, evaluating, coaching; negotiate cross training; work collaboratively to ensure successful compliant revenue cycle; assist with budget management and resource planning; ensure staff awareness/compliance with laws/regulations; perform other duties as requested; frequent travel required

Assistant Vice President, Patient Access

Analyst

• Provide technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups.
• Deliver end-to-end revenue cycle solutions and a suite of point solutions to clients across the country.
• Empower associates to challenge the status quo and contribute to meaningful work that keeps hospitals healthy.
• Support clients with experienced healthcare finance and revenue cycle professionals.

Optimization Analyst

Product Manager

• Manage multiple products or a product portfolio
• Lead new demand/intake discussions across business units
• Plan and lead discovery sessions for large, multi-year initiatives
• Anticipate user needs and understand personas for cross-products
• Anticipate and guide prioritization across multiple products or the Product Portfolio Development Roadmap and Product Backlog
• Guide cross-portfolio resources on assigned tasks and identify resource needs aligned with overall enterprise objectives
• Engage cross-functional business and technical leaders to ensure alignment on initiatives
• Lead the product life cycle process and deliverables, from market research and idea generation through development, sales, and customer support
• Anticipate potential risks and dependencies, coordinate cross-teams, define mitigation plans, and communicate and escalate where needed
• Anticipate leadership/stakeholder needs and proactively address any gaps
• Positively influence recommended outcomes across complex capabilities and initiatives
• Use industry knowledge and experience to anticipate user needs
• Build business cases and define metrics for measuring value and ROI for investments
• Develop, define, influence, and communicate product strategy to executive leadership, engineering leadership, and key stakeholders
• Influence roadmap priorities based on value and measure qualitative and quantitative impacts to understand user sentiment and business value metrics
• Act as an intermediary between the business and architecture/engineering teams
• Research, evaluate, and recommend new tools and technology, assessing the level of effort and impact from a technical perspective
• Guide through trust and transparency and be viewed as a respected contributor by business, engineering, peers, and stakeholders
• Lead with confidence, trust, and integrity
• Influence best practices and guide and coach others
• Perform market and user research and trend analysis
• Collaborate effectively as a team player and leader

Lead Product Manager

Compliance

• Copilot Studio & AI Agent Integration: Design, configure, and deploy Copilot Studio agents tailored for compliance and audit workflows. Embed AI-driven prompts and narrative generation within Power Apps and Power Automate to assist with assessments, control testing, and exception analysis.
• Power Platform Development: Build and maintain Canvas and Model-driven Power Apps; develop Power Automate flows for notifications, task assignments, and data synchronization.
• SQL-based Data Extraction & Reporting: Write complex SQL queries; create views/scripts; validate extracts with Data Engineering
• Reporting & Visualization: Develop Power BI dashboards and paginated reports; embed visuals in Power Apps for real-time insights
• Governance & Best Practices: Ensure security, access-control, data privacy; document specs and change-management
• Collaboration & Enablement: Train teams on Copilot-enhanced Power Apps/Power Automate; enable self-service analytics
• Compliance Investigations Support: Tools for case tracking, evidence collection, and documentation; analytics for root cause analysis
• Compliance & Internal Audit Support: Digitize risk assessments, control testing, audit planning; monitor findings and remediation; provide on-demand reporting

Engineer, Compliance Solutions

Human Resources

Design new configurations and maintain Workday HCM and/or Financial Management modules
Collaborate with HR, Finance, and/or IT teams to gather requirements and implement solutions
Run business integrations ensuring all associates are aligned in correct positions and with accurate data fields in Workday
Perform system testing, troubleshooting, and issue resolution
Develop and maintain custom reports and dashboards
Provide end-user training and support
Stay updated on Workday releases and enhancements and implement new features
Ensure data integrity and security within the Workday system
Participate in system upgrades and patches
Produce and maintain appropriate audits for data integrity

HRTS Analyst

Operations

• Responsible for patient related activities that include printing and mailing medical records, itemized bills, and other required documents.
• The source of these documents can be the client host systems, EIQ, Shared folders, Teams folders, emails or virtual fax.
• Responsible for activities that include pulling documentation and distributing documentation to other individuals or departments.
• Printing daily hardcopy payers UB's, 1500’s, Medical Records & EOB's and process them to be mailed.
• The source of these documents can be the client host systems, EIQ, Shared folders, Teams folders, emails or virtual fax.
• Responsible for patient related activities that include providing daily volume, backlog and workflow information.
• Specialists may be responsible for pulling various reports and working special projects.
• Patient related activities that include reviewing patient accounts, working work queues, work lists, patient portals, responding to emails from patients, payors, attorneys, etc.
• Review patient accounts for errors and fixing the errors or communicating with other departments that are responsible for correcting them.
• Partnering with other departments to resolve patient complaints or situations that have impacted the patient.
• These can sometimes be complex or require explanation and interpretation of information.
• This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job.
• Associates may be required to perform other job-related duties as required by their supervisor, subject to reasonable accommodation

Self-Pay Operations Specialist II

Billing Specialist

• Reviews/Updates failed bills & claims on host system and within billing vendor
• Works daily electronic submissions (or 277's) resolving claim issues
• Monitors daily claims errors and resolutions providing recommendations on systems fix's going forward
• Works daily late charges & rebills
• Bills hardcopy claims attaching any needed documentation for payment
• Pulls EOB's and Medical Records as needed attaching to claims and mailing
• Contact patients, insurance, any third party for insurance information or any additional billing data
• Creates training documents/tests
• Train educate staff, providing testing
• Work absentee staffing desk's

Senior Physician Billing Specialist

• Follow up directly with commercial, governmental, and other payers to resolve claim payment issues and secure reimbursement
• Identify and analyze denials, payment variances, and no response claims and draft/submit technical and clinical appeals
• Support denial, no response, and audit activities
• Document all activity accurately in client’s host system and/or tracking system
• Maintain understanding of federal/state regulations and payer-specific requirements
• Work with management to identify and address root causes in A/R
• Demonstrate initiative, resourcefulness, and communicate trends to management

Accounts Receivable Specialist, Physicians

• Supervise daily workflow of Accounts Receivable department and monitor denied/unpaid claim trends
• Assist Accounts Receivable Specialists with problematic claims and process questions
• Implement short- and long-term plans to improve revenue and denial trends
• Work with payers and internal departments (Coding, Billing, Revenue Integrity) to resolve claim issues
• Oversee HR functions for team including hiring, terminations, performance management, and timecard approvals
• Conduct team huddles, lead Team DIBS meetings, and provide recaps
• Ensure adherence to departmental budget and productivity/quality standards
• Collect, interpret and communicate performance data to make decisions and achieve goals
• Prepare monthly reports as requested

Accounts Receivable Supervisor

• Tier 1 HR Specialist providing timely, effective, and customer-focused HR issue resolution
• Respond to associates and management demonstrating 'People First, Last, Always'
• Maintain strict confidentiality of all work and information
• Maintain performance against KPIs (Average Handle Time, Average Wait Time, Average Speed of Answer, escalation rates, abandoned calls)
• Engage others to resolve or escalate issues
• Assist with development of knowledge articles for HR database
• Provide support via ticketing platform and/or phone and follow up until resolution
• Direct associates to additional resources, including documented information and self-service tools
• Anticipate users’ needs and remove barriers to excellent service
• Perform work professionally and empathetically with a sense of urgency

HR Service Center Specialist

Robotics

• Gather requirements and analyze processes for automation
• Facilitate discovery workshops for automation programs and manage stakeholders
• Support LSS process improvement activities and automation design
• Create automation design documents and business cases to document ROI
• Collaborate with Automation Developers on architecture and technology design
• Outline inputs/outputs, business variables, and measures of success focused on Revenue Cycle and Financial performance
• Partner with engineers and project managers to create development and validation timelines
• Assist in creation of automation roadmap and support delivery of timelines
• Track and monitor KPIs for each automation opportunity to ensure benefit realization
• Ensure confidentiality and rights of patients and confidentiality of hospital and departmental documents

Analyst II, Business Process Automation

Medical writer

By embodying our core purpose of customer obsession, new ideas, and driving innovation, and delivering excellence, you will help ensure that every touchpoint is meaningful and contributes to our mission of redefining the possible in healthcare.
This position encompasses all administrative and clinical functions that contribute to the capture, management, and collection of a successful Clinical Documentation Integrity (CDI) program.
Performs CDI program evaluation, inpatient documentation review, training, and shadowing client counterparts.
Uses CDI concepts to educate and engage hospital designated staff on the requirements for ICD-10 reimbursement implications, trending, and quality impact.
Project management, client management, solution design and implementation and generation of engagement results.
Guide the client through transformation efforts for continuous improvement using change management strategies.
Auditing: Conducting thorough audits to assess compliance and identify areas for improvement.
Training: Developing and delivering comprehensive training programs for staff to enhance their understanding of clinical documentation practices.
Quality and Productivity: Monitoring and evaluating the quality and productivity of documentation processes to ensure optimal performance.
Policies and Procedures: Assisting in the creation and enhancement of policies and standard operating procedures for clinical documentation improvement programs.
Compliance: Ensuring adherence to guidelines set forth by the organization, government, and relevant regulatory bodies.
Knowledge Maintenance: Staying current with all federal and state coding and documentation guidelines to ensure compliance and best practices are consistently applied.
Data Analysis: Evaluating and analyzing statistical data, maintaining databases and spreadsheets, and utilizing related software to produce analytical reports.
Feedback and Action Plans: Providing constructive feedback and developing actionable plans to implement improvements when necessary.
Goal Development: Assisting in the development of organizational Clinical Documentation Integrity (CDI) specific goals and objectives, as well as performance improvement processes.
Relationship Building: Building and maintaining productive inter- and intra-departmental relationships, as well as vendor partnerships, to optimize operations and enhance collaboration.
Strategic Oversight: Developing and monitoring strategic operating goals, objectives, and budget. Reporting on operational performance, providing justifications, and implementing corrective actions as needed.
Educational Needs Monitoring: Continuously assessing ongoing educational needs based on regulatory changes and areas identified through quality audits.
Resource for DRG Information: Serving as a key resource for Physicians, Client Leadership, Quality, and other professional staff regarding published Diagnosis-Related Group (DRG) information.
Associate Management: Developing and managing direct reports while overseeing the development and management of indirect reports.
This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Associates may be required to perform other job related duties as required by their supervisor, subject to reasonable accommodation.

Director II, Clinical Documentation

Events

Performs ongoing process improvement of daily activities related to denials functions to ensure processes are performed efficiently and effectively; and works with appropriate departments to resolve recurring issues and correct underlying root causes for errors.
Provides relevant guidance and works to resolve issues escalated by Service Line Supervisors, Operational Leader(s), Client Leader(s), and other participants related to denial avoidance.
Responsible for interviewing, hiring, staffing, training, performance management and development of staff. Counsel and disciplines employees when necessary, in accordance with department and/or organizational policies.
Develops, updates and implements job standards, job duties, departmental policies and performance appraisals for all areas of responsibility.
Provides operational support to Service Line Analyst(s) and Supervisor(s)
Oversee documentation of trends denial prevention findings into defined templates or create reports or summaries as needed.
Performs reviews using all patient accounting, Host, Epic and related systems used across Ensemble Health Partners and summarizes trends concisely and actionably.
Assists in strategic planning and establishes departmental goals to optimize performance and meet budgetary goals while improving operations to increase Client satisfaction and meet the financial goals of the organization
Creates materials and trains Service Line Analysts, revenue cycle site directors, committee members, and revenue cycle staff as necessary on denials-related trends and issues impacting assigned client(s) and operational area(s)
Performs other duties as assigned
Travel to Client site(s) as needed
This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Associates may be required to perform other job-related duties as required by their supervisor, subject to reasonable accommodation.

Denial Prevention Manager

• Examines denied and other non-paid claims to determine the reason for discrepancies\n• Communicates directly with payers to follow up on outstanding claims, files technical and clinical appeals, resolves payment variances, and ensures timely and accurate reimbursement\n• Identifies specific reasons for underpayments, denials, and causes of payment delay\n• Works with management to identify, trend, and address root causes of issues in the A/R\n• Maintains a thorough understanding of federal and state regulations, as well as payer specific requirements and takes appropriate action accordingly\n• Documents all activity accurately including contact names, addresses, phone numbers, and other pertinent information in the client’s host system and/or appropriate tracking system\n• Demonstrates initiative and resourcefulness by making recommendations and communicating trends and issues to management\n• Needs to be a strong problem solver and critical thinker to resolve accounts\n• Must have basic computer knowledge and demonstrate proficiency in Microsoft Excel\n• Excellent Verbal skills\n• Problem solving skills, the ability to look at accounts and determine a plan of action for collection\n• Critical thinking skills, the ability to comprehend tools provided for securing payment, and apply them to differing accounts to result in payment\n• Adaptability to changing procedures and growing environment\n• Meet quality and productivity standards within timelines set forth in policies\n• Meet required attendance policies

Accounts Receivable Specialist

• The Sr Specialist, Accounts Receivable performs all follow up and denial activities.
• Responsible for following up directly with commercial, governmental, and other payers to resolve claim payment issues, to secure appropriate and timely reimbursement and response.
• Identifies trends in denied payments by insurance companies to remediate issues, identifies changes with insurance company policies to ensure compliant billing, communicates with other departments to resolve denial issues and submits technical and clinical appeals in a timely manner.
• Will mentor the AR Specialist team members to help develop and improve their skills in the follow up, denials and appeals process.
• Follows up on clean claim delays from payors and adds issues to the escalation spreadsheets.
• Assists leadership with special projects for AR reduction and Cash Acceleration.
• Mentors AR Specialist team members to help develop and improve their skills in the denials and appeals process.
• Examines denied and other non-paid claims to determine reason for discrepancies.
• Demonstrates initiative in resolving complex claims and proactively makes recommendations to management on specific trends or necessary interventions.
• Communicates directly with payers to follow up on outstanding claims, files technical and clinical appeals, resolve payment variances, and ensures timely and accurate reimbursement.
• Provides guidance to other team members on resolving complex claims and filing appeals.
• Ability to identify with specific reason underpayments, denials, and cause of payment delay.
• Works with management to identify, trend, and address root causes of issues in the A/R.
• Takes meeting minutes for payor escalation calls and provides feedback to the AR associates key takeaways from the calls.
• Maintains a thorough understanding of federal and state regulations, as well as payer specific requirements and takes appropriate action accordingly.
• Documents all activity accurately including contact names, addresses, phone numbers, and other pertinent information in the client’s host system and/or appropriate tracking system.
• Demonstrates initiative and resourcefulness by making recommendations and communicating trends and issues to management.
• Reviews escalations from other areas to AR as well as accounts that require escalation to other areas of Revenue Cycle.
• Assists the supervisor with DIBS calls as needed.
• Needs to be a strong problem solver and critical thinker to resolve accounts.
• Must meet productivity and quality standards as established by Ensemble.
• Performs other duties as assigned, including projects.
• ONE CERTIFICATION PER FIELD CRCR, either upon hire or within 9 months of hire. (Or other approved job relevant certification, as approved by SVP of department.)