Director, Billing Optimization

Ensemble Health Partners; United States; On-site; USD 88,000 - 127,000; Full time

Benefits offered by this job

Healthcare benefits

Tuition reimbursement

Certification support

Incentive programs

Remote work option

Job summary

Ensemble Health Partners is seeking a strategic leader to drive revenue cycle optimization across multiple client markets. You will lead analytics on denials, develop solutions, and partner with stakeholders to accelerate cash collection and reduce unbilled days.

The role requires advanced analytics, cross-functional collaboration, and experience with Epic/Cerner. This remote position travels up to 25% and offers opportunities for executive impact and professional growth.

Qualifications

• Bachelor’s degree or equivalent work experience.
• 3+ years of leadership in healthcare revenue cycle operations.
• 3+ years of Patient Access in a hospital or large health system.
• Proven ability to identify root causes and implement solutions.
• Experience across multiple revenue cycle functions.
• Strong written and verbal communication with senior stakeholders.
• Experience with Epic, Cerner or other major healthcare systems.
• Knowledge of clearinghouse operations and claims processes.
• Experience with AI-enabled tools and workflow automation.

Responsibilities

• Lead analysis of denials and claim edits to identify trends and root causes.
• Develop and implement solutions to improve billing performance.
• Drive enterprise-wide optimization to reduce unbilled days and speed cash collection.
• Present findings and recommendations to executives and leaders.
• Partner with Revenue Cycle Operations, Denials Management, and client teams.
• Build scalable workflows and long-term growth frameworks.
• Lead and develop a growing team with accountability and continuous improvement.
• Shape future state of billing operations across multiple clients and markets.
• Balance hands-on analysis with strategic leadership in a fast-paced healthcare setting.

Skills

Leadership

Patient Access

Root cause analysis

Excel

Communication

Epic/Cerner experience

AI/ automation awareness

Cross-functional collaboration

Education

Bachelor's degree or equivalent

Tools

Epic

Cerner

Job description

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.

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.

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.

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.
• 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 [e-mail].

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.

Ensemble is dedicated to providing our clients with experienced healthcare finance and revenue cycle professionals. We believe that our core values of trust, integrity, loyalty and service married with the belief that our work is worthwhile helps us build and sustain sincere relationships with our associates and clients.

If you are a passionate, dedicated and experienced revenue cycle, consulting or finance professional and seek career and personal growth, we would love to hear from you.

We believe we foster an environment where talented individuals can excel and shine.

Our team believes that people are the most important part of our success and that when we take care of our people, they pay it forward by providing our clients excellent results and world‑class service.