Principal, Technical Program Manager

Ensemble RCM LLC; Indiana; Hybrid; USD 140,000 - 200,000; Full time

Job summary

Ensemble Health Partners seeks a Principal TPM to lead complex technical programs across multiple value streams and technology domains. The role combines leading large-scale programs with measuring delivery performance and driving AI-enabled improvement, all while partnering with Engineering, Product, Support, Operations, IT, Data & Analytics, Cybersecurity, and Finance.

The position is remote, with willingness to travel to client or corporate locations as needed.

Qualifications

• Experience leading large, complex technical programs across multiple value streams.
• Ability to measure delivery performance and drive AI-enabled improvements.
• Strong collaboration with Engineering, Product, Support, Operations, IT, Data & Analytics, Cybersecurity, and Finance.

Responsibilities

• Lead key technical programs and transformation initiatives across multiple domains.
• Establish governance, execution frameworks, and accountability to improve delivery predictability.
• Define and maintain delivery dashboards with metrics like DORA, cycle times, throughput, quality, and observability.
• Identify risks and bottlenecks; develop and drive planning and issue resolution.
• Coach and mentor other program managers and delivery leaders.

Skills

Program management

AI in delivery

Cross-functional leadership

Delivery governance

Metrics dashboards

Risk management

Stakeholder alignment

Mentoring

Tools

Aha

ADO

Jira

Databricks

SQL

Claude

Copilo

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

Mission This role drives cross-functional technical programs and operating changes that make delivery more predictable, higher quality and faster, without taking ownership away from the teams that deliver; and gives engineering, product and other enterprise leaders an honest, data-driven view of how work actually flows.

About the Role

The Principal TPM serves as a senior individual contributor in Engineering, leading complex technical programs and transformation initiatives across multiple value streams, functions, and technology domains. The role looks at how engineering delivers and works with leaders to improve it. The role combines three things: leading large, complex technical programs; measuring delivery performance (including the impact of AI‑assisted development); and driving operating changes the evidence calls for. The position exercises independent judgment and influences outcomes without direct people‑management responsibility, ownership of engineering commitments, or budget‑approval authority. The role succeeds by enabling Engineering to execute with excellence.

What you’ll do:

• Lead key technical programs
• Lead the planning, execution, and delivery of complex technical programs and transformation initiatives across multiple value streams, functions, and technology domains; aligning stakeholders on objectives, execution strategy, dependencies, and success measures (for example: AI SDLC transformation).
• Establish program governance, execution frameworks, operating rhythms, escalation paths, and accountability mechanisms that improve delivery predictability, transparency, and outcomes.
• Identify technical and organizational risks, bottlenecks, and dependency trends; challenge assumptions, define and drive program planning, and elevate unresolved issues.
• Ensure risk‑mitigation and recovery plans exist and are visible; elevate when execution on these plans is at risk.
• Measure and identify delivery performance trends With engineering leaders, define and maintain a set of delivery measures; Align on metric definitions, own the development, adoption, analysis, and continuous improvement of engineering and product delivery measurement dashboards, with metrics such as DORA, feature cycle times, throughput, quality, rework, predictability, AI‑enabled productivity, delivery health, observability, and operational effectiveness.
• Assess how AI‑assisted development and other levers change delivery speed, quality, and rework, and provide suggestions on where it is working and where it is not.
• Translate performance trends and program insights into leadership recommendations: what is constraining delivery, why, suggestions for improvement, who owns the change, and how success will be measured.
• Improve how engineering operates
• Improve engineering operating models, delivery practices, governance, and ways of working by identifying systemic barriers and driving continuous AI‑enabled improvement across teams.
• Leverage AI in your own workflow
• Coach and mentor other program managers and delivery leaders and share effective practices
• Align leaders on tradeoffs and decisions
• Serve as a trusted advisor to engineering leadership and mentor teams on operating excellence, influencing execution without direct people‑management authority or ownership of engineering commitments.
• Partner with Engineering, Product, Support, Operations, IT, Data and Analytics, Cybersecurity, and Finance to resolve cross‑functional issues and support strategic initiatives.
• Communicate program status, risks, tradeoffs, recommendations, and escalations to senior and executive leaders; provide input on resourcing needs, program business cases, and cost‑benefit considerations.

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 require.

Preferred Qualifications

• Experience evaluating build vs buy and rolling out AI‑assisted development tools and measuring their effect.
• Experience using AI or automation to run program tracking and reporting.
• Experience mentoring other program managers and coaching others.
• Experience driving operational excellence, process optimization and standardization, and organizational change across multiple teams.

Proficient with tools like Aha, ADO or Jira, Databricks or SQL, Claude or Copilo LI-MT1 #LI-Remote

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

Equal Employment Opportunity

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.