Revenue Cycle Innovation Operator

Ensemble Health Partners; Austin (TX); Hybrid; USD 120,000 - 180,000; Full time

Job summary

Ensemble Health Partners in Austin, TX seeks a Revenue Cycle Innovation Operator to act as the domain SME across the full revenue cycle. You will redesign workflows, build knowledge graphs, and validate automation, ML, AI, and agentic models alongside product, engineering, and analytics teammates.

This role requires hands-on RCM experience, strong process mapping, data-driven problem solving, and the ability to operate in ambiguity, with pilots and controlled rollouts and clear success criteria.

Qualifications

• 5+ years hands-on experience in the revenue cycle domain.
• Strong end-to-end revenue cycle literacy.
• Exceptional process mapping and improvement capability.
• Data-driven problem solving with variance analysis.
• Ability to operate effectively in ambiguity; self-motivated and proactive.
• Strong communication skills for both technical and non-technical audiences.
• Curiosity and aptitude for automation, ML, AI, and agentic technologies.

Responsibilities

• Act as the domain SME while maintaining literacy across the full revenue cycle.
• Identify structural root causes that drive downstream rework, friction, and leakage.
• Design future-state workflows and operating models with measurable impact.
• Build and maintain domain-specific knowledge graphs capturing inputs, rules, actions, and outcomes.
• Participate in design sessions and rapid innovation sprints with product, engineering, and analytics teams.
• Test and validate automation, ML, AI, and agentic models using real operational scenarios.
• Translate SME judgment into rules, decision trees, training data, and guardrails.
• Support pilots and controlled rollouts with clear success criteria and measurement.
• Document operational logic and findings for reuse and scale.

Skills

Revenue cycle

End-to-end literacy

Process mapping

Data-driven problem solving

Communication skills

Automation/AI curiosity

Multi-tasking

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

Revenue Cycle Innovation Operators are the permanent operational voice inside Orchestration Works. Operators serve as subject matter experts in specific revenue cycle domains while understanding the broader end-to-end revenue cycle. They redesign workflows, identify upstream root causes, build knowledge graphs, participate in design sessions, and validate emerging automation and AI-driven models — working shoulder to shoulder with product, engineering, and AI teammates as full members of the team, not advisors. This is a role for operators who want to change how the work is done, not just do it faster. Every initiative starts by challenging why the work is done the way it is; Operators bring the domain judgment that makes that challenge credible and the redesign real.

Core Responsibilities

• Act as the domain SME while maintaining literacy across the full revenue cycle.
• Identify structural root causes that drive downstream rework, friction, and leakage.
• Design future-state workflows and operating models with measurable impact.
• Build and maintain domain-specific knowledge graphs capturing inputs, rules, actions, and outcomes.
• Participate in design sessions and rapid innovation sprints with product, engineering, and analytics teams.
• Test and validate automation, ML, AI, and agentic models using real operational scenarios.
• Translate SME judgment into rules, decision trees, training data, and guardrails.
• Support pilots and controlled rollouts with clear success criteria and measurement.
• Document operational logic and findings for reuse and scale.

Domain Focus Areas

Back End — (AR follow-up, denials, billing, posting)

Identify structural AR drivers, payer behavior patterns, and true root causes of denials — separating provider errors from payer behavior. Design prioritization models that optimize for yield and resolution speed; build knowledge graphs mapping payer actions, responses, and optimal operator strategies. Design more actionable denial taxonomies and prevention models; build predictive models linking denial risk to upstream process failures; test AI-assisted appeal generation. Analyze systemic causes of claim edits, rejections, posting errors, and reconciliation lag; design workflows and automated logic that raise clean claim rates and posting accuracy.

What You Bring

• 5+ years of hands-on experience in the revenue cycle, with depth in your domain.
• Strong end-to-end revenue cycle literacy.
• Exceptional process mapping and improvement capability.
• Data-driven problem solving and comfort with variance analysis.
• Ability to operate effectively in ambiguity; self-motivated and proactive.
• Strong communication skills for both technical and non-technical audiences.
• Curiosity and aptitude for automation, ML, AI, and agentic technologies.
• Ability to multi-task and maintain quality under changing priorities.

How We Work at Orchestration Works

120 days, three gates: Every initiative moves from intake to deployment-ready in 120 days or less