Orchestration Works Operations Roles

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:

Orchestration Works: Ensembles Innovation Engine

Orchestration Works is Ensemble Health Partners leap into the future of healthcare operations. This newly launched innovation division is designed to move fast testing learning and scaling advanced technologies such as AI automation and intelligent workflows to solve real operational problems.

Our mission is simple: transform how healthcare revenue cycle work gets done and set a new standard for operational excellence across the industry.

What Is Orchestration Works

Orchestration Works is a dedicated R&D and innovation organization focused on turning emerging technology into productionready solutions quickly and responsibly.

Key Highlights

• What: A purposebuilt innovation division applying R&D directly to healthcare operations
• Team: Approximately 50 associates in an independent agile structure
• Location: Austin Texas (hub for collaboration and rapid problemsolving)
• Focus: Revenue Cycle Management innovation process redesign automation and AI
• Why: To stay ahead in a rapidly evolving healthcare landscape and deliver better outcomes for clients and patients

Why This Matters

Healthcare is changing fast. Legacy processes and incremental improvements are no longer enough. Orchestration Works exists to:

• Rapidly test and scale new ideas without slowing core operations
• Translate frontline expertise into intelligent systems and automation
• Deliver measurable improvements in efficiency accuracy and client results
• Create tools and workflows that elevate how revenue cycle work is performed

Even teams outside Orchestration Works benefit from the solutions developed

here making work smarter faster and more impactful across the organization.

Innovation Operators are subject matter experts in specific revenue cycle domains who also understand the broader endtoend revenue this role youll help redesign workflows uncover root causes and partner with product engineering and analytics teams to build and validate automation and AIdriven solutions.

This is a handson role for professionals who enjoy solving complex problems and shaping the future of healthcare operations.

Core Responsibilities

• Serve as a domain subject matter expert while maintaining strong endtoend revenue cycle literacy
• Identify upstream root causes that drive downstream rework friction and revenue leakage
• Design futurestate workflows and operating models with measurable impact
• Build and maintain domainspecific knowledge graphs (inputs rules actions outcomes)
• Participate in design sessions and rapid innovation sprints
• Test and validate automation ML AI and agentic models using real operational scenarios
• Translate expert judgment into rules decision trees training data and guardrails
• Support pilots and controlled rollouts with clear success criteria
• Document operational logic and findings for reuse and scale
• Must be inquisitive and demonstrate openness to innovation including AI to explore better processes and ways to alleviate friction and improve patient and client experiences.

Required Qualifications

• 5 years of handson experience in Revenue Cycle Management
• Strong endtoend revenue cycle knowledge
• Proven process mapping and improvement skills
• Datadriven problemsolving mindset
• Comfort operating in ambiguity and fastchanging environments
• Strong written and verbal communication skills
• Curiosity and aptitude for automation AI ML and emerging technologies
• Ability to manage multiple priorities while maintaining quality

Experience We Love

• Must be inquisitive and demonstrate openness to innovation including AI to explore better processes and ways to alleviate friction and improve patient and client experiences.

RoleSpecific Opportunities

Scheduling SME Operator

• Diagnose root causes of access delays noshows and scheduling errors
• Model decision logic for appointment types slot optimization and prioritization
• Design futurestate scheduling workflows incorporating clinical and capacity constraints

Financial Clearance SME Operator

• Identify causes of eligibility errors authorization failures and preventable denials
• Build payerspecific decision trees and clearance pathways
• Test predictive and agentic clearance models

Clinical Documentation SME Operator

• Identify documentation gaps impacting coding and denials
• Design upstream documentation workflows
• Partner with clinicians to test AIassisted documentation tools

Coding SME Operator

• Identify coding variance and rework drivers
• Define logic and edge cases for AIassisted and autonomous coding
• Validate model outputs for accuracy and compliance

Billing SME Operator

• Analyze systemic causes of claim edits and rejections
• Design workflows to increase clean claim rates
• Translate billing logic into automationready rule sets

AR FollowUp SME Operator

• Identify structural AR drivers and payer behavior patterns
• Design prioritization models optimizing yield and resolution speed
• Test agentic AR followup models

Transaction Posting SME Operator

• Identify posting and reconciliation errors
• Design automated posting logic with robust exception handling
• Detect underpayments through expected vs. actual payment models

Denials SME Operator

• Separate true root causes of denials from payer behavior
• Design actionable denial taxonomies and prevention models
• Test AIassisted appeal generation

Underpayments SME Operator

• Identify systemic underpayment drivers
• Design detection and recovery models
• Partner with contracting and legal teams as needed

Product Manager

• Own product roadmaps and prioritize initiatives
• Translate business needs into working prototypes
• Partner closely with design engineering and users
• Drive execution from concept through rollout

Technical Program Manager

• Lead complex technical programs endtoend
• Align architecture and delivery with business goals
• Drive crossfunctional accountability and risk management
• Continuously improve execution through innovation and best practices

Compensation & Benefits

Orchestration Works offers highly competitive compensation performancebased incentives and relocation support for roles based in Austin Texas.

Join an award-winning company

Five-time winner of Best in KLAS

Black Book Researchs 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 Groups RCM Operations PEAK Matrix Assessment 2024

Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance-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. Our culture is rooted in collaboration growth and innovation.

• 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.

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 .

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 roles range.

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