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: Ensemble’s 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 production‑ready solutions — quickly and responsibly.

Key Highlights

• What: A purpose‑built 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 problem‑solving)
• 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 end‑to‑end revenue cycle. In this role, you’ll help redesign workflows, uncover root causes, and partner with product, engineering, and analytics teams to build and validate automation and AI‑driven solutions.

This is a hands‑on 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 end‑to‑end revenue cycle literacy
• Identify upstream root causes that drive downstream rework, friction, and revenue leakage
• Design future‑state workflows and operating models with measurable impact
• Build and maintain domain‑specific 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 hands‑on experience in Revenue Cycle Management
• Strong end‑to‑end revenue cycle knowledge
• Proven process mapping and improvement skills
• Data‑driven problem‑solving mindset
• Comfort operating in ambiguity and fast‑changing 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.
  
  
  

Role‑Specific Opportunities

Scheduling SME Operator

• Diagnose root causes of access delays, no‑shows, and scheduling errors
• Model decision logic for appointment types, slot optimization, and prioritization
• Design future‑state scheduling workflows incorporating clinical and capacity constraints
  
  
  

Financial Clearance SME Operator

• Identify causes of eligibility errors, authorization failures, and preventable denials
• Build payer‑specific 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 AI‑assisted documentation tools
  
  
  

Coding SME Operator

• Identify coding variance and rework drivers
• Define logic and edge cases for AI‑assisted 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 automation‑ready rule sets
  
  
  

AR Follow‑Up SME Operator

• Identify structural AR drivers and payer behavior patterns
• Design prioritization models optimizing yield and resolution speed
• Test agentic AR follow‑up 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 AI‑assisted 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 end‑to‑end
• Align architecture and delivery with business goals
• Drive cross‑functional accountability and risk management
• Continuously improve execution through innovation and best practices
  
  
  

Compensation & Benefits

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

These roles are based in Austin, Texas and follow a hybrid schedule, with a minimum of three days onsite per week. Candidates may travel to Austin during the first year; however, relocation to Texas is required.

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. 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 TA@ensemblehp.com.

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.

EEOC – Know Your Rights

FMLA Rights - English

La FMLA Español

E-Verify Participating Employer (English and Spanish)

Know your Rights