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Ensemble Health Partners

SVP, Revenue Integrity

Posted 2 Days Ago
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Remote
Hiring Remotely in United States
Senior level
Remote
Hiring Remotely in United States
Senior level
The SVP, Revenue Enhancement will oversee revenue cycle operations, develop strategies for underpaid accounts, and manage client relationships and performance metrics.
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Thank you for considering a career at Ensemble Health Partners!

Ensemble Health Partners 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:

Thank you for considering a career at Ensemble Health Partners!

Healthcare impacts each of us, yet the current system remains fundamentally broken. Many of us have seen loved ones face the devastating challenge of unaffordable care.

At Ensemble, we are committed to changing this reality by driving down healthcare costs and eliminating obstacles, creating a system that truly puts people first, last, and always.

We are dedicated to revolutionizing healthcare with cutting-edge, technology-enabled revenue cycle management solutions for health systems. We’re here to solve how to reduce the friction and improve the cost of healthcare for better client and patient outcomes. As a leader in revenue technology, Ensemble is redefining what is possible in healthcare through innovation, purpose and human-centered solutions. We offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country.

Why do we do what we do? It’s all about our O.N.E Purpose:

Our commitment to transforming healthcare goes beyond technology and innovation. It’s rooted in a purpose-driven approach that emphasizes customer obsession, embraces new ideas, and strives for excellence—principles that define our O.N.E Purpose and inspire everything we do.

  • 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.

Enabling healthcare professionals with technological solutions is key to the future of healthcare, and at Ensemble, we are solving problems in healthcare with AI.

Are you passionate about leveraging AI to solve complex problems in healthcare? Do you want to be part of a team that is transforming the industry with cutting-edge technology? Join Ensemble Health Partners to leverage the superpower of AI to solve some of the most complex problems in healthcare.

Why Join Us?

  • People First, Last + Always: At Ensemble, we prioritize people over processes, valuing your contributions, supporting your growth and enabling you to make a difference every day.

  • Make a Difference with Purposeful Work: By leveraging cutting-edge AI technology, you will play a vital part in reducing healthcare costs, revolutionizing care delivery and enhancing the patient experience.

  • Innovate Boldly in a Dynamic Environment: Thrive in a dynamic, entrepreneurial culture within an organization that champions creativity and groundbreaking ideas.

  • Shape the Future of Healthcare Across a Robust Client Base: Drive change across a vast client base, empowering healthcare systems at an unprecedented pace. When you innovate here, the ripple effect is enormous.

  • Technology-Driven Innovation: Since 2021, our patented innovations and EIQ has reshaped healthcare through cutting-edge innovation.

Roles and Responsibilities

By embodying our core purpose of customer obsession, new ideas, and driving innovation, and delivering excellence, you will help ensure that every touchpoint is meaningful and contributes to our mission of redefining the possible in healthcare.

The Senior Vice President, Revenue Integrity will support the back-end revenue cycle operations, developing strategy and workflow to collect on underpaid, denied, non-paid accounts. This role is a client-facing representative. The Senior Vice President will report to the Chief Revenue Cycle Officer with dotted line reporting to the client leadership and C-suite teams. The Senior Vice President will attend and/or direct management meetings providing reporting on metrics for the client and translating metrics. May act as the first or second tier point of contact for the client for all revenue integrity and recovery related requests.

Responsibilities

  • 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. Create and drive the business development strategy in collaboration with the CCO, CMO and other members of the Executive Leadership Team
  • Primary driver of setting the strategic direction for the Revenue Integrity service line.
  • Responsible for EBITDA Improvement and contributing to service line growth
  • Responsible of KPI Performance across Ensemble clients. Develops and maintains RI related KPI for clients via scorecard performance tracking.
  • Facilitate communication with Senior Leadership, the revenue cycle service center, and departments at the hospital, to ensure that trending issues causing denials and underpayments are root caused and corrected upstream in the patient account process
  • Vet trended results and manage the realization of any remaining revenue in client accounts
  • Assist in the performance of assessments for new clients

Qualifications & Experience

  • 15+ years of related industry experience, leading and innovating back office RCM functions
  • Demonstrated ability to take a consultative approach to engaging with C-level health system executives
  • Experience within Academic Medical Centers preferred, not required  
  • Demonstrated success in partnering with sales (business development) in the pitch/BD process
  • Ability to speak to both tactical and strategic decision makers
  • Superb writing and presentation skills

Leadership & Management Behavioral Competencies

  • Leadership Decision Making - Makes day-to-day leadership decisions by securing and comparing information from multiple sources to identify issues; commits to an action after weighing alternative solutions against important criteria; effectively communicates decisions to the appropriate people and teams and holds them accountable. Drives results.
  • Coaching & Building Talent - Achieves results through other leaders by empowering them and providing feedback, instruction and development (coaching the coach) to develop their own associates; plans and supports the growth of individual skills and abilities in preparation for their next role (building bench); focuses on retention of high performers.
  • Delegation - Successfully shares authority and responsibilities with others to move decision making and accountability downward through the organization while accomplishing strategic priorities; maintains personal ownership of outcomes without excessive involvement.
  • Leading Teams - Inspires and sustains team unity and engagement by developing, motivating, and guiding the team to achieve results together through productive relationships and work.
  • Executive Communication - Clearly and succinctly conveys information and ideas; communicates in a focused and compelling way that captures and holds others’ attention (appropriate, impactful, and clear).
  • Program/Project Management - Demonstrates high accountability and responsibility for projects and programs from inception through completion/implementation; manages budget and resource planning and awareness to ensure maximized output, reduced waste and exceptional results.

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 Health Partners 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 Health Partners also prohibits harassment of applicants or employees based on any of these protected categories.

Ensemble Health Partners 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 [email protected].

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.

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Top Skills

AI
Revenue Cycle Management

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