Director, Billing

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.

About the role

At Ensemble Health Partners, we are redefining how billing operations support financial performance and client success. We are seeking an innovative and strategic Director, Billing Optimization to lead initiatives focused on reducing denials, improving cash collections, decreasing unbilled days, and transforming billing operations across a complex multi-client environment. This role offers a unique opportunity to build optimization strategies from the ground up while influencing enterprise-wide change. The Director will partner with leaders across Revenue Cycle, Revenue Integrity, Front-End Operations, and Denials Management to identify root causes, implement solutions, and drive measurable operational improvements.

Responsibilities

• Lead analysis of denials, rejections, and claim edits to identify trends, root causes, and improvement opportunities.
• Develop and implement innovative solutions that improve billing performance and operational efficiency.
• Drive enterprise-wide optimization initiatives aimed at reducing unbilled days and accelerating cash collections.
• Present findings, recommendations, and process improvement strategies to executive and operational leaders.
• Partner with stakeholders across Revenue Cycle Operations, Revenue Integrity, Denials Management, and Client-Facing teams.
• Build scalable workflows and operational frameworks that support long-term business growth.
• Lead and develop a growing team while fostering accountability, engagement, and continuous improvement.
• Serve as a strategic thought partner in shaping the future state of billing operations across multiple clients and markets.
• Balance hands-on analytical work with strategic leadership responsibilities in a fast-paced healthcare environment.

Requirements

• Progressive leadership experience within healthcare revenue cycle operations.
• Strong expertise in identifying root causes and developing actionable solutions to complex operational challenges.
• Experience across multiple functional areas of the revenue cycle.
• Demonstrated success driving process improvement and operational optimization initiatives.
• Advanced critical thinking and analytical problem-solving abilities.
• Strong communication and presentation skills with the ability to influence stakeholders at all levels.
• Intermediate to advanced Microsoft Excel skills.
• Proven ability to thrive in a dynamic, fast-paced, multi-client environment.
• Adaptability, curiosity, and a willingness to challenge traditional approaches to achieve better outcomes.

Preferred Qualifications

• Experience with Epic, Cerner, or other major healthcare information systems.
• Knowledge of clearinghouse operations and claim management processes.
• Experience working for a payer, health system, consulting organization, or healthcare technology company.
• Exposure to automation technologies, AI-enabled tools, Microsoft Copilot, Claude, bots, or workflow automation platforms.
• Experience leading enterprise transformation or operational excellence initiatives.

Skills

The ideal candidate will demonstrate:

• Strong root-cause analysis capabilities.
• A continuous improvement mindset.
• Creative and innovative thinking.
• Effective cross-functional collaboration.
• Strategic decision-making abilities.
• Leadership presence and team development skills.
• Ability to influence change across a complex organizational structure.

Why Join Ensemble?

• Define the future of billing operations within a nationally recognized revenue cycle organization.
• Make a meaningful impact on patient outcomes, client performance, and healthcare operations.
• Lead transformative initiatives with executive-level visibility.
• Build and grow a high-performing team.
• Work in a highly collaborative environment supporting more than 35 healthcare clients across the country.
• Be part of an organization that embraces innovation, technology, and continuous improvement.

Benefits

• 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.
• Culture rooted in collaboration, growth, and innovation.
• Professional development opportunities, including certification relevant to your field and tuition reimbursement.
• Quarterly and annual incentive programs for all employees.

Pay

This position pays between $88,200-$132,300.

Awards & Recognition

• 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).