Director I, Pre-Access

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

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 Director I, Pre-Access is responsible for leading a functional Pre-Access team across multiple markets. They set performance and effectiveness expectations in line with industry best practices and drive accountability through responsibility of team production and quality measures. The director establishes, monitors, and meets key performance indicators aligning to industry best practices for their functional area. The director also partners with non-centralized areas who perform their own pre-access functions to ensure education, training, and adherence to standardized processes. As a subject matter expert, this person provides leadership and contributes to the overall revenue cycle goals, meeting the mission and organizational goals of Ensemble Health Partners, as well as regulatory compliance requirements. Occasional travel may be required.

Responsibilities

• Establishes department strategy, direction, and breakdown of department assignments by leader.
• Leads pre-access managers who lead their functions across the pre-access teams, focusing on standardization, consistency, and best practices.
• Partners with other revenue cycle and facility leaders within their scope to ensure upstream/downstream impacts of workflow, and to establish positive relationships while fostering open two-way communication.
• Serves as the pre-access service line contact to internal business partners (IP/OP/Surg).
• Coaches and develops department managers and assists in use of reporting and analytics to find trends, develop action plans, and implement process improvement.
• Leads managers through denial reviews to find gaps in workflow and processes and implements strategy to mitigate.
• Audits accounts and reviews denials to ensure effectiveness of workflow processes in place and collaborates with upstream/downstream impacts to improve process based on findings.
• Ensures adherence to the departmental budget and prepares monthly reports as requested.
• Communicates departmental goals to the staff to optimize performance and meet budgetary goals while improving operations to increase customer satisfaction and meet financial goals of the organization.

Job 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.
• 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.

Requirements

• Bachelor’s degree in Business or Healthcare Administration, or equivalent work experience.
• 3+ years of leadership experience in a healthcare role.
• 3+ years of revenue cycle operations or Pre-Access experience.
• Demonstrated advanced usage of AI and the management of teams using AI to lean into process and technological improvements, including the exploration, experimentation, and application of AI.
• Work experience with Epic.
• Experience building reporting and analytics to monitor performance and drive process improvement.
• Pre-access operations experience and/or call center experience a plus.
• Experience with ownership of daily workflow management, developing leaders, creating processes, and setting department strategy.
• Financial and project management experience.
• Able to work in a fast-paced, deadline-driven environment.

Qualifications

• CRCR certification required within first 9 months of hire (Ensemble supported).

Schedule

This is a remote position; however, candidates must be willing and able to travel to and work onsite at client, temporary, or corporate office locations as business needs dictate.

Pay

This position pays between $92,500 - $125,000 based on experience, and is eligible for annual incentives.

Benefits

• Associate 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 – A place where associates can do their best work and be their best selves. Ensemble puts people first, last, and always. The culture is rooted in collaboration, growth, and innovation.
• Growth – Investment in professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement.
• Recognition – 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.