Manager Security Provisioning

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:

Client Provisioning Manager 

Revenue Cycle Management (RCM)

Position Summary 

The Client Provisioning Manager - Revenue Cycle Management (RCM) leads client access provisioning operations supporting the revenue cycle workforce and healthcare client environments. This role is accountable for delivering secure, timely, accurate, and scalable access throughout the user lifecycle while ensuring client readiness, operational control, and a strong service experience. 

The Manager leads the Client Provisioning team and partners closely with IAM, RCM Operations, Information Technology, Security, Implementation teams, application owners, and client stakeholders. The ideal candidate combines people's leadership, operational excellence, healthcare/RCM knowledge, strong client partnership, and an automation-first mindset. 

Key Responsibilities 

Client Provisioning Operations 

• Lead day-to-day client provisioning and access administration operations across multiple healthcare clients. 

• Oversee onboarding, access changes, transfers, client assignments, terminations, and deprovisioning activities. 

• Manage service performance, including SLAs, request volumes, backlog, aging, quality, escalations, and workload. 

• Ensure provisioning activities follow established security, authorization, documentation, and compliance requirements. 

• Serve as the management escalation point for complex provisioning and client access issues. 

• Balance operational priorities and team capacity while maintaining a strong client and employee experience. 

Client Implementation & Access Readiness 

• Represent Client Provisioning throughout new RCM client implementations, transitions, and go-live activities. 

• Partner with implementation and operational teams to identify provisioning requirements early in the client lifecycle. 

• Ensure access models, application requirements, approval processes, client documentation, escalation paths, and knowledge transfer are established before transition to steady-state operations. 

• Identify provisioning dependencies, readiness gaps, and operational risks and engage the appropriate stakeholders for resolution. 

• Support structured handoffs from implementation teams into ongoing operational support. 

Standardization & Continuous Improvement 

• Establish consistent and repeatable provisioning processes across clients while maintaining documented client-specific requirements where necessary. 

• Maintain operational procedures, SOPs, access matrices, client documentation, and escalation processes. 

• Identify manual, repetitive, and high-volume processes that can be simplified or automated. 

• Partner with IAM Engineering and technology teams to improve identity lifecycle and access-delivery processes. 

• Reduce unnecessary manual handoffs, rework, and dependency on individual or undocumented knowledge. 

Team Leadership & Capacity Management 

• Lead, coach, and develop Client Provisioning team members. 

• Establish clear responsibilities, performance expectations, and accountability. 

• Manage workload and capacity based on client demand, complexity, priority, and available resources. 

• Build cross-training, backup coverage, and knowledge-sharing practices across the team. 

• Promote a culture of collaboration, accountability, continuous improvement, exceptional service, and innovation. 

Performance & Governance 

• Establish and monitor key operational metrics, including provisioning volume, SLA performance, backlog, aging, quality, capacity, and automation opportunities. 

• Use operational data to identify trends, risks, resource constraints, and improvement opportunities. 

• Provide transparent reporting to IAM leadership and key business partners. 

• Support access governance, audit, security, and compliance requirements related to client provisioning
• Ensure access-removal and termination processes receive appropriate operational priority.

Required Qualifications 

• Leadership experience within Revenue Cycle Management, Identity & Access Management, Client Provisioning, Healthcare IT Operations, Access Administration, or a related operational function.

• Demonstrated experience leading and developing teams in a high-volume, service-oriented environment.

• Understanding of identity lifecycle processes, including onboarding, access changes, transfers, terminations, provisioning, deprovisioning, approvals, and access management. 

• Experience managing operational performance, SLAs, workload, capacity, and escalations. 

• Strong client-facing, stakeholder-management, and cross-functional collaboration skills. 

• Ability to establish and improve operational processes, controls, documentation, and accountability. 

• Strong analytical, organizational, problem-solving, and communication skills. 

• Ability to operate effectively in a complex, multi-client environment with changing priorities. 

Preferred Qualifications 

• Experience supporting healthcare Revenue Cycle Management operations. 

• Experience supporting healthcare client implementations, onboarding, or operational transitions. 

• Familiarity with enterprise IAM and workflow technologies such as SailPoint, ServiceNow, Microsoft Entra ID, SSO, SCIM, security-group-based access models, workflow automation, or RPA. 

• Experience partnering with technical teams to automate or streamline access-management processes. 

• Experience working in a regulated environment with security, access governance, audit, or compliance requirements. 

Success in This Role 

• Deliver consistent, reliable, and measurable provisioning services across RCM clients. 

• Ensure new clients have clearly defined access requirements and operational readiness before transition to steady-state support. 

• Improve visibility into provisioning demand, SLA performance, backlog, capacity, risks, and trends. 

• Increase standardization across client provisioning processes and reduce manual effort through automation and process improvement. 

• Strengthen cross-training, team coverage, operational resiliency, and partnerships across IAM, RCM Operations, IT, Security, implementation teams, and client stakeholders. 

• Create clear ownership and accountability so Client Provisioning can deliver an efficient, scalable service. 

Leadership Profile 

• Client-focused: Balances service excellence with operational and security controls. 

• Data-driven: Uses metrics to identify issues, prioritize improvements, and inform decisions. 

• Automation-minded: Continuously seeks opportunities to eliminate unnecessary manual work. 

• Accountable: Establishes clear ownership, expectations, and follow-through. 

• Collaborative: Works effectively across business, technology, security, and client teams. 

• People-focused: Coaches, develops, and empowers the team. 

• This position pays between $92,400 – $138,600 based on experience
• 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.
• 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 require.

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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.

Due to business, operational, payroll, and regulatory requirements, this position is limited to individuals who reside and are authorized to work within the United States. Applications generated from outside the United States will not be considered.  Individuals may reapply when located within the United States.

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 [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.

Employment Disclaimers – Ensemble