Full-Time
AVP – Pre-Access
Posted on 5/12/2026
Ensemble Health Partners
5,001-10,000 employees
End-to-end revenue cycle management for hospitals
Compensation Overview
$111.8k - $150k/yr
Remote in USA
Remote
Remote role; occasional travel to client sites or corporate offices as business needs dictate.
 Operations & Logistics (1) |
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- Bachelor's degree or equivalent work experience
- 5+ years of leadership experience
- 5+ years of Revenue Cycle, Patient Access or Pre Access experience
- Demonstrated advanced usage of AI, success in translating AI into Business outcomes, and the ability to move teams from experimentation to scale
- Experience in healthcare provider finance operations or similar service environment required
- Strong executive presence with the ability to project confidence, credibility and authority; able to remain calm & show decisiveness under pressure
- Demonstrated experience implementing strategic initiatives including alignment of company goals and vision with operational execution
- Financial and project management experience required
- Ability to effectively lead diverse teams and influence change management
- Effective communication skills with ability to clearly and succinctly convey information and ideas
- Demonstrated use of KPIs to drive and track team performance
- CRCR certification required within first 9 months of hire
- Provides vision, leadership and operational oversight for all Pre-Access functions and Senior Access leaders across the organization.
- Establish positive, collaborative relationships with operational leaders to fulfill the Ensemble Differences.
- Actively leads and/or participates in modernizing Pre-Access including but not limited to goal setting (department level and/or overall revenue cycle), tracking and reporting of metrics, development and implementation of action plans to achieve goals, the review and implementation of new technologies, standardization of policies and processes and development of communication tools, both for associates and internal customers.
- Organizes functions through establishing clear accountabilities, delegation of duties and appropriate departmentalization without creating silos.
- Develops and maintains an effective, visible and well-respected leadership team by selecting, evaluating, coaching and managing the performance of qualified professionals.
- Promotes team-building relationships in all areas of responsibility.
- Accounts for a comprehensive and effective communication strategy with the department that promotes Employee Engagement, which includes enhanced employee productivity and morale.
- Assists with budget management.
- May be required to perform other job-related duties as requested.
- Coaching & Building Talent - Achieves results by exercising influential leadership; empowering the team and providing impactful feedback, instruction, and development (coaching the coach) of their associates. Plans and supports the growth of individual skills and abilities in preparation for their next role (building bench); focuses on development and 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 and Presence- Clearly and succinctly conveys information and ideas; communicates in a focused and compelling way that captures and holds others’ attention (appropriate, impactful, and clear).
- 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.
- 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
- CHAM certification preferred
Ensemble Health Partners provides end-to-end revenue cycle management for hospitals and health systems. It handles the entire process from patient intake to final payment, with teams and technology embedded into the provider's operations and a revenue model tied to performance improvements. The company uses its proprietary EIQ platform (analytics, AI, and workflow automation) to optimize revenue cycle processes, reduce insurance denials, and speed cash collection, managing more than $39 billion in net patient revenue. Its approach differentiates it by being a true managed-services partner with full accountability for financial outcomes and a track record of meeting initial client goals. The overarching goal is to improve healthcare providers’ financial performance so they can focus on patient care.
Company Size
5,001-10,000
Company Stage
N/A
Total Funding
N/A
Headquarters
Huntersville, North Carolina
Founded
2014
Simplify's Take
What believers are saying
- Carilion Clinic selected Ensemble July 2024 for comprehensive RCM outsourcing.
- Mary Washington Healthcare partnered October 2024, expanding mid-sized client base.
- Cohere AI autonomously manages 40% AR tasks, boosting denial overturns 15%.
What critics are saying
- Cohere discontinues North platform within 18 months, paralyzing 40% AR operations.
- Microsoft Azure pricing surges in 12 months, crippling EIQ generative AI capabilities.
- Major client like Carilion terminates contract in 12 months, slashing recurring revenue.
What makes Ensemble Health Partners unique
- Ensemble delivers end-to-end RCM with full accountability for client financial performance.
- Proprietary EIQ platform integrates AI and analytics for denial reduction and cash acceleration.
- First RCM-native LLM built with Cohere handles complex tasks HIPAA-compliantly.
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Benefits
Health Insurance
Professional Development Budget
Performance Bonus
Flexible Work Hours
Comprehensive Benefits
Company News
Ensemble, a US revenue cycle management services provider, has partnered with enterprise AI company Cohere to build the healthcare industry's first revenue cycle management-native large language model. The companies are creating a custom model informed by Ensemble's operational expertise and data, designed to handle complex healthcare financial operations more accurately than general-purpose LLMs. The model will be embedded into AI agents managing processes from patient intake to account resolution. Unlike standard approaches that rely on prompt engineering, this system is fine-tuned on real RCM tasks and trained using synthetic datasets in a HIPAA-compliant environment, without using identifiable patient data. The solution aims to enhance existing electronic health record systems by providing better context and guidance for navigating payer requirements whilst reducing administrative burden for healthcare providers.
The article discusses the transformative impact of technology on healthcare, highlighting Ensemble Health's billion-dollar valuation amid a shift towards AI, telehealth, and extended reality. AI advancements promise personalized medicine, while telehealth evolves with Remote Patient Monitoring. The metaverse emerges as a tool for training and therapy. Challenges include data privacy, interoperability, and cybersecurity. The goal is a more personalized, accessible, and proactive healthcare system.
What You Should Know:– Ensemble, a leading provider of end-to-end revenue cycle management (RCM), has partnered with Cohere, a security-first enterprise AI company, to introduce the first fully integrated agentic AI platform for revenue cycle orchestration in healthcare.– This collaboration merges Ensemble’s decade-long RCM expertise with Cohere’s enterprise-grade AI infrastructure to deliver faster, smarter, and more secure financial operations for hospitals and health systems.Advancing Revenue Cycle Intelligence with Secure, Scalable AI IntegrationEnsemble has integrated Cohere’s enterprise-grade AI models—trained on a decade of Ensemble’s high-performing revenue cycle outcomes—throughout its entire RCM infrastructure. This collaboration represents the inaugural healthcare deployment of Cohere’s North platform, establishing a new benchmark for secure, scalable agentic AI within clinical financial operations, all while ensuring full HIPAA compliance and data integrity.In contrast to traditional, narrowly focused AI tools, Ensemble and Cohere have co-engineered a horizontally deployed network of reasoning-based agents. These AI agents leverage contextual data analysis and adaptive decision-making frameworks to resolve multifaceted revenue cycle challenges, particularly in insurance reimbursement, without depending on inflexible rule sets.A human-in-the-loop architecture reinforces the platform’s operational integrity, embedding rigorous quality assurance mechanisms across every decision layer. Currently, this system autonomously manages more than 40% of accounts receivable (AR) follow-up tasks—previously handled manually—and is on track to expand into additional complex workflows, including prior authorization, utilization management, clinical coding, and denial prevention.The broader AI ecosystem features:• Generative AI trained on clinical documentation to enhance the accuracy and speed of denial appeals• Conversational AI modules designed to streamline patient interactions and reduce call resolution time• Predictive analytics tools for early identification of denial risks• Agent assistants that augment frontline staff productivityThese technologies are already delivering tangible operational benefits, including:• A 40% increase in the speed of denial appeal submissions• A 15% uplift in appeal overturn rates• A 35% reduction in patient call resolution times• Improved overall patient satisfaction metricsCohere was selected for its proven capacity to implement secure AI solutions in highly regulated environments. Its North infrastructure ensures seamless, secure integration across diverse platforms—including provider host systems, payer portals, and internal administrative tools—while upholding the highest standards of data privacy and system interoperability.Nick Frosst, Co-Founder of Cohere, remarked, “Working with Ensemble to bring secure AI into healthcare—where data privacy is a deeply personal issue—is an incredible opportunity. By working together, we’re setting a new standard for tackling some of healthcare’s toughest administrative challenges and showing how agentic AI makes a real-world difference.”
Cincinnati, OH, Oct. 16, 2024 (GLOBE NEWSWIRE) -- Ensemble, the partner of choice for end-to-end revenue cycle management for mid-sized to large healthcare organizations, has been named a Leader in Everest Group’s RCM Operations PEAK Matrix® Assessment 2024. According to the assessment, Ensemble is the highest-designated leader for market impact reflecting not only the strength of its vision, expertise and approach to technology, but the unmatched value delivered at scale to a rapidly growing and highly satisfied client base. “This latest recognition validates our commitment to client satisfaction, delivering a frictionless revenue cycle and providing significant value for leading healthcare systems across the country,” said Ensemble Founder, President and CEO Judson Ivy. “The healthcare revenue cycle is growing increasingly more complex due to changing regulations, reimbursement requirements and rapid shifts in payer policy. We are proud to be recognized as a leader for our excellence in improving financial outcomes and patient experiences so providers can hyper-focus on delivering high-quality care to their patients and communities.” According to Everest Group, Ensemble’s strengths include value delivered, vision and strategy, innovation and investments and scope of services offered
Cincinnati, OH, Oct. 03, 2024 (GLOBE NEWSWIRE) - Ensemble, the market leader in revenue cycle management for mid-sized to large healthcare organizations, announced today that is has been selected by Mary Washington Healthcare (MWHC) as their strategic revenue cycle management partner.