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Ensemble Health Partners

End-to-end revenue cycle management for hospitals

Director Utilization Review

Medical, Clinical & VeterinaryPosted on Nov 12
Full-timeRemote in USA

About the Job

Requirements

  • A bachelor's degree or equivalent combination of education and experience is required.
  • A current registered nurse (RN) license is required.
  • At least 2 years of leadership experience in multi-client utilization review or utilization management operations is required.
  • Experience in revenue cycle management or equivalent healthcare leadership is required.
  • Experience managing geographically dispersed teams across the United States and international locations is required.
  • Demonstrated success in client relationship management and partnership development is required.
  • Strategic mindset and experience driving organizational transformation and leading change management initiatives across people, process, and technology are required.
  • A data-driven leadership approach and strong analytical skills are required.
  • Strong technical skills, including database and spreadsheet analysis and working knowledge of electronic medical records with front- and back-end understanding, are required.
  • Effective communication skills and the ability to organize and present information clearly and concisely are required.
  • Candidates must reside in the United States and be authorized to work there.
  • Candidates must be willing and able to travel and work onsite at client, temporary, or corporate office locations as business needs dictate.

Responsibilities

  • Build trusted relationships with clients and serve as a strategic partner.
  • Develop a deep understanding of client key performance indicators and service-level agreements within the first 60 days.
  • Identify and execute proactive opportunities to improve performance, satisfaction, and outcomes.
  • Oversee complex, multi-client utilization review and utilization management operations.
  • Drive measurable improvements in performance, productivity, and service-level agreement attainment.
  • Lead data-driven decision-making using dashboards and analytics tools.
  • Champion adoption of new technologies and investment capabilities.
  • Lead large-scale change initiatives across people, process, and technology.
  • Partner cross-functionally to implement process and system improvements.
  • Lead, develop, and mentor a large, multi-layered team of 125–175 employees globally.
  • Manage and empower direct reports, including at least 3 leaders.
  • Foster a high-performing culture aligned with organizational values.

Desired Qualifications

  • Proficiency in Power BI for dashboard navigation and insights is preferred.
  • Experience with project management tools such as AHA, Loop, Microsoft Project, or similar is preferred.

About the Company

Ensemble Health Partners

End-to-end revenue cycle management for hospitals

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
Not listed
Total funding
Not listed
Headquarters
Cincinnati, OH
Founded
2014

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