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AVP Revenue Cycle

Roles & Responsibilities

  • Extensive experience leading healthcare revenue cycle operations in complex, client-facing environments.
  • Demonstrated track record of driving financial performance, operational improvement, and SLA adherence.
  • Proven ability to lead and influence multi-level teams in onsite and matrixed environments.
  • Executive-level communication skills with the ability to present complex information clearly.

Requirements:

  • Own end-to-end revenue cycle performance for assigned client(s), ensuring delivery against financial, operational, and service level expectations; define and execute strategic direction and quality improvement initiatives.
  • Drive performance across all revenue cycle functions (Patient Access, AR, Denials, HIM, Case Management, and Business Office); monitor cash flow, aging, denial trends, and self-pay performance to meet client goals; ensure SLA compliance and regulatory requirements; identify risks and lead corrective actions.
  • Provide direct leadership for onsite Revenue Cycle Directors and leadership teams; conduct performance evaluations, skill development planning, and accountability management aligned to KPIs; lead succession planning and onboarding to minimize disruption and foster accountability.
  • Partner with client executives and cross-functional teams to align priorities, drive results, participate in program-level meetings and reviews, influence data-driven decisions, and support reporting and business development.

Job description

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:

About the Role

The Assistant Vice President (AVP), Revenue Cycle is a senior operational leader responsible for owning day‑to‑day client revenue cycle operations while driving performance, financial outcomes, and operational excellence. This role partners closely with client leadership and Ensemble teams to deliver consistent results, maximize cash flow, and ensure service level commitments are met.

Guided by Ensemble’s core principles of Customer Obsession, Embracing New Ideas, and Striving for Excellence, the AVP leads through influence, accountability, and collaboration to achieve client and enterprise goals.

Key Responsibilities

Client Delivery & Operational Leadership

  • Own end‑to‑end revenue cycle performance for assigned client(s), ensuring delivery against financial, operational, and service level expectations
  • Define and execute strategic direction, priorities, and quality improvement initiatives for onsite revenue cycle operations
  • Develop and maintain integrated operational plans with clearly defined objectives, outcomes, and implementation timelines
  • Serve as a senior client‑facing leader, presenting performance results, KPIs, and improvement strategies

Revenue Cycle Performance Management

  • Drive improvement across all revenue cycle functions, including Patient Access, AR, Denials, HIM, Case Management, and Business Office
  • Monitor cash flow, bad debt, AR aging, denial trends, and self‑pay performance to ensure achievement of client goals
  • Ensure compliance with Ensemble Service Level Agreements (SLAs), internal standards, and regulatory requirements
  • Proactively identify risks, issues, and performance gaps and lead corrective action planning

Leadership & Team Development

  • Provide direct leadership and performance oversight for onsite Revenue Cycle Directors and leadership teams
  • Conduct performance evaluations, skill development planning, and accountability management aligned to KPIs
  • Lead succession planning, coverage strategies, and onboarding of new leadership to minimize operational disruption
  • Foster a culture of engagement, accountability, and continuous improvement

Cross‑Functional & Stakeholder Partnership

  • Partner with client executives, Ensemble leadership, and cross‑functional teams to align priorities and drive results
  • Lead and participate in program‑level meetings, client reviews, and enterprise initiatives
  • Influence change across revenue cycle functions through collaboration and data‑driven decision making
  • Participate in business development and sales activities related to revenue cycle growth opportunities

Reporting & Communication

  • Provide weekly and monthly performance reporting to client and Ensemble leadership
  • Communicate emerging risks, escalations, and material operational issues with transparency and urgency
  • Share best practices, lessons learned, and performance insights across Ensemble and client teams

Required Qualifications

  • Extensive experience leading healthcare revenue cycle operations in complex, client‑facing environments
  • Demonstrated success driving financial performance, operational improvement, and SLA adherence
  • Proven ability to lead and influence multi‑level teams in onsite and matrixed environments
  • Strong strategic, analytical, and problem‑solving capabilities
  • Executive‑level communication skills with the ability to present complex information clearly

Preferred Qualifications

  • Prior experience leading onsite revenue cycle operations for hospital or health system clients
  • Experience partnering directly with client executives and Boards
  • Healthcare revenue cycle certifications (e.g., CRCR or equivalent)

Core Competencies

  • Customer Obsession and client advocacy
  • Strategic and operational leadership
  • Revenue cycle expertise and financial acumen
  • Change leadership and influence
  • Team development and succession planning
  • Data‑driven decision making
  • Professional judgment and confidentiality

What Success Looks Like at Ensemble

  • Clients consistently achieve targeted financial and operational outcomes
  • Revenue cycle operations are stable, compliant, and continuously improving
  • Teams are engaged, developed, and accountable to performance standards
  • Client relationships are trusted, transparent, and durable
  • Risks and issues are identified early and resolved effectively

Ensemble Health Partners is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all associates.

This position pays $134,000- $201,000

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.

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 TA@ensemblehp.com.

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

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