[Hiring] Director, Virtual Utilization Review @Ensemble Health Partners

Role Description

By embodying our core purpose of customer obsession, 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 of Virtual Utilization Review will serve as a strategic leader focused on driving client partnerships, performance outcomes, and transformational change across people, process, and technology. This position emphasizes strategic oversight, data-driven decision-making, and relationship management rather than day-to-day workflow execution. You will lead complex, multi-client utilization review and utilization management operations while shaping the future of how we deliver value to our partners. This role will include travel, up to 25%.

• Strategic Leadership & Client Partnership
  • Build strong, trusted relationships with clients and serve as a strategic partner
  • Develop a deep understanding of client KPIs and SLAs within the first 60 days
  • Identify and execute proactive opportunities to improve performance, satisfaction, and outcomes
• Operational & Performance Excellence
  • Oversee complex multi-client utilization review and utilization management operations
  • Drive measurable improvements in performance, productivity, and SLA attainment
  • Lead data-driven decision-making using dashboards and analytics tools
• Transformation & Change Management
  • 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
• Team Leadership
  • Lead, develop, and mentor a large, multi-layered team of 125–175 employees globally
  • Manage and empower direct reports including a minimum of 3 leaders
  • Foster a high-performing culture aligned with organizational values

Qualifications

• Bachelor’s degree or equivalent combination of education and experience
• Current RN license
• 2+ years of leadership experience in multi-client utilization review / utilization management operations
• Experience in Revenue Cycle Management (or equivalent healthcare leadership experience)
• Experience managing geographically dispersed teams across the US and international locations
• Demonstrated success in client relationship management and partnership development
• Strategic mindset with experience driving organizational transformation and leading change management initiatives across people, process, and technology
• Data-driven leadership approach, with strong analytical skills; proficiency in Power BI (for dashboard navigation and insights) preferred
• Effective communication skills with the ability to organize and present information clearly and concisely
• Strong technical skills including database and spreadsheet analysis and working knowledge of EMR(s) with front- and back-end understanding
• Experience with project management tools preferred (AHA, Loop, Microsoft Project, or similar)

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
• Professional development investment, including earning a professional certification relevant to the field and tuition reimbursement
• Quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company

Company Description

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!

• 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