Revenue Cycle Innovation Operator- Front End (Austin, TX)

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:

Welcome to Orchestration Works — Ensemble's bold leap into the future of healthcare innovation.

We're building something big. Orchestration Works is a brand-new division designed to move fast, break barriers, and bring cutting-edge technology like AI and automation to life across the healthcare revenue cycle. This is where ideas don't just get tested — they get scaled. Our mission is simple: transform how we work, deliver next-level results for our clients, and lead the industry into tomorrow.

Why Orchestration Works Exists

Healthcare is changing at warp speed. To stay ahead, we're taking R+D out of the lab and putting it into real operations — quickly, intelligently, and boldly. This new division gives us the freedom and focus to experiment, learn, and deploy innovations that make a measurable impact.

What Makes It Different

- A dedicated R+D powerhouse: A 50-person independent team headquartered in Austin, Texas — built to move at startup speed.
- Real autonomy: Independent leadership, resources, and decision-making authority that lets us innovate without friction.
- A laser focus: Revenue Cycle Management innovations powered by automation, AI, and reimagined processes — including work on advanced Administrative and Clinical Reasoning Models.
- A future-ready mindset: We're here to help Ensemble evolve rapidly while protecting what makes us exceptional.

Why It Matters

The future of healthcare isn't waiting — and neither are we. Orchestration Works positions Ensemble to stay ahead of industry shifts, unlock new performance breakthroughs, and deliver smarter, faster, more reliable results for the organizations we serve.

Position Overview

Revenue Cycle Innovation Operators are the permanent operational voice inside Orchestration Works. Operators serve as subject matter experts in specific revenue cycle domains while understanding the broader end-to-end revenue cycle. They redesign workflows, identify upstream root causes, build knowledge graphs, participate in design sessions, and validate emerging automation and AI-driven models — working shoulder to shoulder with product, engineering, and AI teammates as full members of the team, not advisors.

This is a role for operators who want to change how the work is done, not just do it faster. Every initiative starts by challenging why the work is done the way it is; Operators bring the domain judgment that makes that challenge credible and the redesign real.

Core Responsibilities

- Act as the domain SME while maintaining literacy across the full revenue cycle.
- Identify structural root causes that drive downstream rework, friction, and leakage.
- Design future-state workflows and operating models with measurable impact.
- Build and maintain domain-specific knowledge graphs capturing inputs, rules, actions, and outcomes.
- Participate in design sessions and rapid innovation sprints with product, engineering, and analytics teams.
- Test and validate automation, ML, AI, and agentic models using real operational scenarios.
- Translate SME judgment into rules, decision trees, training data, and guardrails.
- Support pilots and controlled rollouts with clear success criteria and measurement.
- Document operational logic and findings for reuse and scale.

Domain Focus Area -  Front End (Scheduling & Financial Clearance)

- Diagnose root causes of access delays, no-shows, scheduling errors, eligibility errors, authorization failures, and preventable denials.
- Model decision logic for appointment types, slot optimization, prioritization, and clearance pathways across payer and service types.
- Design future-state front-end workflows integrating clinical rules and capacity constraints; translate payer rules into deterministic and probabilistic models.
- Test predictive and agentic clearance models for prioritization and exception handling.

What You Bring

- 5+ years of hands-on experience in the healthcare revenue cycle.
- End-to-end revenue cycle literacy with depth of experience in the front end.
- Exceptional process mapping and improvement capability.
- Data-driven problem solving and comfort with variance analysis.
- Ability to operate effectively in ambiguity; self-motivated and proactive.
- Strong communication skills for both technical and non-technical audiences.
- Curiosity and aptitude for automation, ML, AI, and agentic technologies.
- Ability to multi-task and maintain quality under changing priorities.

How & Where We Work at Orchestration Works

- 120 days, three gates: Every initiative moves from intake to deployment-ready in 120 days or less, through three decision gates. Killing a concept at the gate is a legitimate, expected outcome — that is the model working, not breaking.
- Multi-hat, startup-like team: Roles here are broader than their titles. Leaders operate hands-on, pods rotate in and out on initiative cycles, and everyone contributes beyond their lane.
- Validated on real work: Front-line Ensemble teammates use what we build on real workflow before anything is locked. Solutions are designed around validated work, not assumption.
- Built on Core: Same codebase, same CI/CD, same Ensemble engineering bar. OW proves it; Core scales it.
- Co-located in Austin: The dedicated team and active pod members work together in person at the OW office. Candidates must currently reside in the Austin area or be willing to relocate; relocation assistance may be available for eligible candidates.

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