Senior Director, Operational Strategic Initiatives

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

Ensemble Health Partners is seeking a strategic and results-oriented Senior Director, Operational Strategic Initiatives to lead high-impact operational and technology initiatives supporting Patient Access and Pre-Access functions across the organization. This role serves as a key leader within our Operational Strategic Initiatives team, driving the implementation of innovative technology solutions that enhance operational performance, improve the patient experience, and support organizational goals related to denials reduction, point-of-service collections, and cost-to-collect optimization. The Senior Director will oversee a portfolio of enterprise-wide projects and collaborate closely with operational leaders, technology partners, vendors, and client stakeholders to ensure successful execution and timely implementation of critical initiatives.

Key Responsibilities

• Lead strategic operational and technology projects from planning through implementation and go-live.


• Manage multiple concurrent projects while maintaining timelines, deliverables, and stakeholder alignment.


• Drive implementation efforts involving insurance verification, coverage discovery, fax management, call center technologies, and other patient access solutions.


• Partner with internal and external stakeholders to optimize operational workflows and improve front-end revenue cycle performance.


• Monitor and influence key operational metrics including denials reduction, point-of-service collections, labor efficiency, and cost-to-collect improvements.


• Identify project risks and proactively develop mitigation strategies to ensure successful outcomes.


• Provide leadership and direction to assigned team members, including oversight of one analyst role.


• Collaborate with senior leaders, technology vendors, and client representatives to support enterprise-wide operational excellence initiatives.


• Serve as a subject matter expert and strategic advisor on front-end technology and operational transformation efforts.

What You’ll Bring

Required Qualifications

• Significant experience within healthcare revenue cycle operations, with a strong focus on Patient Access and/or Pre-Access functions.


• Proven project management experience leading complex operational or technology implementations.


• Demonstrated ability to manage multiple concurrent projects with competing priorities and firm deadlines.


• Strong organizational, critical thinking, and problem-solving skills.


• Experience working independently and driving results with minimal oversight.


• Ability to build relationships and influence stakeholders across multiple levels of the organization.


• Experience working in a remote environment while maintaining productivity and accountability.


• Strong communication, collaboration, and leadership skills.

Preferred Qualifications

• Experience working with revenue cycle technology vendors such as Waystar, Experian, or similar organizations.


• Familiarity with Ensemble systems, processes, and client operations.


• CRCR certification or willingness to obtain certification after hire.


• Bachelor's degree or equivalent combination of education and relevant experience.

Why Join This Team?

This role offers the opportunity to be part of a highly collaborative, high-performing team responsible for shaping the future of front-end revenue cycle operations across Ensemble. Team members work on diverse initiatives that directly impact patients, clients, and operational outcomes through the implementation of innovative technology solutions.

You’ll have the opportunity to:

• Lead meaningful transformation initiatives across the organization.


• Influence the future of healthcare technology and operational excellence.


• Partner with experienced leaders and subject matter experts.


• Gain exposure to emerging healthcare revenue cycle technologies and industry trends.


• Contribute to an environment that values collaboration, innovation, and continuous improvement.

This position pays between $117,400 - $176,100 annually.

Company Awards & Recognition

Five-time winner of "Best in KLAS" ,

Black Book Research's Top Revenue Cycle Management Outsourcing Solution

22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle

Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024

Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020,

Energage Top Workplaces USA

Fortune Media Best Workplaces in Healthcare 2024

Monster Top Workplace for Remote Work 2024

Great Place to Work certified

Innovation, Work-Life Flexibility & Leadership Purpose

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.


• Growth – We invest in your professional development. Each associate will earn a professional certification relevant to your 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.

Equal Employment Opportunity Statement

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

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.

Application Note

We believe we foster an environment where talented individuals can excel and shine. Our team believes that people are the most important part of our success and that when we take care of our people, they pay it forward by providing our clients with excellent results and world-class service.