Orchestration Works - Operations Roles

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: Orchestration Works: Ensemble’s Innovation Engine Orchestration Works is Ensemble Health Partners’ leap into the future of healthcare operations. This newly launched innovation division is designed to move fast — testing, learning, and scaling advanced technologies such as AI, automation, and intelligent workflows to solve real operational problems. Our mission is simple: transform how healthcare revenue cycle work gets done and set a new standard for operational excellence across the industry. What Is Orchestration Works? Orchestration Works is a dedicated R&D and innovation organization focused on turning emerging technology into production‑ready solutions — quickly and responsibly. Key Highlights What: A purpose‑built innovation division applying R&D directly to healthcare operations Team: Approximately 50 associates in an independent, agile structure Location: Austin, Texas (hub for collaboration and rapid problem‑solving) Focus: Revenue Cycle Management innovation — process redesign, automation, and AI Why: To stay ahead in a rapidly evolving healthcare landscape and deliver better outcomes for clients and patients Why This Matters Healthcare is changing fast. Legacy processes and incremental improvements are no longer enough. Orchestration Works exists to: Rapidly test and scale new ideas without slowing core operations Translate frontline expertise into intelligent systems and automation Deliver measurable improvements in efficiency, accuracy, and client results Create tools and workflows that elevate how revenue cycle work is performed Even teams outside Orchestration Works benefit from the solutions developed here — making work smarter, faster, and more impactful across the organization. Innovation Operators are subject matter experts in specific revenue cycle domains who also understand the broader end‑to‑end revenue cycle. In this role, you’ll help redesign workflows, uncover root causes, and partner with product, engineering, and analytics teams to build and validate automation and AI‑driven solutions. This is a hands‑on role for professionals who enjoy solving complex problems and shaping the future of healthcare operations. Core Responsibilities Serve as a domain subject matter expert while maintaining strong end‑to‑end revenue cycle literacy Identify upstream root causes that drive downstream rework, friction, and revenue leakage Design future‑state workflows and operating models with measurable impact Build and maintain domain‑specific knowledge graphs (inputs, rules, actions, outcomes) Participate in design sessions and rapid innovation sprints Test and validate automation, ML, AI, and agentic models using real operational scenarios Translate expert judgment into rules, decision trees, training data, and guardrails Support pilots and controlled rollouts with clear success criteria Document operational logic and findings for reuse and scale Must be inquisitive and demonstrate openness to innovation including AI to explore better processes and ways to alleviate friction and improve patient and client experiences. Required Qualifications 5+ years of hands‑on experience in Revenue Cycle Management Strong end‑to‑end revenue cycle knowledge Proven process mapping and improvement skills Data‑driven problem‑solving mindset Comfort operating in ambiguity and fast‑changing environments Strong written and verbal communication skills Curiosity and aptitude for automation, AI, ML, and emerging technologies Ability to manage multiple priorities while maintaining quality Experience We Love Must be inquisitive and demonstrate openness to innovation including AI to explore better processes and ways to alleviate friction and improve patient and client experiences. Role‑Specific Opportunities Scheduling SME Operator Diagnose root causes of access delays, no‑shows, and scheduling errors Model decision logic for appointment types, slot optimization, and prioritization Design future‑state scheduling workflows incorporating clinical and capacity constraints Financial Clearance SME Operator Identify causes of eligibility errors, authorization failures, and preventable denials Build payer‑specific decision trees and clearance pathways Test predictive and agentic clearance models Clinical Documentation SME Operator Identify documentation gaps impacting coding and denials Design upstream documentation workflows Partner with clinicians to test AI‑assisted documentation tools Coding SME Operator Identify coding variance and rework drivers Define logic and edge cases for AI‑assisted and autonomous coding Validate model outputs for accuracy and compliance Billing SME Operator Analyze systemic causes of claim edits and rejections Design workflows to increase clean claim rate