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Ensemble RCM LLC

Director, Virtual Utilization Review

Remote, United States

Apply on ensemblehp.wd5.myworkdayjobs.com About employer

Applications open in a new tab.

Job details

Apply by: Nov 21, 2026
Experience: 2+ years of leadership experience in multi-client utilization review / utilization management operations
Posting language: English
Posted: Nov 12, 2026

Original 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:

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%.

Job Responsibilities include, but are not limited to:

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

Who You’ll Work With

Direct reports and broader VUR organization
Clients and external partners
Cross-functional teams, including Clinical Documentation Improvement (CDI)
Peer Directors and AVP-level leadership

What Makes This Role Exciting

Director-level strategic role with significant visibility and impact
Opportunity to lead a large, global team across multiple geographies
Exposure to complex healthcare operations in utilization review and management
Key role in driving technology transformation and innovation
Strong focus on analytics, performance improvement, and client experience

Experience:

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)

**This is a remote position; however, candidates must be willing and able to travel to and work onsite at client, temporary, or corporate office locations as business needs dictate**

**This position pays between $101,600 - $142,000 based on experience, and is eligible for annual incentives.**

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 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

Apply on ensemblehp.wd5.myworkdayjobs.com About employer

More about this job

Skills

Decision making
Workflow
Leadership
Change management
Team leadership
Documentation
Analytical skills
Microsoft Power BI
Communication skills
EMR
Project management
Microsoft Project
RCM

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Work requirements

Jobs in the United States