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Ensemble RCM LLC

Principal, Technical Program Manager

Remote, United States

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Job details

Posting language: English
Posted: Nov 6, 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:

Mission

This role drives cross-functional technical programs and operating changes that make delivery more predictable, higher quality and faster, without taking ownership away from the teams that deliver; and gives engineering, product and other enterprise leaders an honest, data-driven view of how work actually flows.

About the Role The Principal TPM serves as a senior individual contributor in Engineering, leading complex technical programs and transformation initiatives across multiple value streams, functions, and technology domains. The role looks at how engineering delivers and works with leaders to improve it. The role combines three things: leading large, complex technical programs; measuring delivery performance (including the impact of AI-assisted development); and driving operating changes the evidence calls for. The position exercises independent judgment and influences outcomes without direct people-management responsibility, ownership of engineering commitments, or budget-approval authority. The role succeeds by enabling Engineering to execute with excellence.

What you'll do:

Lead key technical programs
Lead the planning, execution, and delivery of complex technical programs and transformation initiatives across multiple value streams, functions, and technology domains; aligning stakeholders on objectives, execution strategy, dependencies, and success measures (for example: AI SDLC transformation).
Establish program governance, execution frameworks, operating rhythms, escalation paths, and accountability mechanisms that improve delivery predictability, transparency, and outcomes.
Identify technical and organizational risks, bottlenecks, and dependency trends; challenge assumptions, define and drive program planning, and escalate unresolved issues to appropriate leaders.
Ensure risk-mitigation and recovery plans exist and are visible; escalate when execution on these plans is at risk.
Measure and identify delivery performance trends
With engineering leaders, define and maintain a set of delivery measures; Align on metric definitions, own the development, adoption, analysis, and continuous improvement of engineering and product delivery measurement dashboards, with metrics such as DORA, feature cycle times, throughput, quality, rework, predictability, AI-enabled productivity, delivery health, observability, and operational effectiveness.
Assess how AI-assisted development and other levers change delivery speed, quality, and rework, and provide suggestions on where it is working and where it is not.
Translate performance trends and program insights into leadership recommendations: what is constraining delivery, why, suggestions for improvement, who owns the change, and how success will be measured.
Improve how engineering operates
Improve engineering operating models, delivery practices, governance, and ways of working by identifying systemic barriers and driving continuous AI-enabled improvement across teams.
Leverage AI in your own workflow
Coach and mentor other program managers and delivery leaders and share effective practices
Align leaders on tradeoffs and decisions
Serve as a trusted advisor to engineering leadership and mentor teams on operating excellence, influencing execution without direct people-management authority or ownership of engineering commitments.
Partner with Engineering, Product, Support, Operations, IT, Data and Analytics, Cybersecurity, and Finance to resolve cross-functional issues and support strategic initiatives.
Communicate program status, risks, tradeoffs, recommendations, and escalations to senior and executive leaders; provide input on resourcing needs, program business cases, and cost-benefit considerations.

Required

10+ years of experience in technical program management, engineering delivery, product management or a related role leading complex, cross-functional initiatives that delivered measurable outcomes.
Demonstrated understanding and technical depth in modern software delivery practices (for example: Agile, SDLC and PDLC, CI/CD, testing, release, observability, reliability) to challenge leaders and engineers and provide recommendations
Demonstrated experience leading large, complex, cross-functional technical programs and organizational transformation initiatives from planning through execution and delivery with measurable outcomes.
Demonstrated success managing program risks, dependencies, executive escalations, and competing priorities in a fast-paced environment.
Strong analytical, problem-solving, change-management, and continuous improvement skills with experience using data, process, metrics, and reporting to drive program decisions and measure success.
Clear, candid written and verbal executive communication skills: concise, option-based, and comfortable saying what is off track and raising tradeoffs
Proven ability to influence cross-functional teams and drive results without direct authority with results you can describe.
Grit, curiosity, and comfortable challenging the status quo as well as working in an ambiguous environment.
Bachelor’s degree in a technical or related field or equivalent practical experience
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.
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 require.

Preferred Qualifications

Experience evaluating build vs buy and rolling out AI-assisted development tools and measuring their effect
Experience using AI or automation to run program tracking and reporting
Experience mentoring other program managers and coaching others
Experience driving operational excellence, process optimization and standardization, and organizational change across multiple teams.
Proficient with tools like Aha, ADO or Jira, Databricks or SQL, Claude or Copilo

LI-MT1

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.

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