Director, Pre-Access

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, new ideas, and 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 I, Pre-Access is responsible for leading a functional Pre-Access team across multiple markets. They are responsible for setting performance and effectiveness expectations in line with industry best practices and driving accountability through responsibility of team production and quality measures. The director will be responsible for establishing, monitoring, and meeting key performance indicators aligning to industry best practices for their functional area. The director also partners with non-centralized areas who perform their own pre-access functions to ensure education, training, and adherence to standardized processes. As a subject matter expert, this person must provide leadership and contributes to the overall revenue cycle goals and is responsible for meeting the mission and organizational goals of Ensemble Health Partners, as well as meeting regulatory compliance requirements. The Director, Pre-Access will work closely with other revenue cycle and facility leadership to understand upstream/downstream impacts of workflow and processes and takes the "big picture" approach to problem-solving and mitigating front-end denials. Some travel may be required.

Essential Job Functions

• Establishes department strategy, direction, and breakdown of department assignments by leader. Leads pre-access managers who lead their functions across the pre-access teams, focusing on standardization, consistency, and best practices.
• Partners with other revenue cycle and facility leaders within their scope to ensure upstream/downstream impacts of workflow, and to establish positive relationships while fostering open two-way communication. Serves as the pre-access service line contact to our internal business partners (IP/OP/Surg).
• Coaches and develops department managers and assists in use of reporting and analytics to find trends, develop action plans, and implement process improvement. Leads managers through denial reviews to find gaps in workflow and processes and implements strategy to mitigate.
• Audits accounts and reviews denials to ensure effectiveness of workflow processes in place and collaborates with upstream/downstream impacts to improve process based on findings.
• Ensures adherence to the departmental budget and prepares monthly reports as requested. Communicates departmental goals to the staff to optimize performance and meet budgetary goals while improving operations to increase customer satisfaction and meet financial goals of the organization

Job Competencies

• Leadership & Decision Making - Makes day-to-day leadership decisions by securing and comparing information from multiple sources to identify issues; commits to an action after weighing alternative solutions against important criteria; effectively communicates decisions to the appropriate people and teams and holds them accountable. Drives results.
• Coaching & Building Talent - Achieves results through other leaders by empowering them and providing feedback, instruction and development (coaching the coach) to develop their own associates; plans and supports the growth of individual skills and abilities in preparation for their next role (building bench); focuses on retention of high performers.
• Delegation - Successfully shares authority and responsibilities with others to move decision making and accountability downward through the organization while accomplishing strategic priorities; maintains personal ownership of outcomes without excessive involvement.
• Executive Communication - Clearly and succinctly conveys information and ideas; communicates in a focused and compelling way that captures and holds others’ attention (appropriate, impactful, and clear).
• Program/Project Management - Demonstrates high accountability and responsibility for projects and programs from inception through completion/implementation; manages budget and resource planning and awareness to ensure maximized output, reduced waste and exceptional results.

Experience:

• Bachelor’s degree in Business or Healthcare Administration, or equivalent work experience
• 3 + years of leadership experience in a healthcare role
• 3+ years of revenue cycle operations or Pre-Access experience
• Demonstrated advanced usage of AI and the management of teams using AI to lean in to process and technological improvements, to include the exploration, experimentation, and application of AI.
• Work experience with Epic
• Experience building reporting and analytics to monitor performance and drive process improvement.
• Pre-access operations experience and/or call center experience a plus
• Experience with ownership of daily workflow management, developing leaders, creating processes, and setting department strategy
• Financial and project management experience
• Able to work in a fast-paced, deadline-driven environment

Certifications:

• CRCR certification required within first 9 months of hire (Ensemble supported)

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**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 $92,400 - $110,000K based on experience, and is eligible for annual incentive**

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.

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