AVP, Pre-Access

Posted Yesterday
Be an Early Applicant
Hiring Remotely in United States
Remote
112K-150K Annually
Senior level
Healthtech • Financial Services
The Role
The AVP, Pre Access will oversee insurance verification and authorization, manage onboarding for service lines, enhance processes, and improve patient experience. The role requires leadership in operational oversight and strategic initiatives.
Summary Generated by Built In

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 AVP, Pre Access will oversee all the core insurance verification and authorization work. The leader will be accountable for successfully onboarding all diagnostic and surgical service lines to EIQ Clear, and for accomplishing the EIQ / Waystar / Rhyme / eMPA associated automation and AI AOP goals. He or she will be responsible for identifying and implementing strategies to improve processes, promote operational efficiency, enhance the patient experience and meet regulatory compliance guidelines. This role requires active engagement and collaboration with operational, support service leadership and staff and must establish positive, collaborative relationships with operational leaders. Some travel will be required.

Job Responsibilities include, but are not limited to:

  • 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.
  • 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 by exercising influential leadership; empowering the team and providing impactful feedback, instruction, and development (coaching the coach) of their associates. Plans and supports the growth of individual skills and abilities in preparation for their next role (building bench); focuses on development and 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 and Presence- Clearly and succinctly conveys information and ideas; communicates in a focused and compelling way that captures and holds others’ attention (appropriate, impactful, and clear).
  • Leading Teams - Inspires and sustains team unity and engagement by developing, motivating, and guiding the team to achieve results together through productive relationships and work.
  • 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
  • Provides vision, leadership and operational oversight for all Pre-Access functions and Senior Access leaders across the organization. This position will establish positive, collaborative relationships with operational leaders to fulfill the Ensemble Differences.
  • Actively leads and/or participates in modernizing Pre-Access This includes but is not limited to: goal setting (department level and/or overall revenue cycle), tracking and reporting of metrics, development and implementation of action plans to achieve goals, the review and implementation of new technologies, standardization of policies and processes and development of communication tools, both for associates and internal customers.
  • Organizes functions through establishing clear accountabilities, delegation of duties and appropriate departmentalization without creating silos.
  • Develops and maintains an effective, visible and well-respected leadership team by selecting, evaluating, coaching and managing the performance of qualified professionals.
  • Promotes team-building relationships in all areas of responsibility.
  • Accountable for a comprehensive and effective communication strategy with the department that promotes Employee Engagement, which includes enhanced employee productivity and morale. Communication style should promote a common understanding of the market, vision, strategy and accountabilities.
  • Assists with budget management.
  • Ensure associates are aware and compliant with all applicable laws, regulations, and guidelines.
  • May be required to perform other job-related duties as requested.

Experience:

  • Bachelor’s degree or equivalent work experience
  • 5 + years of leadership experience
  • 5+  years of Revenue Cycle, Patient Access or Pre Access experience
  • Demonstrated advanced usage of AI, success in translating AI into Business outcomes, and the ability to move teams from experimentation to scale.
  • Experience in healthcare provider finance operations or similar service environment required
  • Strong executive presence with the ability to project confidence, credibility and authority; able to remain calm & show decisiveness under pressure
  • Demonstrated experience implementing strategic initiatives including alignment of company goals and vision with operational execution
  • Financial and project management experience required
  • Ability to effectively lead diverse teams and influence change management
  • Effective communication skills with ability to clearly and succinctly convey information and ideas
  • Demonstrated use of KPIs to drive and track team performance

**This position pays between $111,800 - $150,000 based on experience, and is eligible for annual incentives.**

**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.**

Certifications:

  • CRCR certification required within first 9 months of hire
  • CHAM preferred

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 [email protected].

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

Top Skills

AI
Eiq Clear
Empa
Revenue Cycle Management
Rhyme
Waystar
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The Company
HQ: Cincinnati, OH
3,463 Employees
Year Founded: 2014

What We Do

Ensemble Health Partners is a leading innovator in revenue cycle management, helping healthcare providers improve financial outcomes and patient experiences with an unrivaled depth of expertise and best-in-class technologies. Ensemble offers full revenue cycle outsourcing as well as a comprehensive suite of healthcare financial management point solutions. With clients spanning the U.S. and Europe, we have been helping to improve healthcare outcomes for millions of patients while saving hundreds of millions of dollars for healthcare providers. We are committed to bringing every provider that we support to the peak of revenue cycle excellence. Our approach forges true partnerships that dive deep into the details to find solutions and deliver results that last. Recognized with multiple industry awards and as a Becker’s Healthcare Top Workplace, Ensemble is setting a new standard for provider support services - redefining the possible in healthcare by empowering people to be the difference.

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