Revenue Cycle Innovation Operator

Ensemble Health Partners • Austin, TX

10d • Onsite

About The Position

Revenue Cycle Innovation Operators are permanent operational members of Orchestration Works. They serve as subject matter experts in a specific revenue cycle domain while maintaining understanding of the end-to-end revenue cycle. They redesign workflows, identify upstream root causes, build knowledge graphs, contribute to design sessions, and validate emerging automation and AI-driven models in partnership with product, engineering, and AI teammates.

The role focuses on changing how revenue cycle work is done. Operators apply domain judgment to challenge existing processes and make workflow redesigns credible and practical. Each Operator is hired into one of five domains; the posting describes Back End, including AR follow-up, denials, billing, and posting.

Orchestration Works moves initiatives from intake to deployment-ready within 120 days or less through three decision gates. The team is multi-disciplinary and startup-like, with hands-on, broad roles and pods that rotate across initiative cycles. Solutions are validated by front-line Ensemble teammates on real workflows before being finalized. The team works from Ensemble’s shared codebase and engineering standards. The dedicated team and active pod members work in person at the Orchestration Works office in Austin. Candidates must currently reside in the Austin area or be willing to relocate; relocation assistance may be available for eligible candidates.

Requirements

• At least 5 years of hands-on revenue cycle experience, with depth in the relevant domain.
• Strong end-to-end revenue cycle literacy.
• Exceptional process mapping and process improvement capability.
• Data-driven problem-solving skills and comfort with variance analysis.
• Ability to work effectively in ambiguous situations; self-motivated and proactive.
• Strong communication skills for technical and non-technical audiences.
• Curiosity and aptitude for automation, machine learning, AI, and agentic technologies.
• Ability to multitask and maintain quality as priorities change.
• Must currently reside in the Austin area or be willing to relocate.
• Must reside and be authorized to work in the United States.

Nice To Haves

• Relocation assistance may be available for eligible candidates.

Responsibilities

• Act as a subject matter expert in a revenue cycle domain while maintaining literacy across the full revenue cycle.
• Identify structural 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 that capture inputs, rules, actions, and outcomes.
• Participate in design sessions and rapid innovation sprints with product, engineering, and analytics teams.
• Test and validate automation, machine learning, AI, and agentic models using real operational scenarios.
• Translate subject matter expertise and judgment into rules, decision trees, training data, and guardrails.
• Support pilots and controlled rollouts with clear success criteria and measurement.
• Document operational logic and findings for reuse and scale.
• For Back End domain work, identify structural AR drivers, payer behavior patterns, and root causes of denials, distinguishing provider errors from payer behavior.
• For Back End domain work, design prioritization models that optimize yield and resolution speed, and build knowledge graphs of payer actions, responses, and effective operator strategies.
• For Back End domain work, design actionable denial taxonomies and prevention models, build predictive models linking denial risk to upstream process failures, and test AI-assisted appeal generation.
• For Back End domain work, analyze systemic causes of claim edits, rejections, posting errors, and reconciliation delays, and design workflows and automated logic to improve clean claim rates and posting accuracy.

Benefits

• Comprehensive benefits package supporting physical, emotional, and financial health, including healthcare, time off, retirement, and well-being programs.
• Professional development investment, including a professional certification relevant to each associate’s field.
• Tuition reimbursement.
• Quarterly and annual incentive programs for employees who exceed expectations.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed