AVP Client Delivery

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, innovation, and excellence, you will ensure every client interaction is meaningful and contributes to our mission of redefining what’s possible in healthcare.

The Assistant Vice President (AVP), Client Delivery is responsible for leading client success across one or multiple acute care clients. This role requires specialized expertise in Acute Revenue Cycle Management (RCM) and hands-on leadership of onsite operations. The AVP maintains detailed knowledge of and may perform all duties of the Site Directors for assigned acute facilities, while overseeing, managing, and developing a multi-level onsite revenue cycle operations team. This position requires onsite presence at Washington State client locations at least 50% of the time.

You will ensure optimal performance and adherence to Ensemble’s Client Delivery Management Model, driving strategic alignment and operational excellence across Front-End, Middle Revenue Cycle, and Business Office functions. The AVP partners closely with client leadership and Ensemble executives to deliver measurable results, resolve escalations, and integrate best practices across the acute revenue cycle.

Scope of Responsibility

• Oversight of 10+ acute facilities or $2B+ net revenue under management
• For dedicated client leaders: $500M+ client oversight or operational oversight, or oversight of 2–3 acute clients

Key Competencies

• Leadership Decision Making: Drive results through informed decisions and accountability.
• Coaching & Talent Development: Build bench strength and retain high performers.
• Delegation & Empowerment: Push decision-making downward while maintaining ownership.
• Executive Communication: Deliver clear, compelling messages to stakeholders.
• Program/Project Management: Ensure strategic initiatives meet timelines and budgets.

Essential Responsibilities

• Client Integration & Strategic Alignment: Define strategic direction for onsite acute RCM operations and integrate with centralized functions.
• Performance Management: Develop strategies to improve AR aging, denial management, POS collections, and patient experience.
• Relationship Management: Serve as the primary or secondary point of contact for all acute revenue cycle requests; lead client meetings and escalate issues promptly.
• People Management: Plan succession, onboard leadership, and conduct performance reviews.

Qualifications

• Required: CRCR/CPAR or equivalent certification
• Experience:
  • 5–7 years in Acute Revenue Cycle Management
  • 3–5 years in people leadership roles
  • Hyrbid 50% travel
• Proven ability to lead large-scale acute RCM operations and deliver measurable performance improvements.

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