Senior Prior Authorization & Eligibility Director (automation)

Ensemble Health Partners

Austin, TX, United States
Hybrid
Revenue cycle domain expertise
End-to-end revenue cycle literacy
Process mapping and improvement
The Senior Prior Authorization & Eligibility Director (Automation) is focused on redesigning eligibility and authorization workflows, translating payer and clearance judgment into decision models, and validating AI/automation approaches that reduce preventable denials

Job Summary

  • The Senior Prior Authorization & Eligibility Director (Automation) is focused on redesigning eligibility and authorization workflows, translating payer and clearance judgment into decision models, and validating AI/automation approaches that reduce preventable denials.
  • Operators serve as subject matter experts in specific revenue cycle domains while maintaining literacy across the end-to-end revenue cycle, redesigning workflows, and validating emerging automation and AI-driven models.
  • Ensemble offers a comprehensive benefits package, invests in professional development with certifications and tuition reimbursement, and provides recognition programs.

Matching Summary

The Senior Prior Authorization & Eligibility Director (Automation) is focused on redesigning eligibility and authorization workflows, translating payer and clearance judgment into decision models, and validating AI/automation approaches that reduce preventable denials.

Skills & Requirements

Must-have

  • revenue cycle domain expertise
  • end-to-end revenue cycle literacy
  • process mapping and improvement
  • data-driven problem solving
  • automation and AI aptitude
  • translate SME judgment to logic

Nice-to-have

  • challenging the status quo
  • customer obsession
  • embracing new ideas
  • striving for excellence
  • rapid iteration environment
  • cross-functional collaboration

Key Requirements

  • 5+ years revenue cycle experience
  • Advanced AI usage
  • Manage teams using AI
  • Lead problem-solving independently

Work Rights

Not specified

Tailored Resume

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