Senior Prior Authorization & Eligibility Director (automation)

Ensemble Health Partners

Austin, Texas, US
Not specified; not specified; comprehensive benefi...
Hybrid
5+ years revenue cycle domain experience
Process mapping and improvement capability
Building knowledge graphs for automation
The role focuses on redesigning eligibility and authorization workflows while translating payer judgment into structured decision models

Job Summary

  • The role focuses on redesigning eligibility and authorization workflows while translating payer judgment into structured decision models.
  • Candidates must possess deep revenue cycle literacy to identify root causes of friction and build domain-specific knowledge graphs.
  • Ensemble Health Partners offers a comprehensive benefits package including professional certification support and tuition reimbursement.

Matching Summary

The role focuses on redesigning eligibility and authorization workflows while translating payer judgment into structured decision models.

Salary

Not specified; Not specified; Comprehensive benefits package including healthcare and retirement

Skills & Requirements

Must-have

  • 5+ years revenue cycle domain experience
  • Process mapping and improvement capability
  • Building knowledge graphs for automation
  • Translating SME judgment into decision trees
  • Testing AI and ML models in operations

Nice-to-have

  • Curiosity for agentic technologies
  • Comfort with ambiguity and experimentation
  • Strong stakeholder communication skills
  • Experience with rapid innovation sprints
  • Ability to challenge status quo constructively

Key Requirements

  • 5+ years hands-on revenue cycle experience
  • Advanced usage of AI and team management
  • Hybrid work availability in Austin, Texas

Work Rights

Not specified

Tailored Resume

Cover Letter