The Opportunity:
We are seeking a Director of Virtual Utilization Review to join our growing leadership team. This is a newly created, strategic leadership role within our Virtual Utilization Review (VUR) organization, focused on driving client partnerships, performance outcomes, and transformational change across people, process, and technology.
Unlike traditional operational roles, this position emphasizes strategic oversight, data-driven decision-making, and relationship management rather than day-to-day workflow execution. You will lead complex, multi-client utilization review and utilization management operations while shaping the future of how we deliver value to our partners.
What You’ll DoStrategic Leadership & Client Partnership- Build strong, trusted relationships with clients and serve as a strategic partner
- Develop a deep understanding of client KPIs and SLAs within the first 60 days
- Identify and execute proactive opportunities to improve performance, satisfaction, and outcomes
Operational & Performance Excellence- Oversee complex multi-client utilization review and utilization management operations
- Drive measurable improvements in performance, productivity, and SLA attainment
- Lead data-driven decision-making using dashboards and analytics tools
Transformation & Change Management- Champion adoption of new technologies and investment capabilities
- Lead large-scale change initiatives across people, process, and technology
- Partner cross-functionally to implement process and system improvements
Team Leadership- Lead, develop, and mentor a large, multi-layered team (125–175 employees globally)
- Manage and empower direct reports (minimum of 3 leaders)
- Foster a high-performing culture aligned with organizational values
Who You’ll Work With- Direct reports and broader VUR organization
- Clients and external partners
- Cross-functional teams, including Clinical Documentation Improvement (CDI)
- Peer Directors and AVP-level leadership
What Makes This Role Exciting- Director-level strategic role with significant visibility and impact
- Opportunity to lead a large, global team across multiple geographies
- Exposure to complex healthcare operations in utilization review and management
- Key role in driving technology transformation and innovation
- Strong focus on analytics, performance improvement, and client experience
What You BringRequired Qualifications- Active Registered Nurse (RN) license
- Proven experience leading complex, multi-client utilization review / utilization management operations (RPM environment preferred)
- Strong background in Revenue Cycle Management (RCM) (or equivalent healthcare leadership experience)
- Experience managing multi-geography teams
- Demonstrated success in client relationship management and partnership development
- Strategic mindset with experience driving organizational transformation
- Data-driven leadership approach, with strong analytical skills
- Proficiency in Power BI (dashboard navigation and insights)
- Working knowledge of EMR systems (Cerner, Epic, or Meditech preferred) with both front- and back-end understanding
- Proficiency in Microsoft Office Suite
- Experience leading change management initiatives across people, process, and technology
Preferred Qualifications- Experience with project management tools (AHA, Loop, Microsoft Project, or similar)
Join an award-winning company
22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle [redacted]
Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024
Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, [redacted]
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.
