The posting
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:
Orchestration Works | Ensemble Health Partners
Welcome to Orchestration Works — Ensemble's bold leap into the future of healthcare innovation.
We're building something big. Orchestration Works is a brand-new division designed to move fast, break barriers, and bring cutting-edge technology like AI and automation to life across the healthcare revenue cycle. This is where ideas don't just get tested — they get scaled. Our mission is simple: transform how we work, deliver next-level results for our clients, and lead the industry into tomorrow.
Why Orchestration Works Exists
Healthcare is changing at warp speed. To stay ahead, we're taking R+D out of the lab and putting it into real operations — quickly, intelligently, and boldly. This new division gives us the freedom and focus to experiment, learn, and deploy innovations that make a measurable impact.
What Makes It Different
- A dedicated R+D powerhouse: A 50-person independent team headquartered in Austin, Texas — built to move at startup speed.
- Real autonomy: Independent leadership, resources, and decision-making authority that lets us innovate without friction.
- A laser focus: Revenue Cycle Management innovations powered by automation, AI, and reimagined processes — including work on advanced Administrative and Clinical Reasoning Models.
- A future-ready mindset: We're here to help Ensemble evolve rapidly while protecting what makes us exceptional.
Why It Matters
The future of healthcare isn't waiting — and neither are we. Orchestration Works positions Ensemble to stay ahead of industry shifts, unlock new performance breakthroughs, and deliver smarter, faster, more reliable results for the organizations we serve.
Position Overview
The Epic Architecture Lead is Orchestration Works' Epic authority. Everything OW builds has to work with Epic — and this role owns how. From concept validation through production readiness, the Epic Architecture Lead defines the Epic connection strategy for every initiative in the portfolio: what data moves, how it moves, which interfaces and API connections carry it, and what it takes for an OW solution to operate inside real Epic workflows.
The mandate is intentionally broader than any single Epic application. This role covers Epic overall, advises pods on Epic workflows during validation, and figures out what is needed when the answer
is not documented anywhere. The Epic Architecture Lead works daily with engineering, Applied AI, and Concept Engineering teams, and goes beyond core Epic scope whenever that is what it takes to get an initiative across the gate. This is an individual contributor role reporting to Epic Services but with dedication to Orchestration Works.
What You'll Own
- Epic integration architecture: Define and own the Epic connection approach for every OW build — data integration, interfaces, APIs, and web services — from concept validation through production readiness.
- Data strategy: Determine what Epic data each initiative needs, how it is accessed, and how it stays accurate and reliable as solutions move from shadow validation into production.
- Epic workflow advisory: Advise pods on Epic workflows across applications throughout the 120-day cycle, so solutions are designed around how Epic actually works — not around assumptions about it.
- Sandbox testing and trialing: Own how OW uses Ensemble’s Epic sandbox environment as part of the build cycle — standing up test scenarios, trialing integration patterns and workflows, and proving solutions against realistic Epic conditions before anything moves toward production.
- Cross-functional build partnership: Work hands-on with engineers, AI practitioners, and concept teams every day, translating between Epic architecture and the systems being built on top of it.
- The unmapped problems: When an initiative needs an Epic connection pattern, data path, or answer that does not exist yet, this role finds it, tests it, or builds the case for creating it.
- Standards and handoff: Ensure the Epic integration patterns OW proves out are documented and repeatable, so solutions transition cleanly to Core and to Epic Services at production readiness.
- Interface to Epic Services: Keep OW's Epic work aligned with Ensemble's Epic standards, Standard Operating Models, and upgrade roadmap without duplicating them.
What You Bring
Required
- 10+ years of Epic experience working in a technical capacity, spanning build, integration, and workflow design.
- Epic certification in Cadence, Hospital Billing, or Professional Billing.
- Deep working knowledge of Epic data structures and integration methods — interfaces, APIs, web services, and third-party system connectivity.
- Demonstrated range across Epic applications beyond your certified area, and comfort operating where the answer is not documented.
- A startup mentality: energized by ambiguity, fast cycles, and learning new topics outside core Epic scope.
- Strong communication across technical and operational audiences — engineers, AI teams, operators, and executives.
- Must be inquisitive and demonstrate openness to innovation including AI to explore better processes and ways to alleviate friction and improve patient and client experiences.
- This is a remote position; however, candidates must be willing and able to travel to and work onsite at client, temporary, or corporate office locations as business needs require.
- This position pays between $148,800-223,200 based on experience
Preferred
- Experience in product management, solution design, or operational strategy.
- Revenue cycle operations experience across patient access, billing, or HIM.
- Experience connecting AI or automation solutions to Epic in a production environment.
How We Work at Orchestration Works
- 120 days, three gates: Every initiative moves from intake to deployment-ready in 120 days or less, through three decision gates. Killing a concept at the gate is a legitimate, expected outcome — that is the model working, not breaking.
- Multi-hat, startup-like team: Roles here are broader than their titles. Leaders operate hands-on, pods rotate in and out on initiative cycles, and everyone contributes beyond their lane.
- Validated on real work: Front-line Ensemble teammates use what we build on real workflow before anything is locked. Solutions are designed around validated work, not assumption.
- Built on Core: Same codebase, same CI/CD, same Ensemble engineering bar. OW proves it; Core scales it.
- Co-located in Austin: The dedicated team and active pod members work together in person at the OW office. Candidates must currently reside in the Austin area or be willing to relocate; relocation assistance may be available for eligible candidates.
Ensemble Health Partners is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all of our associates.
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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.
Due to business, operational, payroll, and regulatory requirements, this position is limited to individuals who reside and are authorized to work within the United States. Applications generated from outside the United States will not be considered. Individuals may reapply when located within the United States.
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
