Director, Virtual Utilization Review

Ensemble Health Partners

. Build strong, trusted client relationships and serve as a strategic partner .

Posted 9/24/2026full-timeUnited StatesLead💰 $101,600 - $142,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in client relationship management, leading multi-client utilization review operations, and driving organizational transformation through data-driven decision-making. Proficient in managing and mentoring large, geographically dispersed teams while fostering a high-performing culture aligned with organizational values.

Highest-signal resume keywords

Client Relationship ManagementUtilization Review OperationsData-Driven LeadershipChange ManagementPower BI Proficiency

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Utilization ManagementRevenue Cycle ManagementDatabase AnalysisSpreadsheet AnalysisEMR KnowledgeProject ManagementAnalytical SkillsLeadership ExperiencePerformance ImprovementSLA Attainment

Soft Skills

Effective CommunicationMentoringTeam DevelopmentCross-Functional CollaborationHigh-Performing Culture

Tools & Technologies

Power BIAHALoopMicrosoft Project

Certifications & Qualifications

RN License

Industry Keywords

Healthcare LeadershipOrganizational TransformationClient KPIsUtilization ReviewChange Initiatives

About the role

Key responsibilities & impact

Build strong, trusted client relationships and serve as a strategic partner
Develop a deep understanding of client KPIs and SLAs within the first 60 days
Identify and execute opportunities to improve performance, satisfaction, and outcomes
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
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
Lead, develop, and mentor a global, multi-layered team of 125–175 employees
Manage and empower at least 3 direct-report leaders
Foster a high-performing culture aligned with organizational values
Travel up to 25% as required

Requirements

What you’ll need

Bachelor’s degree or equivalent combination of education and experience
Current RN license
2+ years of leadership experience in multi-client utilization review / utilization management operations
Experience in Revenue Cycle Management or equivalent healthcare leadership experience
Experience managing geographically dispersed teams across the US and international locations
Demonstrated success in client relationship management and partnership development
Experience driving organizational transformation and leading change management across people, process, and technology
Strong analytical skills and data-driven leadership approach
Proficiency in Power BI preferred
Effective communication skills
Strong technical skills, including database and spreadsheet analysis
Working knowledge of EMRs with front- and back-end understanding
Experience with project management tools preferred, such as AHA, Loop, or Microsoft Project
Willingness and ability to travel up to 25% and work onsite at client, temporary, or corporate office locations as business needs dictate
Must reside and be authorized to work within the United States

Benefits

Comp & perks

Comprehensive healthcare benefits
Paid time off
Retirement benefits
Well-being programs
Professional development investment
Professional certification relevant to the associate’s field
Tuition reimbursement
Quarterly and annual incentive programs
Work-life flexibility
Remote work arrangement