Senior Denials Prevention Process Improvement Advisor

Ensemble Health Partners

. Serve as a subject matter expert and strategic partner in reducing clinical and technical denials across the revenue cycle .

Posted 10/30/2026full-timeIllinois • United StatesSenior💰 $68,500 - $103,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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

Demonstrates expertise in reducing clinical and technical denials within the revenue cycle, utilizing advanced analytical skills to identify trends and develop preventive strategies. Collaborates effectively with cross-functional teams to optimize workflows and ensure compliance with regulatory requirements.

Highest-signal resume keywords

Advanced Analytical SkillsPayer Policies KnowledgeRevenue Cycle Operations ExpertiseStakeholder InfluenceHealthcare Operations Experience

ATS Keywords

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Applicant Tracking System Keywords

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Soft Skills

InquisitivenessOpenness to Innovation

Industry Keywords

Clinical DenialsTechnical DenialsRevenue CycleKPI MonitoringFirst-Pass YieldRegulatory ComplianceCross-Functional CollaborationData-Driven AssessmentsPreventive StrategiesWorkflow Optimization

About the role

Key responsibilities & impact

Serve as a subject matter expert and strategic partner in reducing clinical and technical denials across the revenue cycle
Conduct data-driven assessments of denial drivers
Develop and deploy best practices
Facilitate cross-functional workshops
Monitor implemented solutions using KPIs such as denial rate reduction and appeal avoidance
Identify denial trends
Collaborate with operational leaders and payer relations teams
Design preventive strategies to improve first-pass yield and reduce rework
Partner with IT and compliance teams to optimize workflows
Ensure adherence to regulatory and contractual requirements

Requirements

What you’ll need

Associate degree
2 to 5 years of relevant experience
Advanced analytical skills
Deep knowledge of payer policies and revenue cycle operations
Ability to influence stakeholders to achieve measurable improvements
Inquisitiveness and openness to innovation, including AI
Willingness and ability to travel to and work onsite at client, temporary, or corporate office locations as business needs require
Experience in healthcare or technology operations preferred
Must reside and be authorized to work within the United States

Benefits

Comp & perks

Bonus Incentives
Paid Certifications
Tuition Reimbursement
Comprehensive Benefits, including healthcare, time off, retirement, and well-being programs
Career Advancement
Professional development opportunities
Professional certification relevant to the associate’s field
Quarterly and annual incentive programs
Work-life flexibility