Virtual Utilization Review Specialist
Ensemble
About this role
A Virtual Utilization Review Specialist at Ensemble Health Partners conducts remote clinical reviews to support hospital revenue cycle operations, ensuring appropriate use of healthcare resources and adherence to payer medical necessity criteria. The role supports financial clearance and appeals processes while collaborating with clinical teams, physician advisors, and payors to maintain hospital financial health and quality outcomes.
Skills
Qualifications
About Ensemble
ensemblehp.comEnsemble Health Partners is a revenue cycle management company that partners with hospitals, health systems and physician practices to optimize financial performance. They deliver end-to-end RCM services—patient access, coding and clinical documentation improvement, billing and collections, denials management and revenue integrity—backed by analytics and consulting. Ensemble combines operational teams and technology-enabled insights to accelerate cash flow, reduce write-offs, and improve patient financial engagement.
Recent company news
Orlando SentinelCritic’s Pick: Ghost isn’t the scariest thing in ‘Dead Drug Lord’ | Review
3 days ago
Trinity CollegeTrinity Welcomes HartBeat Ensemble as the College’s Resident Theater Company
1 month ago
Business InsiderHealthcare company Ensemble Health has tapped JP Morgan as it eyes a $13 billion sale or IPO in 2026
Oct 23, 2025
BroadwayWorld.comSteve Martin's METEOR SHOWER Concludes The Ensemble Company's Seventh Season
Dec 1, 2025
The Santa Barbara IndependentEnsemble Theatre Company Welcomes Six Distinguished New Board Members
Nov 4, 2025
About Ensemble
Headquarters
San Francisco, CA
Company Size
201-500 employees
Founded
2018
Industry
Technology
Glassdoor Rating
4.2 / 5
Leadership Team
Sarah Johnson
Chief Executive Officer
Michael Chen
Chief Technology Officer
Emily Williams
VP of Engineering
David Rodriguez
VP of Product
Jessica Thompson
Chief Financial Officer
Andrew Park
VP of Sales
Unlock Company Insights
View leadership team, funding history,
and employee contacts for Ensemble.
Salary
$65k – $72k
per year
More jobs at Ensemble
Similar Jobs
Utilization Review Specialist PRN
American Camp Association
Utilization Review Educator - Registered Nurse
Rochester Regional Health
RN (Utilization Review)
Sarah Bush Lincoln
Staff Utilization Management Clinical Pharmacist (VSP/PT)
Humana
Utilization Review Nurse- Pool
Dayton Children's Hospital
Utilization Review & Reimbursement Specialist
Mary Free Bed Rehabilitation Hospital