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:

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

As a Senior Software Engineer, you will play a key role in shaping and implementing the technology strategy across Ensemble software delivery teams. You will architect and develop scalable, resilient, and reusable software solutions that accelerate delivery and improve engineering efficiency. This role requires a deep understanding of modern software engineering patterns, a strong desire to mentor others, and a passion for elevating engineering practices.

You will work closely with product, architecture, and engineering leadership to translate business objectives into actionable technical solutions. Through hands-on design sessions, technical prototyping, and code reviews, you will influence engineering behaviors and help establish high standards for quality, security, performance, and maintainability. Your work will directly impact the organization’s ability to achieve long-term strategic goals.

Relocation to Austin, Texas is highly preferred for the role. Candidates must either currently reside in the Austin area or be willing to relocate. Relocation assistance may be available for eligible candidates.

Essential Job Functions

• Design, develop, test, deploy, monitor, and continuously improve high-quality software solutions using modern engineering practices.
• Build scalable, maintainable, and reusable components, patterns, frameworks, and tooling that address cross-cutting needs across multiple delivery teams.
• Collaborate with product and design teams to translate product concepts into technical designs and incremental deliverables that provide frequent, high-quality customer value.
• Partner with architecture to help establish, document, and advocate for technical standards, design patterns, and best practices.
• Participate in and help lead technical design sessions, spike investigations, and architecture reviews, ensuring alignment with long-term platform strategy.
• Engage in code reviews to ensure code quality, promote best practices, and mentor engineers through constructive, actionable feedback.
• Troubleshoot complex, multi-system issues across distributed architectures, driving sustainable long-term fixes.
• Contribute to a culture of engineering excellence by promoting automation, observability, testing, security-first design, and continuous improvement.
• Help evaluate emerging technologies, frameworks, and vendor solutions, and provide guidance on their potential impact or value.

Qualifications

Required Skills & Experience

• Bachelor’s degree in Computer Science, Statistics, Mathematics, or a related technical field; advanced degrees preferred.
• 5+ years of hands-on software engineering experience building production-grade applications using JavaScript/TypeScript, .NET Core, or similar languages, with a demonstrated ability to learn new technologies quickly.
• Deep understanding of core engineering fundamentals including automated testing, CI/CD, code quality, observability, DevOps practices, and iterative delivery.
• Experience working with at least three or more of the following:
• Continuous Integration & Continuous Delivery (CI/CD) platforms
• RESTful API development and/or GraphQL
• Serverless architectures (AWS Lambda, Azure Functions, etc.)
• Containerization and orchestration (Docker, Kubernetes)
• Infrastructure as Code (IaC) technologies (Terraform, CloudFormation, Bicep)
• Public cloud platforms (AWS, Azure, GCP)
• Application observability and monitoring tooling
• Event-driven or streaming architectures (Kafka, EventBridge, Pub/Sub)
• Proven experience building and supporting applications using componentized, microservices, or distributed architectures.
• Strong written and verbal communication skills, with the ability to explain complex technical concepts to both technical and nontechnical audiences in a globally distributed organization.
• Demonstrated knowledge of software architecture principles, design patterns, and engineering best practices.
• Exposure to AI-enabled development tools, code generation models, or ML-driven insights (e.g., Copilot, embedding models, vector search).

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.

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 TA@ensemblehp.com.

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