Sr Software Engineer

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 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:

As a Senior Software Engineer, you will design, architect, and deliver high-impact services and features that power our products. You’ll partner closely with Product and cross-functional stakeholders to translate requirements into robust technical solutions, own significant components end-to-end, and raise the technical bar through mentoring and strong engineering practices.

What You’ll Do (Key Responsibilities)

• Architect, design, implement, and maintain complex software systems and services with a strong focus on scalability, reliability, and maintainability.
• Own end-to-end delivery of significant features/systems: discovery, design, implementation, testing, deployment, and operational excellence.
• Collaborate with Product, Design, and Engineering to understand requirements, propose options, and deliver high-quality outcomes.
• Contribute to and influence architectural decisions, technical direction, and engineering best practices across the team.
• Drive engineering excellence: code reviews, quality standards, and production readiness (including observability and CI/CD awareness).
• Mentor and guide junior engineers—helping with design approaches, implementation details, and career growth.
• Learn and apply new technologies pragmatically when they are the right fit for the problem.

Must-Have Qualifications

• 7+ years of software engineering experience with a track record of shipping production systems.
• Strong object-oriented programming skills; C# preferred (or equivalent OO language with willingness to work in C#).
• Cloud experience designing and delivering services in production.
• CI/CD experience
• Data expertise across SQL and NoSQL paradigms.
• Experience integrating with and/or building on a Message Bus (event-driven systems, pub/sub, messaging patterns).
• Demonstrated ability to design and implement solutions from ambiguous requirements and communicate tradeoffs clearly.
• Proven ability to collaborate cross-functionally and mentor teammates.
• Strong team player who is collaborative, respectful, and supportive; actively contributes to a positive engineering culture by sharing knowledge, helping teammates succeed, and communicating clearly and constructively.

Nice-to-Have Qualifications

• Azure experience (compute, storage, messaging, monitoring).
• Infrastructure as Code: Terraform.
• Telephony domain exposure (contact center, voice/SMS, integrations).
• Databricks experience (pipelines, data processing, lakehouse patterns).
• Experience in healthcare technology, specifically Revenue Cycle Management (RCM) domains such as billing, claims, eligibility, payments, denials, or related workflows.
• This position pays between $111,800-192,900 based on experience
• 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.

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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.

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 .

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