Clinical R Programmer Jobs in Texas (NOW HIRING)

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 the Director, Software Engineering, you will provide strategic and technical leadership across Ensemble's software delivery organization. In this role, you will define, drive, and execute the technology strategy that accelerates engineering effectiveness and enables scalable, secure, and resilient platforms. You will guide teams in architecting and delivering modern, reusable software solutions while championing engineering excellence and operational maturity.
You will work closely with product, architecture, and engineering leaders to align technology decisions with business objectives, ensuring solutions support both near-term priorities and long-term strategic outcomes. Through hands-on technical leadership, design-level guidance, and coaching, you will influence engineering practices, elevate quality standards, and foster a culture of innovation, collaboration, and continuous improvement.
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

• Strategic & Technical Leadership:
  • Define and execute the engineering strategy, ensuring alignment with long-term business and platform goals.
  • Shape architectural direction, standards, and engineering best practices across teams.
  • Drive adoption of modern engineering approaches, scalable architectures, and high-quality delivery patterns.
• Engineering Delivery & Operational Excellence:
  • Oversee design, development, testing, deployment, and continuous improvement of software solutions across multiple teams.
  • Build and maintain shared frameworks, services, and platform capabilities that accelerate delivery.
  • Ensure strong operational practices including observability, CI/CD maturity, automation, and security-first development.
• Cross-Functional Partnership:
  • Collaborate with product, design, architecture, and infrastructure leaders to translate strategy into clear, executable roadmaps.
  • Remove blockers, drive alignment, and ensure technical considerations are fully integrated into planning processes.
  • Represent engineering in portfolio reviews, technology evaluations, and enterprise decision-making.
• Technical Governance & Quality:
  • Lead technical design reviews, architecture forums, and complex troubleshooting efforts.
  • Set quality benchmarks and ensure teams consistently meet standards for performance, maintainability, and production readiness.
  • Drive resolution of systemic issues through data-driven root-cause analysis and long-term fixes.
• Innovation & Modernization:
  • Champion modernization efforts including microservices, serverless patterns, event-driven systems, and infrastructure-as-code.
  • Evaluate emerging technologies-including AI-enabled development tools-and guide adoption where they drive measurable value.
• Leadership & Talent Development:
  • Lead and develop engineering managers, leads, and senior engineers, fostering a culture of accountability, innovation, and continuous learning.
  • Build organizational capability through coaching, skills development, and effective team structures.
  • Promote an inclusive, collaborative engineering culture rooted in high performance and craftsmanship.

Qualifications
Required Skills & Experience

• Bachelor's degree in Computer Science, Engineering, or related field.
• 10+ years of progressive software engineering experience, including 4+ years leading managers or multi-team engineering organizations.
• Strong expertise in modern software architecture, cloud platforms preferably Azure, CI/CD, automation, and observability.
• Software engineering experience building production-grade applications using JavaScript/TypeScript, .NET Core, or similar languages
• Proven ability to set engineering strategy, guide architectural direction, and lead large-scale delivery
• Demonstrated success developing leaders and building high-performing engineering teams.
• Excellent communication skills with the ability to translate complex technical concepts to diverse audiences.
• Experience driving modernization, platform evolution, and continuous improvement initiatives.

• Exposure to AI-enabled development tools, code generation models, or ML-driven insights (e.g., Copilot, embedding models, vector search).
• Demonstrated advanced usage of AI and the management of teams using AI to lean in to process and technological improvements, to include the exploration, experimentation, and application of AI.

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