Job Title: Director Analytics Experience: 14+ Years Job Location: Remote, India Position Overview: The AI solutions architect is responsible for building AI and Machine learning models and pipelines, with a focus on generative AI, LLMs and predictive modelling. The successful candidate will work closely with business owners to understand their data requirements and product specification in order to help them make data-related decisions and product design choices. The role will also require close work with data scientists, software engineers and developers to deliver solutions. Another crucial part will be defining the strategic priorities for AI and GenAI development across the company and educating both technical and business teams about the latest development in AI. The job role may also require you to learn new tools and technologies fast, which will be well supported by in-depth ML/AI knowledge as well as basic programming and scripting skills. You should have expertise in the design, development, management, and maintenance of systems and handling of large datasets. You should have hands-on experience with common machine learning and AI frameworks, and a good knowledge of AI and machine learning fundamentals (deep learning, regression, classification and clustering algorithms), retrieval augmented generation pipelines, as well as a good grasp of the design and evaluation of LLM-supported use cases. Roles & Responsibilities Design, develop, and oversee the implementation of end-to-end AI solutions, including LLM-based and general machine learning use cases. Define AI solution objectives and ensure alignment with business outcomes. Develop and ensure Interoperability between client systems, internal teams and other third-party vendors. Educate team members and bring both technical staff and business stakeholders up to speed with recent AI trends. Present key findings, recommend enhancements, and work with business owners to enhance product development. Evaluate predictive models as well as LLM-based technologies at scale. Act as primary respondent to questions regarding AI and Machine Learning applications. Build, enhance and maintain the data models, interfaces and application integration required to support growing and changing business needs. Collaborate with internal and external clients to respond to growing needs of the business, troubleshoot issues, and expand capabilities of the product. Meaningfully contribute to the strategic direction of AI initiatives within the company. Required Skills Overall 15+ Years out of which 5+ years' experience leading a data science/machine learning team with clear deployment experience. PhD or MSc in Computer Science/Machine Learning/AI, or related work experience with the design, building and evaluation of Machine Learning systems. 10+ years’ experience with Machine Learning ecosystem tools, including pytorch/tensorflow, scikit-learn, xgboost or equivalents. Proven ability to research and execute solutions based on novel algorithms and machine learning tooling. Ability to design, implement, test and deploy Machine Learning models. Experience working with and evaluating LLM-based pipeline, with an emphasis on retrieval augmented generation and prompting techniques is a plus. Familiarity with langchain/llamaindex/haystack/Azure AI studio, vector databases and retrieval techniques, or equivalent common tools in the emerging LLM-enabled tech stack is a plus. Proficiency in accessing and handling databases via SQL, Azure Data Factory or similar. Alternatively, familiarity with data storage/management systems or Big Data frameworks (like Hadoop, Spark) expected to be known or used. Proficiency in Software Development best practices such as Continuous Integration, Unit/Integration Testing, Code Reviews. Understanding of MLOps fundamentals, including orchestration tools, cloud compute, and observability tools. Proven ability to read research papers, critique and execute based on them. Knowledge of Revenue Cycle Management, Collections, or financial industries is desirable but not necessary. Ability to work both independently and in a team-based, fast-paced environment. Excellent communication skills, both written and verbal. Company Overview As Ensemble Health Partners Company, we're at the forefront of innovation, leveraging cutting-edge technology to drive meaningful impact in the Revenue Cycle Management landscape. Our future-forward technology combines tightly integrated data ingestion, workflow automation and business intelligence solutions on a modern cloud architecture. We have the second-largest share in the RCM space in the US Market with 10000+ professionals working in the organization. With 10 Technology Patents in our name, we believe the best results come from a combination of skilled and experienced team, proven and repeatable processes, and modern and flexible technologies. As a leading player in the industry, we offer an environment that fosters growth, creativity, and collaboration, where your expertise will be valued, and your contributions will make a difference. Why Join US We adapt emerging technologies to practical uses to deliver concrete solutions that bring maximum impact to providers’ bottom line. We currently have 10 Technology Patents in our name. We offer you a great organization to work for, where you will get to do best work of your career and grow with the team that is shaping the future of Revenue Cycle Management. We have our strong focus on Learning and development. We have the best Industry standard professional development policies to support the learning goals of our associates. We have flexible/ remote working/ working from home options. Benefits Health Benefits and Insurance Coverage for family and parents. Accidental Insurance for the associate. Compliant with all Labor Laws- Maternity benefits, Paternity Leaves. Company Swags- Welcome Packages, Work Anniversary Kits. Exclusive Referral Policy. Professional Development Program and Reimbursement. Remote work – flexibility to work from home.

Job Title: Senior Product Analyst Experience: 5-8 Years Job Location: Remote, India Position Overview: As a key member of the Product Management vertical at Ensemble, you will be responsible for managing the product development process within an organization. You will also research and determine clients needs, convert needs to consumable requirements, determine the value and incorporate them into the product roadmap. Roles & Responsibilities Demonstrate understanding of RCM terms, industry standards, business processes, and Ensembles applications and information flow. Understand, analyze, and document the business needs. Build process flows for current and future state. Breakdown business needs into features and stories and back them with diagrams and documentation. Bring feature requirements to PM and Manager/Co-manager for peer review. Realize requirements, know the value and reasoning behind current prioritization. Managing and creating a forward-looking product backlog. Prioritizing the backlog items based on changing requirements. Think comprehensively to align non-functional (security, performance, etc) and reporting requirements to Functional features to ensure holistic development. Work across different verticals ops-engineering-product-analytics-implementation to seek feature-related feedback, understand and resolve dependencies. Work with offshore engineering teams to clarify business requirements during offshore hours. Present requirements to the team during sprint planning, unblock the engineering teams and act as proxy PM. Work with the teams to build high-level estimates, define timelines and respectively add features to the roadmap. Overseeing all stages of product creation including design and development, to understand any risk. Monitoring and evaluating product development, to mitigate any risk. Collaborate with engineering, product, and data teams to deliver updates. Participating in grooming, scrum meetings and product sprints. Perform feature acceptance. Demonstrate deliverables to stakeholders. Required Skills Knowledge of Healthcare - RCM (Revenue Cycle Management) or Insurance is a great plus. Knowledge of product development architecture. Experience working in an Agile environment using scrum methodologies. Strong collaboration skills - partner with other teams to solve problems, incorporate feedback and ensure smooth delivery. Strong business analysis, documentation, and presentation skills. Excellent oral and written communication skills. Quick learner and ability to lead from the front. Good to have Experience in multitenant enterprise cloud application, .Net, SQL. Knowledge of Azure ADO, AHA, draw.io, Visio is a plus. Must have an experience in healthcare domain. Company Overview: As fifthnote – An Ensemble Health Partners Company, we're at the forefront of innovation, leveraging cutting-edge technology to drive meaningful impact in the Revenue Cycle Management landscape. Our future-forward technology combines tightly integrated data ingestion, workflow automation and business intelligence solutions on a modern cloud architecture. We have the second-largest share in the RCM space in the US Market with 12000+ professionals working in the organization. We believe the best results come from a combination of skilled and experienced team, proven and repeatable processes, and modern and flexible technologies. As a leading player in the industry, we offer an environment that fosters growth, creativity, and collaboration, where your expertise will be valued, and your contributions will make a difference. Why Join Us? We adapt emerging technologies to practical uses to deliver concrete solutions that bring maximum impact to providers’ bottom line. We offer you a great organization to work for, where you will get to do best work of your career and grow with the team that is shaping the future of Revenue Cycle Management. We have our strong focus on Learning and development. We have the best Industry standard professional development policies to support the learning goals of our associates. We have flexible/ remote working/ working from home options. Associate Perks Health Benefits and Insurance Coverage for family and parents. Accidental Insurance for the associate. Compliant with all Labor Laws- Maternity benefits, Paternity Leaves. Company Swags- Welcome Packages, Work Anniversary Kits Exclusive Referral Policy Professional Development Program and Reimbursements. Remote work – flexibility to work from home.

Job Title: Senior UX/ UI Designer Experience: 5-7 Years Job Location: Remote, India Position Overview: As a Senior UX/UI Designer, you will play a pivotal role in advocating for our users and designing exceptional web app experiences. With a strong focus on user needs, you will create user flows, wireframes, and final designs, ensuring a seamless and intuitive user journey. Your expertise in conducting qualitative and quantitative research, including user interviews and usability testing, will be essential in presenting insightful findings. Roles & Responsibilities. Advocate for our users and empathize with their needs. Design web app experiences, including user flows, wireframes, and final designs. Conduct qualitative and quantitative research and present findings. Perform user interviews, usability testing, etc. Collaborate with stakeholders, product, and engineering partners to balance user and company goals. Hand-off design mocks to engineering and participate in QA/UAT. Actively participate in design critiques. Contribute to design component libraries. Coordinate and communicate effectively with stakeholders in the USA, ensuring alignment across time zones. Adapt to cultural differences and work styles to foster strong international collaboration. Required Skills- A relentlessly curious designer looking to learn and grow with 5-7 years of experience. Understanding of basic design thinking principles. Experience designing web-based applications. Experience with common user research tactics. Knowledge of Figma and design libraries. Portfolio of previous work. Nice to Have- Knowledge and/or experience designing for healthcare. Digital agency experience. Experience in quantitative data analysis. Ability to create Figma design libraries. Experience with Pendo software. Company Overview As fifthnote – An Ensemble Health Partners Company, we're at the forefront of innovation, leveraging cutting-edge technology to drive meaningful impact in the Revenue Cycle Management landscape. Our future-forward technology combines tightly integrated data ingestion, workflow automation and business intelligence solutions on a modern cloud architecture. We have the second-largest share in the RCM space in the US Market with 10000+ professionals working in the organization. With 10 Technology Patents in our name, we believe the best results come from a combination of skilled and experienced team, proven and repeatable processes, and modern and flexible technologies. As a leading player in the industry, we offer an environment that fosters growth, creativity, and collaboration, where your expertise will be valued, and your contributions will make a difference. Why Join Us? We adapt emerging technologies to practical uses to deliver concrete solutions that bring maximum impact to providers’ bottom line. We offer you a great organization to work for, where you will get to do best work of your career and grow with the team that is shaping the future of Revenue Cycle Management. We have our strong focus on Learning and development. We have the best Industry standard professional development policies to support the learning goals of our associates. We have flexible/ remote working/ working from home options. Perks- Health Benefits and Insurance Coverage for family and parents. Accidental Insurance for the associate. Compliant with all Labor Laws- Maternity benefits, Paternity Leaves. Company Swags- Welcome Packages, Work Anniversary Kits. Exclusive Referral Policy. Professional Development Program and Reimbursements. Remote work – flexibility to work from home.

Position Summary - Support and mentor teams and products by leveraging advanced to expert skills across multiple domains including front-end and backend development, RESTful APIs, event-driven architectures, test automation, IaC, CI/CD, and monitoring/diagnostics. Experience - 12- 14 years Location - Remote Key Skills - Front-end development : Experience interacting with design teams and scaling front-end development. Event-driven architecture : Knowledge of stream, queue, and eventing systems. REST APIs : Experience in designing, developing, and consuming scalable, low latency RESTful APIs. Relational Databases : Ability to work with relational databases such as Microsoft SQL Server for database management. CI/CD : Setting up and managing continuous integration and continuous deployment pipelines using various tools. IaC : Experience with infrastructure as code for provisioning and managing cloud resources. Test Automation : Knowledge of test automation frameworks and tools. Monitoring and Diagnostics : Knowledge of monitoring and diagnostics tools. Networking : Understanding of networking concepts, including virtual networks, subnets, network security groups, and VPN gateways. Emerging Technologies : Stay abreast of the latest developments in data technologies, evaluating and integrating them into the platform to enhance capabilities. Architectural Design : Lead the architectural design and technical strategy for multiple teams and product lines. Strategic Efforts : Focus on strategic efforts rather than tactical, ensuring tracking towards a one-year architecture direction. Decision Making : Make decisions by gathering, analyzing, and interpreting information; choose the best course of action by establishing clear decision criteria, generating and evaluating alternatives, and making timely decisions. Influencing : Use effective persuasion techniques to gain acceptance of ideas and commitment to actions that support specific outcomes. Key Responsibilities: Implementation : Implementation of complex features and ensure adherence to best practices. Quality Assurance : Ensure the quality of the codebase through code reviews, testing, and automation. Mentorship : Mentor and guide junior engineers in the team. Collaboration : Collaborate with cross-functional teams to align technical direction with business goals. Positive Change Agent : Show results and provide feedback to engineering leaders. Preferred Technologies: C# .Net Core: Expert knowledge of C# and .Net Core for developing scalable and high-performance applications. React + Figma Azure Service Bus, Event Hub, and Event Grid. Terraform MSSQL About Us As fifthnote – An Ensemble Health Partners Company, we're at the forefront of innovation, leveraging cutting-edge technology to drive meaningful impact in the Revenue Cycle Management landscape. Our future-forward technology combines tightly integrated data ingestion, workflow automation, and business intelligence solutions on a modern cloud architecture. We have the second-largest share in the RCM space in the US Market with 11,000+ professionals working in the organization. We believe the best results come from a combination of skilled and experienced team, proven and repeatable processes, and modern and flexible technologies. As a leading player in the industry, we offer an environment that fosters growth, creativity, and collaboration, where your expertise will be valued, and your contributions will make a difference. Why Join Us? We adapt emerging technologies to practical uses to deliver concrete solutions that bring maximum impact to providers’ bottom line. We offer you a great organization to work for, where you will get to do the best work of your career and grow with the team that is shaping the future of Revenue Cycle Management. We have our strong focus on Learning and development. We have the best Industry standard professional development policies to support the learning goals of our associates. We have flexible/remote working/working from home options. Benefits: Health Benefits and Insurance Coverage for family and parents. Accidental Insurance for the associate. Compliant with all Labor Laws- Maternity benefits, Paternity Leaves. Company Swags- Welcome Packages, Work Anniversary Kits. Exclusive Referral Policy. Professional Development Program and Reimbursements. Remote work – flexibility to work from home.

Job Title: Staff Engineer, Software Experience: 12-15 Years Job Location: Remote, India Company Overview: We're at the forefront of innovation, leveraging cutting-edge technology to drive meaningful impact in the Revenue Cycle Management landscape. Our future-forward technology combines tightly integrated data ingestion, workflow automation and business intelligence solutions on a modern cloud architecture. We have the second-largest share in the RCM space in the US Market with 12000+ professionals working in the organization. We believe the best results come from a combination of skilled and experienced team, proven and repeatable processes, and modern and flexible technologies. As a leading player in the industry, we offer an environment that fosters growth, creativity, and collaboration, where your expertise will be valued, and your contributions will make a difference. Position Overview: As a “Staff Engineer, Software”, your role will be to implement the technology strategy for Ensemble software delivery teams with guidance from engineering leadership. You will focus on developing reusable software components, patterns, and tooling to address them. Your outcomes will be a contributor to achieving our long-term strategic goals. Roles & Responsibilities Position Summary: We are seeking a highly skilled Senior Engineer to join our Product Engineering team. The ideal candidate will support the event engine team in backend development, primarily associated with message broker. This role requires expertise in .Net Core backend web services, RESTful APIs, Event-driven Architecture, and Relational Databases. Role and Responsibilities: Work with lead engineer on a combination of C# and SQL/TSQL, supporting scalable, high transaction, event-driven data processing systems. Develop and maintain .Net Core backend web services and RESTful APIs. Implement and manage event-driven architecture. Collaborate with cross-functional teams to achieve sprint commitments and help the team meet objectives. Required Skills: Proficiency in C# / .Net Core Experience in ReactJS Experience with MSSQL Knowledge of Azure Experience in Terraform Nice to Have: Familiarity with Event Driven Architecture Experience with REST APIs Understanding of CI/CD and IaC Medical Experience, HL7, Agentic AI (Azure AI Foundry) Core Competencies: Clean Code SOLID Principles Design Patterns Test Driven Development Why Join US? We adapt emerging technologies to practical uses to deliver concrete solutions that bring maximum impact to providers’ bottom line. We offer you a great organization to work for, where you will get to do best work of your career and grow with the team that is shaping the future of Revenue Cycle Management. We have our strong focus on Learning and development. We have the best Industry standard professional development policies to support the learning goals of our associates. We have flexible/ remote working/ working from home options. Perks Health Benefits and Insurance Coverage for family and parents. Accidental Insurance for the associate. Compliant with all Labor Laws- Maternity benefits, Paternity Leaves. Company Swags- Welcome Packages, Work Anniversary Kits Exclusive Referral Policy Professional Development Program and Reimbursements. Remote work – flexibility to work from home.