Senior Engineer, Automation

Ensemble Health Partners - The single solution for a frictionless revenue cycle with the purpose of redefining the possible in healthcare by empowering people to be the difference. Our India Office is an extension of Ensemble’s team and culture designed to augment and enhance our talent and skill base in Revenue Cycle Management in addition to our long-standing presence in technology. Leveraging our platform of services, technology, business intelligence and analytics, our teams are creating and maintaining innovative products and systems to help our revenue cycle operators achieve the most efficient, ideal outcomes for our clients. Our teams are certified in revenue cycle best practices and are supporting end-to-end RCM operations. We are at the forefront of innovation using cutting-edge technology to drive meaningful impact in the Revenue Cycle Management landscape. 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.

Ensemble Health Partners is one of the fastest-growing revenue cycle management companies in healthcare. Our Automation & AI Platform team is building the next generation of intelligent automation: moving beyond traditional rule-based bots into agentic, AI-driven automation and Computer Use Agents (CUA) that can see, reason about, and operate real applications the way a person does.

We are looking for a Senior Engineer to own automation solutions end to end and set the technical direction others build on. You will run discovery on complex processes, architect the solution across RPA, API, and agentic / CUA approaches, lead the proofs of concept that de-risk new technology, and ship it to production at scale. This is a hands-on, high-ownership individual-contributor role with real technical leadership: Python is at the center of everything you build.

You will be the person the team looks to when an automation is genuinely hard: a brittle Citrix app, an unstructured document backlog, an unattended run that must never silently fail. You set the patterns, raise the quality bar, and mentor Engineer I and II developers along the way. Our stack spans Python, Playwright, Azure, Docker, and a fast-growing agentic / CUA layer built on Azure OpenAI and open-source LLMs.

What You Will Do:

Own end-to-end architecture of automation solutions, from process discovery and feasibility through design, build, and production handover, choosing the right approach across RPA, API integration, and agentic / CUA techniques. Lead proofs of concept for new automation approaches (vision-based Citrix, Computer Use Agents, document AI), de-risking new technology and producing clear recommendations and objective documents for leadership. Design and build the reusable Python automation framework and shared components (resilient locators, self-healing, replay and orchestration patterns) that the wider team builds on. Set technical standards and review designs and code, mentor Engineer I and II developers, and raise the bar on quality, testing, and reliability. Architect for scale and reliability: orchestration, idempotency, retries, dead-lettering, and SLAs across a portfolio of production automations. Build agentic and Computer Use Agent (CUA) automations, selecting and integrating models (Azure OpenAI and open-source LLMs) and designing document-processing pipelines that blend OCR with LLMs. Design secure, unattended execution: integrate REST and SOAP APIs, and handle secret management, MFA such as TOTP, least-privilege access, and HIPAA-aware handling of sensitive data. Package and deploy with Docker and Azure (Container Apps / ACA Jobs, Function Apps), ship through Azure DevOps CI/CD, and provision infrastructure as code where it helps. Own observability and production support: structured logging, traces, metrics, dashboards, alerting, incident response, and cost tracking. Partner with operations, security, and client teams, and present architecture and trade-offs to engineering leadership, including VP-level.

What We’re Looking For:

Minimum 7 years building and running production automation or software, with Python at the center of your work and a track record of owning solutions end to end.

Must-Have Skills:

Python (expert): deep, idiomatic Python with clean architecture, packaging, performance awareness, and strong testing habits. This is the non-negotiable core of the role. End-to-end automation architecture: designing complete solutions from discovery to production, and choosing deliberately between RPA, API-driven, and agentic approaches. Hands-on RPA delivery at depth: years of production automations built in Python. Prior Power Automate / Power Automate Desktop experience is valued, and experience with any other RPA tool (UiPath, Automation Anywhere, Blue Prism) is welcome, but Python is mandatory. Web, Citrix, and OCR automation: Playwright or Selenium for web, image / vision techniques for Citrix and virtual desktops, OCR for documents, and resilient self-healing patterns. POC and technology evaluation: scoping and running proofs of concept, de-risking new tech, and making clear build-versus-buy recommendations. Reusable frameworks: building shared automation frameworks and components that a team standardizes on, not just individual bots. Async and message-driven design: Azure Service Bus (queues, dead-letter, consumers), producer / consumer patterns, idempotency, and retries. Advanced SQL: SQL Server / T-SQL, schema design, complex queries, window functions, stored procedures, tuning, and migrations. Azure (core): Container Apps / ACA Jobs, Function Apps, Service Bus, Key Vault, Application Insights, Automation Runbooks, Azure AI Foundry Docker: containerizing automations and running them reliably. Git and CI/CD: Azure DevOps pipelines, PR workflow, and branching. Automated testing: unit and integration tests with fakes, applied as a habit rather than an afterthought. Observability: Open Telemetry, Application Insights, and KQL (Kusto) for dashboards, alerting, and cost tracking.

Preferred / Stand-Out:

Agentic Automation: architecting Computer Use Agents that combine LLMs with UI control to build adaptive automations. AI / LLM engineering: Azure OpenAI, prompt design, handling non-deterministic output, and evaluation. Open-source LLM experience: self-hosting or serving models (for example vLLM on a GPU VM) and integrating them into automation. Document processing at scale: OCR and LLM extraction pipelines over PDFs and scanned documents. Model Context Protocol (MCP): building tool / adapter servers, or comparable abstractions. Healthcare / regulated-data domain: familiarity with HIPAA constraints or Epic / FHIR integration.

People First, Last + Always

We believe in putting people at the heart of everything. Our culture is rooted in collaboration, growth and innovation—where your contributions are valued, your voice is heard and your potential is nurtured.

Whether you're just starting out or looking to grow your career, Ensemble India is a place where you can do your best work and be your best self. We offer structured career paths, paid professional certifications, tuition reimbursement and mentorship opportunities to help you advance.

We support the physical, emotional and financial well-being of you and your family. Our Total Rewards package include:

• Healthcare coverage for associates and their immediate families including parents

• Paid time off plans

• Retirement benefits

• Recognition and wellness programs

• Market competitive pay rates

Our organization is deeply committed to fostering a positive environment and culture where we celebrate and reward merit and contribution and where every associate feels valued, included, and empowered to succeed.

We proudly partner with local communities through philanthropic initiatives—from school supply drives to health awareness campaigns—because giving back is part of who we are.

Ensemble Health Partners 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 Health Partners also prohibits harassment of applicants or employees based on any of these protected categories.