Mr. Ivy began his healthcare career as an emergency room registrar, working directly with patients and families during their most critical moments. This experience shaped 15 years of leading revenue cycle operations for major health systems before he founded Ensemble, now one of the most innovative revenue cycle management companies in healthcare. Under his leadership, Ensemble has scaled to over 14,750 associates, managing $46 billion in net patient revenue across 35 health systems nationwide. The company has achieved a 100% client rebuy rate and a 94% exceed-expectations rating, performance that earned Ensemble the No. 1 ranking among provider partners. In 2025, Mr. Ivy fostered a strategic partner ecosystem with Microsoft, Cohere and Databricks to deliver predictive modeling, real-time insights and automated workflows that catch issues upstream and keep revenue flowing, ultimately delivering a 5% net patient revenue improvement, fewer denials and enhanced patient experiences across the care journey. His commitment to a longitudinal, holistic approach to RCM stands in contrast to competitors rushing half-built solutions to market. MR. Ivy has built a culture where associates thrive, achieving onboarding retention rates above 95% and earning recognition on Fortune‘s 2025 “Best Workplaces in Health Care” list. When a client suffered a ransomware attack during a holiday, he personally mobilized his team and joined onsite recovery efforts, exemplifying his belief that the company must be an extension of each client’s team. He serves as a venture partner for Caduceus Capital Partners and is a member of both the Healthcare Financial Management Association and the American College of Healthcare Executives.
