Senior EHR Systems Administrator
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Job Description
Senior EHR Systems Administrator overseeing athenahealth for Zócalo Health. Responsible for system reliability, compliance, and cross-functional collaboration.
Responsibilities:
- Own athenahealth as a core operating system and system of record
- Define scalable configuration patterns, workflows, templates, and access models
- Ensure the EHR remains stable, compliant, and audit-ready as the organization grows
- Lead root cause analysis and structural remediation when system issues occur
- Serve as the final authority on configuration changes affecting clinical workflows, billing, reporting, and integrations
- Establish and enforce governance processes for configuration, access, and releases
- Approve, reject, or redesign proposed system changes to protect long-term system integrity
- Ensure system changes are documented, traceable, and compliant
- Ensure athenahealth safely supports new programs, markets, and care models
- Partner with Product and Engineering to align EHR usage with broader platform architecture
- Maintain reliable data flows between athenahealth and downstream analytics and operational systems
- Identify structural improvements that increase system reliability and efficiency
- Serve as the primary EHR authority for Clinical Operations, Billing, Compliance, Product, and Data teams
- Advise leaders on system capabilities, risks, and constraints
- Ensure workflows support accurate documentation, billing, and reporting
- Partner with Compliance to maintain audit readiness and regulatory alignment
- Establish standards for documentation, workflows, and configuration management
- Maintain clear internal documentation supporting operational consistency
- Mentor and guide junior EHR administrators and associates
- Ensure operational execution aligns with governance and architectural standards.
Requirements:
- Demonstrated experience administering Athenahealth or a comparable enterprise EHR platform in a clinical delivery environment
- Deep expertise in EHR configuration, workflows, templates, user roles and permissions, and operational governance
- Experience designing scalable system structures and governance processes for healthcare operations
- Strong understanding of downstream impacts including billing workflows, reporting integrity, and compliance requirements
- Ability to serve as a technical authority and make independent decisions affecting system architecture and operational risk
- Experience partnering cross-functionally with clinical operations, product, engineering, finance, and compliance teams
- Strong systems thinking with a focus on long-term stability and structural integrity
- High ownership mindset with accountability for system outcomes, not just task execution.
Benefits:
- Equity compensation package
- Comprehensive benefits including medical, dental, and vision
- 401k
- Flexible PTO policy - take the time you need to recharge
- $1,000 home office stipend
- We provide the equipment needed for this role.
- Opportunity for rapid career progression with plenty of room for personal growth.
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