Senior Clinical Systems Analyst (Reno, NV-Based)
Role Overview
Lead executive-level discovery sessions with hospital leadership, clinical department heads, and IT leadership to identify strategic operational priorities, clinical workflow gaps, and technology-enabled improvement opportunities.
Design and build optimized clinical workflows across the EHR with a primary focus on order entry, order sets, result reporting, clinical documentation, care coordination, and patient flow - translating clinical requirements into configured solutions in collaboration with EHR analysts.
Own the full clinical workflow lifecycle: current-state analysis, future-state design, build documentation, EHR ticket coordination, configuration validation, production promotion, and post-go-live optimization.
Lead recurring clinical workflow working sessions with hospital stakeholders across laboratory, radiology, emergency, inpatient, and ambulatory domains to iteratively build, refine, and optimize EHR-driven processes.
Build and configure EHR orders, order sets, charge interfaces, worksheets, favorites, and clinical documentation templates, producing structured EHR vendor build documents (order names, bill item IDs, CDM, revenue codes, pricing) for vendor promotion to production.
Lead ticket prioritization and escalation meetings with hospital leadership and EHR vendors, advocating for client priorities, tracking service requests, and driving resolution of complex clinical workflow issues.
Advise on laboratory (LIS) and radiology (RIS/PACS) information systems and their integration with the EHR, including order entry, result reporting, imaging workflow, diagnostic turnaround time, lab instrument interfaces, and PACS integrations.
Coordinate with third-party vendors (e.g., EHR, imaging vendors, lab instrument vendors, HIE partners) on interface design, integration testing, and issue resolution, ensuring alignment on project scope, timelines, and deliverables.
Lead change management and user adoption for new or optimized clinical workflows by developing training materials, conducting workflow walkthroughs, and facilitating go-live support with clinical end users.
Mentor and provide technical direction to junior informatics staff, EHR analysts, and technical team members, elevating team capability in clinical workflow design, build best practices, and stakeholder engagement.
Stay current on healthcare IT trends, regulatory changes (HIPAA, Promoting Interoperability, CMS Conditions of Participation), and emerging technologies, contributing to internal knowledge bases and the organization’s clinical informatics practice.
Document current-state and future-state workflows, build specifications, requirements, and executive-level recommendations clearly for use by technical teams, clinical stakeholders, and executive sponsors.
Bachelor’s Degree in Health Informatics, Information Systems, Clinical Sciences, or a related field; Master’s degree preferred.
5+ years of experience in healthcare IT, clinical informatics, hospital operations, EHR build/configuration, or a related role, with demonstrated progression of responsibility.
Demonstrated clinical knowledge sufficient to credibly engage with physicians, clinical leaders, and executives in a consultative yet authoritative capacity, gained through direct hospital experience, clinical operations roles, or health informatics practice.
Deep, hands-on experience building and configuring EHR clinical workflows (Cerner/Oracle Health, Epic, Meditech, or comparable platform), including orders, order sets, charge interfaces, worksheets, and clinical documentation.
Proven track record of leading clinical workflow initiatives from discovery through build, go-live, and optimization, with measurable operational or financial outcomes.
Experience presenting to and engaging with hospital executives on clinical workflow strategy, project status, and recommendations.
Strong understanding of hospital operations, including patient flow, order management, clinical workflows, clinical documentation, revenue cycle, charge capture, and care coordination.
Experience leading recurring working sessions with clinical stakeholders and facilitating cross-functional decision-making across departments.
Experience coordinating with EHR support teams, including build document preparation, service request prioritization, and production promotion.
Excellent communication, presentation, and facilitation skills with the ability to translate complex clinical and technical concepts for executive, clinical, and technical audiences.
Proficiency in Microsoft Office suite of tools, with advanced expertise in Excel for build documentation, data analysis, and reporting.
Strong attention to detail and ability to document workflows, build specifications, and requirements clearly.
Ability to work collaboratively and lead within a multidisciplinary healthcare environment, mentoring junior team members and elevating team capability.
2+ years working with Oracle/Cerner.
Lab and/or Radiology domain expertise - experience with LIS, RIS, PACS, lab instrument interfaces, and the clinical workflows surrounding diagnostic testing and imaging.
Knowledge of healthcare interoperability standards such as HL7, FHIR, DICOM, and IHE profiles, and experience with HIE interface monitoring and troubleshooting.
Familiarity with multiple electronic health records (EHRs) and healthcare data standards.
Experience in an MSP or consulting environment, leading multiple client engagements simultaneously and managing competing priorities across hospital clients.
Experience with revenue cycle workflows, charge interface design, CDM management, and charge capture optimization.
Knowledge of regulatory compliance (HIPAA, Meaningful Use/Promoting Interoperability, CMS Conditions of Participation).
Experience mentoring junior informatics or EHR analyst staff.
Medical Insurance Plan.
Dental & Vision.
Life Insurance.
Disability Coverage.
Paid Time Off (starts at 15 days per year).
Paid Maternity/Paternity Leave.
Paid US Holidays.
Retirement Plan.
Salary Advancement/Loan.
Health & Wellness Program.
Company-paid training and certification.
Supplemental Life Insurance (Employee-paid).
Supplemental Health Plans (Employee-paid).
ITS does not request payment or financial information at any stage of the hiring process.
Sensitive personal information (e.g., Social Security numbers) will not be requested prior to a formal offer.
We have become aware of fake profiles on LinkedIn, Facebook, and other social media platforms impersonating our employees and falsely claiming to represent our company. Please exercise caution when interacting with these accounts.
If you receive suspicious messages or requests, do not engage. Report them to [email protected] .
All verified job openings are posted here: https://www.itsasap.com/job-openings .
Key Skills for This Role
Full Job Posting
Job Summary:
Lead executive-level discovery sessions with hospital leadership, clinical department heads, and IT leadership to identify strategic operational priorities, clinical workflow gaps, and technology-enabled improvement opportunities.
Design and build optimized clinical workflows across the EHR with a primary focus on order entry, order sets, result reporting, clinical documentation, care coordination, and patient flow - translating clinical requirements into configured solutions in collaboration with EHR analysts.
Own the full clinical workflow lifecycle: current-state analysis, future-state design, build documentation, EHR ticket coordination, configuration validation, production promotion, and post-go-live optimization.
Lead recurring clinical workflow working sessions with hospital stakeholders across laboratory, radiology, emergency, inpatient, and ambulatory domains to iteratively build, refine, and optimize EHR-driven processes.
Build and configure EHR orders, order sets, charge interfaces, worksheets, favorites, and clinical documentation templates, producing structured EHR vendor build documents (order names, bill item IDs, CDM, revenue codes, pricing) for vendor promotion to production.
Lead ticket prioritization and escalation meetings with hospital leadership and EHR vendors, advocating for client priorities, tracking service requests, and driving resolution of complex clinical workflow issues.
Advise on laboratory (LIS) and radiology (RIS/PACS) information systems and their integration with the EHR, including order entry, result reporting, imaging workflow, diagnostic turnaround time, lab instrument interfaces, and PACS integrations.
Coordinate with third-party vendors (e.g., EHR, imaging vendors, lab instrument vendors, HIE partners) on interface design, integration testing, and issue resolution, ensuring alignment on project scope, timelines, and deliverables.
Lead change management and user adoption for new or optimized clinical workflows by developing training materials, conducting workflow walkthroughs, and facilitating go-live support with clinical end users.
Mentor and provide technical direction to junior informatics staff, EHR analysts, and technical team members, elevating team capability in clinical workflow design, build best practices, and stakeholder engagement.
Stay current on healthcare IT trends, regulatory changes (HIPAA, Promoting Interoperability, CMS Conditions of Participation), and emerging technologies, contributing to internal knowledge bases and the organization’s clinical informatics practice.
Document current-state and future-state workflows, build specifications, requirements, and executive-level recommendations clearly for use by technical teams, clinical stakeholders, and executive sponsors.
Bachelor’s Degree in Health Informatics, Information Systems, Clinical Sciences, or a related field; Master’s degree preferred.
5+ years of experience in healthcare IT, clinical informatics, hospital operations, EHR build/configuration, or a related role, with demonstrated progression of responsibility.
Demonstrated clinical knowledge sufficient to credibly engage with physicians, clinical leaders, and executives in a consultative yet authoritative capacity, gained through direct hospital experience, clinical operations roles, or health informatics practice.
Deep, hands-on experience building and configuring EHR clinical workflows (Cerner/Oracle Health, Epic, Meditech, or comparable platform), including orders, order sets, charge interfaces, worksheets, and clinical documentation.
Proven track record of leading clinical workflow initiatives from discovery through build, go-live, and optimization, with measurable operational or financial outcomes.
Experience presenting to and engaging with hospital executives on clinical workflow strategy, project status, and recommendations.
Strong understanding of hospital operations, including patient flow, order management, clinical workflows, clinical documentation, revenue cycle, charge capture, and care coordination.
Experience leading recurring working sessions with clinical stakeholders and facilitating cross-functional decision-making across departments.
Experience coordinating with EHR support teams, including build document preparation, service request prioritization, and production promotion.
Excellent communication, presentation, and facilitation skills with the ability to translate complex clinical and technical concepts for executive, clinical, and technical audiences.
Proficiency in Microsoft Office suite of tools, with advanced expertise in Excel for build documentation, data analysis, and reporting.
Strong attention to detail and ability to document workflows, build specifications, and requirements clearly.
Ability to work collaboratively and lead within a multidisciplinary healthcare environment, mentoring junior team members and elevating team capability.
2+ years working with Oracle/Cerner.
Lab and/or Radiology domain expertise - experience with LIS, RIS, PACS, lab instrument interfaces, and the clinical workflows surrounding diagnostic testing and imaging.
Knowledge of healthcare interoperability standards such as HL7, FHIR, DICOM, and IHE profiles, and experience with HIE interface monitoring and troubleshooting.
Familiarity with multiple electronic health records (EHRs) and healthcare data standards.
Experience in an MSP or consulting environment, leading multiple client engagements simultaneously and managing competing priorities across hospital clients.
Experience with revenue cycle workflows, charge interface design, CDM management, and charge capture optimization.
Knowledge of regulatory compliance (HIPAA, Meaningful Use/Promoting Interoperability, CMS Conditions of Participation).
Experience mentoring junior informatics or EHR analyst staff.
Medical Insurance Plan.
Dental & Vision.
Life Insurance.
Disability Coverage.
Paid Time Off (starts at 15 days per year).
Paid Maternity/Paternity Leave.
Paid US Holidays.
Retirement Plan.
Salary Advancement/Loan.
Health & Wellness Program.
Company-paid training and certification.
Supplemental Life Insurance (Employee-paid).
Supplemental Health Plans (Employee-paid).
ITS does not request payment or financial information at any stage of the hiring process.
Sensitive personal information (e.g., Social Security numbers) will not be requested prior to a formal offer.
We have become aware of fake profiles on LinkedIn, Facebook, and other social media platforms impersonating our employees and falsely claiming to represent our company. Please exercise caution when interacting with these accounts.
If you receive suspicious messages or requests, do not engage. Report them to [email protected] .
All verified job openings are posted here: https://www.itsasap.com/job-openings .
About Intelligent Technical Solutions
Private U.S. managed IT and cybersecurity provider serving small and mid-sized businesses.
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