Director, Clinical Systems Engineering

🔥 18 hours ago

⛰️ Colorado, District of Columbia, +5 more states – Remote

⛰️ Colorado – Remote 🏛️ District of Columbia – Remote 🌽 Illinois – Remote 🌲 North Carolina – Remote 🔔 Pennsylvania – Remote 🌴 South Carolina – Remote 🎸 Tennessee – Remote

⏰ Full Time

🔴 Lead

👨‍⚕️ Medical Director

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Crossroads

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 2005

🏥 Healthcare

⚕️ Healthcare Insurance

🧘 Wellness

Healthcare • Healthcare Insurance • Wellness

Crossroads is an outpatient treatment provider for people dealing with substance use disorders, specializing in medication-assisted treatment (MAT). They offer a comprehensive approach to recovery, including FDA-approved medications, peer support, care coordination, counseling, and contingency management, personalized to the unique needs of each patient. By providing convenient access to services through a 24/7/365 patient access center, virtual appointments, and their Instant Intake® service, Crossroads facilitates recovery journeys across multiple states, such as Georgia, Kentucky, New Jersey, North Carolina, Pennsylvania, South Carolina, Tennessee, Texas, and Virginia. Dedicated to high-quality, evidence-based care, Crossroads supports their community with resources and partnership programs to ensure a compassionate and successful path to recovery.

📋 Description

• Lead structured requirements elicitation with clinical, pharmacy, front office, revenue cycle, quality, and compliance stakeholders • Facilitate workshops, workflow walkthroughs, and design sessions • Translate operational and clinical needs into functional and technical specifications • Produce and maintain workflow maps, user stories, configuration workbooks, requirements traceability matrices, and test scripts • Drive requirements review and sign-off; manage scope, change requests, and downstream impact analysis • Evaluate configuration, integration, third-party solution, or process-change options and present cost, risk, and effort trade-offs • Oversee interfaces and data exchange across clinical, pharmacy, laboratory, e-prescribing, PDMP, dispensing, reporting, and analytics systems • Support eligibility, claims, and remittance transaction flows through clearinghouse and payer channels • Monitor interface queues and error handling; lead root-cause analysis and remediation • Develop and validate SQL reports and data extracts; maintain operational, regulatory, and executive reporting, extracts, and dashboards • Own data validation for migrations and system changes, including reconciliation, field-level validation, exception reporting, and sign-off criteria • Maintain the enterprise data dictionary and source-to-target mapping; investigate data integrity issues • Present findings, methodology, and limitations to clinical, operational, and executive audiences • Serve as technical lead for site migrations onto the target EHR platform, including extraction, mapping, conversion testing, load validation, cutover, go-live support, and stabilization • Define and execute validation protocols for high-risk clinical and financial data • Coordinate build, testing, and training readiness for wave-based go-lives • Document and escalate migration risks, defects, and decisions; maintain issue logs • Directly supervise two Clinical Applications Analysts, including assignment, prioritization, performance management, coaching, and development • Establish intake, triage, and service-level standards; balance project work against production escalations • Develop team competency in configuration, testing, and documentation; build cross-coverage • Partner with help desk and implementation teams on project-to-support handoffs • Manage technical relationships with application vendors, upgrades, regression testing, and defect resolution • Ensure configuration and documentation support HIPAA, 42 CFR Part 2, DEA, SAMHSA, state OTP, licensure, accreditation, and payer requirements • Maintain audit-ready records of configuration changes, access reviews, validation testing, and system decisions • Report project status, risks, decisions, and performance metrics to the Vice President, Clinical Applications and senior leadership

🎯 Requirements

• Bachelor’s degree in health informatics, information systems, computer science, healthcare administration, or a related field required; equivalent combination of education and directly relevant experience will be considered • Master’s degree preferred • Minimum of seven (7) years of progressive experience in clinical application configuration, systems analysis, or EHR implementation required • Minimum of two (2) years of direct people leadership or formal project leadership experience required • Demonstrated ownership of end-to-end requirements gathering for clinical or enterprise software initiatives required • Hands-on configuration experience with at least one enterprise EHR or practice management platform required • Experience supporting multi-site EHR implementation, consolidation, or data migration required • Working knowledge of interfaces and integration (HL7, FHIR, API, SFTP) required • Demonstrated hands-on SQL experience required and assessed during the interview process • Advanced working knowledge of electronic health record and practice management system architecture, configuration, and release management • Demonstrated proficiency in requirements elicitation and documentation methods, including workflow mapping, user stories, functional specifications, and traceability • Working knowledge of healthcare integration standards and technologies, including HL7 v2, FHIR, APIs, and secure file transfer • Advanced, hands-on SQL proficiency, including multi-table joins, subqueries, common table expressions, aggregation, and window functions • Working knowledge of healthcare EDI transactions and clearinghouse operations • Understanding of behavioral health and substance use disorder clinical workflows, documentation, and billing requirements • Demonstrated project management skills, including planning, resourcing, risk management, and structured status reporting to executive stakeholders • Proven ability to lead, develop, and hold accountable a small technical team • Demonstrated data fluency and ability to present results credibly to executives • Experience building reports, extracts, or dashboards used by operational or executive leadership required • Ability to travel to clinic sites as required to support implementations, go-lives, and workflow assessments • Behavioral health, substance use disorder, or OTP platform experience strongly preferred • Knowledge of OTP and OBOT operations, including methadone and buprenorphine dispensing workflows, take-home regulations, and 42 CFR Part 2, strongly preferred • Experience with a healthcare clearinghouse and familiarity with revenue cycle workflows preferred • Professional certification such as CPHIMS, CAHIMS, PMP, Certified Scrum Product Owner, Six Sigma, or vendor-specific application certification preferred

🏖️ Benefits

• Medical, Dental, and Vision Insurance • PTO • Variety of 401K options including a match program with no vesture period • Annual Continuing Education Allowance (in related field) • Life Insurance • Short/Long Term Disability • Paid maternity/paternity leave • Mental Health Day • Calm subscription for all employees