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Senior EHR Systems Administrator
- New York, New York, United States
- New York, New York, United States
Über
Our model is built for populations with high medical and social complexity, where fragmented care drives poor outcomes and unnecessary cost. We combine local, community-based teams with virtual care and modern technology to deliver coordinated, whole-person care where members live and receive support.
Founded in 2021, Zócalo Health is backed by leading healthcare and mission-aligned investors and is scaling rapidly across states and populations. We are building a durable care platform designed to perform in constrained healthcare environments and to lead the shift toward accountable, value-based care.
Role Description The Senior EHR Systems Administrator (athenahealth) is the system owner and architectural authority for Zócalo Health’s athenahealth environment. This role is responsible for ensuring the EHR operates as a safe, stable, scalable, and audit-defensible foundation for clinical care, billing, reporting, and operational workflows.
This role owns the governance model, configuration architecture, and long-term structural integrity of athenahealth. The Senior EHR Systems Administrator defines how the system is used, ensures changes are safe and scalable, and prevents system degradation or architectural drift as the organization grows.
This is not a ticket execution or IT support role. This role is accountable for the reliability, compliance, and long-term health of a mission‑critical system that underpins clinical operations, revenue integrity, and audit readiness.
This role operates as a cross‑functional leader and trusted authority across Clinical Operations, Billing, Compliance, Product, Engineering, and Data.
This position reports to the VP of Product.
The Senior EHR Systems Administrator will contribute in the following ways:
System Ownership and Architecture
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
Governance and Change Management
Governance Processes
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
System Design and Scalability
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
Cross‑Functional Partnership
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
Operational Excellence and Team Development
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
Qualifications
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
Preferred Qualifications
Experience supporting value‑based care models, Medicaid populations, or high‑complexity care delivery organizations
Familiarity with EHR integrations, analytics pipelines, and healthcare data infrastructure (e.g., Snowflake or similar platforms)
Experience working in scaling healthcare startups or high‑growth care delivery organizations
Background in compliance‑heavy environments requiring strong documentation and audit defensibility
Experience evaluating AI‑enabled clinical or documentation tools within EHR workflows
What you can expect from Zócalo Health
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
You must be authorized to work in the United States. Remote Work can be done from anywhere in the U.S.
At Zócalo Health Inc., we see diversity and inclusion as a source of strength in transforming healthcare. We believe building trust and innovation are best achieved through diverse perspectives. To us, acceptance and respect are rooted in an understanding that people do not experience things in the same way, including our healthcare system. Individuals seeking employment at Zócalo Health are considered without regard to race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
Those seeking employment at Zócalo Health are considered without regard to race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status or disability status.
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Sprachkenntnisse
- English
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