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Agent guide: [/agents.md](https://www.wearedevelopers.com/agents.md). --- # Director Clinical Systems Engineering - Remote - **Company:** Crossroads Treatment Centers - **Location:** United States (Remote available) - **Experience:** Experienced - **Contract:** Permanent contract - **Skills:** Application Programming Interfaces (APIs), ASC X12 Standards, Application Configuration Access Protocols, Health Informatics, Information Systems, System Configuration, Data Validation, Data Migration, Electronic Data Interchange (EDI), Health Information Technology, Systems Analysis, Interoperability, Scrum Methodology, SQL Databases, File Transfer Protocol (FTP), Enterprise Software Applications, Fast Healthcare Interoperability Resources, Information Technology, Health Level Seven International - **Published:** October 1, 2026 - **Apply:** https://www.indeed.com/viewjob?jk=bc742fcfeb2becec ## About the Role * Proven record leading end-to-end EHR migrations or consolidations in a multi-site or multi-state healthcare organization. * Experience leading large groups of technical teams, including data, interface, and automation specialists. * Strong technical foundation in healthcare interoperability (HL7, FHIR, X12) and data migration, with the credibility to lead technical staff. * Behavioral health, SUD, or OTP experience strongly preferred, including familiarity with 42 CFR Part 2., * Bachelor's degree in health informatics, information systems, computer science, healthcare administration, or a related field required; Master's degree preferred. Equivalent combination of education and directly relevant experience will be considered. * 8+ years of progressive experience in clinical application configuration, systems analysis, or EHR implementation required. * Minimum of 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; behavioral health, substance use disorder, or OTP platform experience strongly preferred. * 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 is required and will be assessed during the interview process. * 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. * Ability to travel to clinic sites as required to support implementations, go-lives, and workflow assessments. * Experience building reports, extracts, or dashboards used by operational or executive leadership required; experience owning data validation for a system conversion strongly preferred. * Healthcare experience is required, with behavioral health or MAT experience highly preferred. ## Description * Lead the EHR implementation and engineering team, including lead analysts and technical specialists, setting priorities, assigning work, and holding the team accountable for quality and timelines. * Direct large-scale EHR migrations and consolidations across multiple states and care models, owning the overall delivery plan, sequencing, go-live readiness, and post-go-live stabilization. * Provide oversight of requirements, specifications, and build artifacts produced by the team, ensuring they are complete, traceable, and audit-ready before sign-off. * Govern scope, change requests, and downstream impact decisions, and escalate trade-offs with clear cost, risk, and effort recommendations to senior leadership. * Coach and develop team members, building career paths and technical depth across the team, and create the structure that lets senior analysts lead workstreams independently. * Serve as the primary escalation point and technical counterpart to EHR vendors, trading partners, and internal IT, including SOW review and vendor performance management. Technical Oversight: Interfaces, Integration, Data, and Automation * Lead highly skilled technical teams across data, interface, and automation disciplines, with enough hands-on depth to challenge designs, assess vendor proposals, and unblock complex technical issues. * Oversee the interface and data exchange portfolio, including HL7 v2 and FHIR messaging, laboratory and toxicology results, e-prescribing and EPCS, PDMP, pharmacy and dispensing systems, and reporting and analytics feeds. * Own data migration strategy and quality for system transitions, including extraction, mapping, validation, and reconciliation of clinical, dosing, and billing data. * Oversee eligibility, claims, and remittance transaction flows (270/271, 837, 835) in partnership with the revenue cycle team. * Direct RPA and workflow automation initiatives that reduce manual work across EHRs and operational processes, including tool selection, governance, and maintenance standards. * Establish monitoring standards for interface queues and error handling and lead root-cause analysis and remediation of major incidents.