Senior EHR Systems Administrator

Senior EHR Systems Administrator at Zócalo HealthRemote (Full Time) Compensation: $140,000About Us Zócalo Health is a tech-enabled, community-oriented primary care organization serving people who have historically been underserved by the one-size-fits-all healthcare system. We partner with health plans, providers, and community organizations to deliver culturally competent primary care, behavioral health, and social care.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 ArchitectureOwn athenahealth as a core operating system and system of recordDefine scalable configuration patterns, workflows, templates, and access modelsEnsure the EHR remains stable, compliant, and audit-ready as the organization growsLead root cause analysis and structural remediation when system issues occurGovernance and Change ManagementServe as the final authority on configuration changes affecting clinical workflows, billing, reporting, and integrationsEstablish and enforce governance processes for configuration, access, and releasesApprove, reject, or redesign proposed system changes to protect long-term system integrityEnsure system changes are documented, traceable, and compliantSystem Design and ScalabilityEnsure athenahealth safely supports new programs, markets, and care modelsPartner with Product and Engineering to align EHR usage with broader platform architectureMaintain reliable data flows between athenahealth and downstream analytics and operational systemsIdentify structural improvements that increase system reliability and efficiencyCross-Functional PartnershipServe as the primary EHR authority for Clinical Operations, Billing, Compliance, Product, and Data teamsAdvise leaders on system capabilities, risks, and constraintsEnsure workflows support accurate documentation, billing, and reportingPartner with Compliance to maintain audit readiness and regulatory alignmentOperational Excellence and Team DevelopmentEstablish standards for documentation, workflows, and configuration managementMaintain clear internal documentation supporting operational consistencyMentor and guide junior EHR administrators and associatesEnsure operational execution aligns with governance and architectural standardsPerform other responsibilities and tasks as requested by your manager. Zócalo Health is a rapidly scaling startup, and with that comes the expectation to occasionally perform additional tasks to help move the business forward.

Qualifications

Demonstrated experience administering Athenahealth or a comparable enterprise EHR platform in a clinical delivery environmentDeep expertise in EHR configuration, workflows, templates, user roles and permissions, and operational governanceExperience designing scalable system structures and governance processes for healthcare operationsStrong 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 riskExperience partnering cross-functionally with clinical operations, product, engineering, finance, and compliance teamsStrong systems thinking with a focus on long-term stability and structural integrityHigh ownership mindset with accountability for system outcomes, not just task executionPreferred

Qualifications

Experience supporting value-based care models, Medicaid populations, or high-complexity care delivery organizationsFamiliarity 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 organizationsBackground in compliance-heavy environments requiring strong documentation and audit defensibilityExperience evaluating AI-enabled clinical or documentation tools within EHR workflowsWhat you can expect from Zócalo HealthEquity compensation packageComprehensive

Benefits

including medical, dental, and vision 401kFlexible PTO policy - take the time you need to recharge$1,000 home office stipendWe 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.Originally posted on Himalayas