Senior IT Systems Engineer – EHR, eClinicalWorks

ICBD Holdings

. Manage all eClinicalWorks configuration across Marquis MD practice sites, including user accounts, security roles, provider templates, appointment scheduling rules, order sets, note templates, registries, and clinical decision support tools.

Posted 10/8/2026full-timeFort Lauderdale • Florida • United StatesSenior💰 $115,000 - $140,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates extensive expertise in eClinicalWorks configuration, including user accounts, templates, and integrations, while ensuring compliance with healthcare regulations. Proven ability to lead workflow design sessions and manage vendor relationships to optimize clinical and operational performance.

Highest-signal resume keywords

EClinicalWorks ConfigurationHL7 Interface TroubleshootingWorkflow Design LeadershipEHR Vendor ManagementHealthcare Compliance Knowledge

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

EClinicalWorks CertificationTemplate ConfigurationSmart Forms DevelopmentClinical Decision Support ToolsReporting Tools ProficiencySQL Query Experience

Soft Skills

Documentation PracticeMentoring Support StaffCommunication with Stakeholders

Tools & Technologies

Ambient Notetaking ToolsAI Scribe ToolsIntegration Monitoring Tools

Certifications & Qualifications

EClinicalWorks CertificationCPHIMS CertificationAdditional Module Certifications

Industry Keywords

Multi-Site Ambulatory PracticeRevenue Cycle WorkflowsHIPAA ComplianceData PrivacyDisaster Recovery

Tech Stack

Tools & technologies

SQL

About the role

Key responsibilities & impact

Manage all eClinicalWorks configuration across Marquis MD practice sites, including user accounts, security roles, provider templates, appointment scheduling rules, order sets, note templates, registries, and clinical decision support tools.
Design, build, and maintain dot phrases, structured templates, smart forms, and auto-text libraries.
Support configuration, deployment, and optimization of ambient notetaking and AI scribe tools integrated with eCW.
Lead workflow discovery and design sessions and translate requirements into eCW configuration.
Manage configuration change control, build documentation, and governance standards.
Configure and support eCW across desktop, tablet, and mobile deployments.
Configure and monitor integrations with labs, radiology, e-prescribing, patient engagement and payments, telehealth, billing clearinghouses, and third-party tools.
Diagnose and resolve HL7 interface failures and document interface architecture and resolution procedures.
Evaluate and onboard new third-party integrations.
Serve as liaison between eCW and clinical and operational teams; gather requirements and identify workflow improvements.
Analyze workflows, prioritize enhancement requests, and communicate delivery timelines and technical tradeoffs.
Lead eCW onboarding and requirements gathering for additional ICBD operating companies.
Serve as senior escalation point for complex system, workflow, and integration issues.
Manage eCW vendor cases and relationship, including escalations, product roadmap discussions, and business reviews.
Perform root cause assessments and establish proactive monitoring.
Develop and deliver role-based eCW training and maintain knowledge-base materials and troubleshooting runbooks.
Mentor L1/L2 support staff and monitor workflow adoption.
Manage licensing, procurement, contract renewals, cost optimization, archiving, records management, backup, disaster recovery, and business continuity.
Lead eCW upgrades, patches, regression testing, and deployment.
Advise leadership on platform capabilities, roadmap developments, and continuous improvement opportunities.

Requirements

What you’ll need

4–7 years of hands-on eClinicalWorks experience in a production ambulatory or multi-site practice environment, with direct configuration ownership in a live clinical setting.
eClinicalWorks certification required in core EHR and Practice Management modules.
Demonstrated experience configuring eCW templates, dot phrases, order sets, smart forms, clinical decision support tools, and user security models.
Working knowledge of HL7 v2 interfaces and experience troubleshooting eCW integration failures with labs, radiology, pharmacies, and third-party systems.
Experience leading requirements and workflow design sessions with clinical staff, practice administrators, and physician-level stakeholders, including CMO-level clinical leadership.
Consistent documentation practice, including build documentation, change logs, training materials, and knowledge base content.
Multi-site ambulatory practice experience required.
Familiarity with revenue cycle workflows (scheduling, coding, billing, prior authorization) and how eCW configuration affects downstream financial and clinical performance.
Proficiency with eCW reporting tools.
Experience managing a vendor relationship with an EHR provider, including license tracking, renewals, and support case escalation.
Familiarity with EHR backup, disaster recovery, and business continuity requirements in a clinical environment.
HIPAA, data privacy, and healthcare compliance knowledge required.
Additional module certifications (Healow, Population Health, Telehealth) strongly preferred.
Concierge medicine, direct primary care, or high-touch practice environment strongly preferred.
SQL or other query experience a plus.
CPHIMS or other healthcare IT certification a plus.
Bachelor's degree in Health Informatics, Information Systems, Healthcare Administration, or a related field preferred; equivalent professional experience considered.

Benefits

Comp & perks

21 paid days off (15 PTO days increasing with tenure, plus 6 paid holidays)
Flexible Spending Account (FSA) and Health Savings Account (HSA) options
Medical, dental, vision, long-term disability, life insurance, AD&D insurance, and GAP Plan (TransAmerica)
Generous 401(k) with up to 6% employer match
100% employer-paid maternity/paternity leave for up to 5 weeks
EAP (unlimited counseling 24/7)
BeyondMed (discounts on wellness and elective healthcare services)
PerkSpot (discounts on top brands)
Pet Insurance (Nationwide)
On the GoGa wellbeing hub