Clinical Systems Analyst II (Ambulatory)

EHS Overview:

Episcopal Health Services Inc. (EHS) is a health system located on the Rockaway Peninsula in Queens, New York. EHS provides inpatient, outpatient, and emergency care to the diverse populations of the Rockaways, Five Towns, South Nassau, and beyond. The system offers comprehensive preventive, diagnostic, and rehabilitative services to people of all faiths.

St. John’s Episcopal Hospital is accredited by The Joint Commission’s Health Facilities Accreditation Program and is approved by the New York State Department of Health. The hospital is a recipient of the Gold-Plus Get with the Guidelines®-Stroke Quality Achievement Award and the Gold-Plus Get with the Guidelines®-Heart Failure Quality Achievement Award from the American Heart Association. Additionally, St. John's is proud to be redesignated as a Baby-Friendly® Hospital by Baby-Friendly USA – the accrediting body and national authority for the Baby-Friendly Hospital Initiative (BFHI) in the United States.

Come Grow With Us!

Type: Full-Time 75 Hours Bi-Weekly

Shift: Days

Hours: 8:00AM - 4:30PM

Salary: $110,000 - $125,000

Job Summary:

The Meditech Expanse Ambulatory Clinical Systems Analyst II is responsible for the design, configuration, implementation, optimization, and ongoing maintenance of the Meditech Expanse Ambulatory electronic health record (EHR) module across outpatient clinics and physician practices. Operating at an intermediate (Level II) tier, this role acts as a primary liaison between clinical end-users (physicians, mid-level providers, nurses, and practice managers) and the Information Technology department. The Analyst II translates complex clinical requirements into functional system builds, troubleshoots mid-to-high level application issues, leads workflow optimization initiatives, and manages routine project streams.

Responsibilities:

• System Build, Configuration, Maintenance, & Optimization
  • Build, configure, test, and maintain Meditech Expanse Ambulatory applications, including provider documentation templates, order sets, clinical decision support (CDS) rules, e-prescribing (eRx), charge capture, and flowsheets.
  • Conduct clinical workflow analysis to align Meditech Expanse features with outpatient operational goals, regulatory requirements, and clinical best practices.
  • Coordinate integration and interface workflows between Meditech Expanse Ambulatory and other modules/third-party systems (e.g., Acute EHR, LIS, RIS, practice management, labs, external registries, and patient portals).
• Support & Troubleshooting
  • Provide technical and operational support for Meditech Expanse Ambulatory applications, investigating and resolving complex issue tickets.
  • Perform root-cause analysis on system bugs, workflow errors, and performance issues, collaborating with Meditech vendor support when escalation is required.
  • Participate in on-call rotations for urgent after-hours and weekend system issues and support scheduled system updates or maintenance windows.
  • Provide tailored application support to ambulatory providers, offering guidance on personalized settings, quick-notes, and charting efficiency tools.
• Upgrades, Testing, & Change Management
  • • Plan, execute, and document integrated application testing, regression testing, and user acceptance testing (UAT) for system upgrades, updates, and service packs.
    • Adhere strictly to organizational IT change management protocols, ensuring all system changes are documented, peer-reviewed, tested, and approved prior to production deployment.
• Clinical Collaboration & End-User Engagement
  • Partner with Clinical Informatics, physician champions, and clinic management to design and deliver workflow-based training materials and standard operating procedures (SOPs).
  • Provide side-by-side support during new clinic onboarding, go-lives, module rollouts, and post-implementation stabilization.
  • Act as a key liaison between IT and outpatient clinical stakeholders (physicians, nurses, practice managers, quality committees) to collect requirements and translate operational needs into technical solutions.
• End-User Training & Onboarding
  • Design, build, and maintain comprehensive, workflow-based training curricula, user guides, quick-reference guides (QRGs), and e-learning modules tailored to distinct clinical roles (physicians, advanced practice providers, nurses, medical assistants, and administrative staff.
  • Lead interactive classroom, one-on-one training sessions for all new ambulatory provider onboarding as well as existing clinicians receiving training on system updates or new feature rollouts.
  • Establish, train, and support a network of clinic-based Super-Users to build peer support capacity across ambulatory practices.
  • Coordinate and deliver high-touch, side-by-side shoulder support during clinic go-lives, new provider onboarding, and post-implementation stabilization phases.
  • Manage, refresh, and maintain the Meditech Expanse training environment (TEST/PLAY), ensuring accurate clinical scenarios, patient profiles, and user accounts match production standards.
  • Evaluate user proficiency post-training through formal assessments and workflow observations, offering targeted remediation for struggling end-users.

Requirements:

• Bachelor's degree in Healthcare Administration, Health Information Technology, Finance, Computer Science, or related field; or equivalent combination of education and experience.
• 5 years' experience supporting MEDITECH Expanse Ambulatory software required.
• Deep understanding of MEDITECH Expanse Ambulatory dictionary structures, screen design, document templates, order management, and clinical rules engine.
• Familiarity with ambulatory/outpatient clinic operations, provider documentation patterns, medication reconciliation, and referral workflows.
• Knowledge of healthcare regulatory programs impacting ambulatory care (e.g., MIPS/MACRA, Quality Measures, Meaningful Use, HIPAA).
• Strong analytical skills with the ability to convey complex technical concepts clearly to clinical providers and administrative leaders.
• Occasional travel to outpatient clinics and medical offices for go-lives, user engagement, or site assessments.
• Clinical background or licensure (e.g., RN, LPN, Medical Assistant, or Allied Health professional) preferred.
• Formal Meditech Expanse Ambulatory training or vendor certification preferred.

• Project Management and presentation software experience preferred.