Clinical Systems Specialist, Praxis Health

Praxis Health•Oregon, OR

1d•Hybrid

About The Position

The Clinical Systems Specialist brings hands-on clinical experience and EHR administration expertise to systems supporting providers and clinic staff across Praxis Health. The role owns day-to-day EHR incident, change, and service request management, working with Oracle and internal teams to track issues, assess clinical and operational impact, and drive timely resolution and system changes aligned with clinical priorities and established processes. It also includes system administration such as user access and provisioning, EPCS, provider schedule maintenance, and troubleshooting across the EHR and related clinic systems. The position reports to the Clinical Systems Manager and coordinates with clinical leadership when issues affect a specific clinic or provider. It partners with Operations to define and maintain clinical workflows, including changes driven by Oracle updates, and works with Clinical Systems Training Specialists to identify changes requiring staff education. The role supports Oracle Health EHR implementation go-live and cutover activities as needed, as well as the evaluation, rollout, and troubleshooting of AI-enabled clinic tools. This is a hybrid role, typically requiring three days per week in the Lake Oswego office, with some weeks requiring additional in-office days. The schedule is Monday through Friday, 8:00 AM to 5:00 PM.

Requirements

At least 3 years of hands-on EHR or clinical systems administration experience, including user account provisioning, access administration, ticket investigation and resolution, and user support.
Clinical background in nursing, allied health, or clinical operations, or a degree or certification in clinical or health informatics or a related field.
Experience working directly with an EHR vendor on support tickets, system updates, or product rollouts.
Strong understanding of clinical workflows and how they translate into system requirements, configuration, and downstream impact on clinical staff and providers.
Ability to bridge clinical and technical perspectives, translating clinical needs into system changes and explaining system or workflow changes in plain terms.
Sound troubleshooting judgment, including knowing when to escalate rather than guess.
Comfort with detail-heavy, process-driven work where accuracy and compliance matter.
Curiosity about technology and interest in finding better ways to support organizational goals.
Direct patient care experience, or 2–3 years working in a clinical setting with knowledge of clinic operations and provider workflows (preferred).

Nice To Haves

Oracle Health experience; other enterprise EHR platforms are welcome.
Degree or certification in healthcare, clinical informatics, health informatics, or a related field.
Familiarity with EPCS requirements and identity proofing processes.
Familiarity with adjacent front-office and revenue cycle processes, including patient registration, inbound document management, and basic billing or coding concepts.
Exposure to AI tools in a healthcare setting; experience with AI scribes or ambient documentation.

Responsibilities

Create, modify, and deactivate user accounts across clinical systems for onboarding, role changes, and offboarding.
Manage Electronic Prescribing of Controlled Substances (EPCS) enrollment, coordinate identity proofing, and maintain provider accounts.
Process and maintain provider schedule updates in relevant clinical systems.
Provide initial troubleshooting for clinic staff and providers on account access, system errors, and basic system functionality; escalate issues beyond scope.
Serve as the day-to-day point of contact with Oracle for incident management and change requests.
Work with the Clinical Systems Manager and clinical leadership to define and maintain clinical workflows and workflow changes driven by Oracle system updates.
Partner with Clinical Systems Training Specialists to flag workflow and technology changes requiring staff education or training.
Support change management for clinical systems initiatives and ensure changes follow relevant Praxis Health policies and procedures.
Advocate for innovative uses of technology that advance Praxis Health’s strategic goals.
Maintain accurate records of account and access changes for audit and compliance purposes.
Flag recurring issues or patterns to the Clinical Systems Manager.
Support Oracle Health EHR implementation go-live and cutover activities through the project, go-live, and post-go-live as needed.
Provide provisioning, troubleshooting, and workflow support across the clinic technology stack, including the EHR, patient registration, document management, and vendor platforms.
Support evaluation, rollout, and troubleshooting of AI-enabled clinic tools, including ambient documentation and AI scribes.