Technology Services Manager, Senior

County of Orange•Santa Ana, CA

About The Position

The County of Orange HCA is seeking a Technology Services Manager, Senior to serve as the enterprise leader for the Agency’s Electronic Health Record (EHR) system. This senior-level position provides strategic, operational, and technical leadership for the EHR environment supporting the agency’s clinical and billing functions within behavioral, public, and correctional health services. The position is responsible for leading enterprise governance, setting priorities, guiding system optimization, and ensuring the EHR continues to support the Agency’s clinical, operational, claims revenue, and regulatory reporting needs. The Technology Services Manager, Senior will work closely with program leadership, clinicians, compliance partners, reporting and analytics teams, technology staff, vendors, and executive stakeholders to align EHR decisions with Agency priorities.

Requirements

Five (5) years of professional information technology experience managing an enterprise-level EHR system within a healthcare environment
At least two (2) years of lead/supervisory experience
Comprehensive knowledge of enterprise EHR operations
Expertise in clinical documentation, workflow design, system configuration, testing, release management, and system lifecycle practices
In-depth understanding of health care privacy and security regulations including HIPAA and 42 CFR Part 2
Working knowledge of revenue cycle management including rules related to Medi-Cal and Medicare claims
Experience leading multidisciplinary teams, including technical, clinical informatics, application development, database, interface, testing, training, and project teams
Establishing priorities, managing competing demands, resolving escalated issues, and holding teams accountable for results
Providing leadership for staff through complex system implementations, operational changes, system releases, and competing stakeholder priorities while maintaining service continuity
Building team capacity by fostering staff development, promoting collaboration, and ensuring consistent, high-quality service delivery
Evaluating complex clinical, operational, regulatory, and technical issues and developing practical enterprise-wide solutions
Balancing enterprise standardization with program-specific operational and business needs
Commitment to improving usability, reducing documentation burden, enhancing data quality, and supporting reliable, sustainable system operations
Identifying risks, dependencies, and downstream impacts before implementing major system changes
Building and maintaining effective partnerships with executive leadership, clinical leaders, program managers, compliance staff, reporting teams, technical teams, vendors, and end users
Clearly articulating risks, decisions, trade-offs, dependencies, and recommendations to both technical and non-technical audiences
Excellent written communication skills, including preparing analyses, recommendations, project updates, governance materials, and operational documentation
Facilitating collaborative decision-making among stakeholders with diverse priorities, operational needs, and implementation timelines

Responsibilities

Lead the enterprise strategy, governance structure, roadmap, and priorities for the EHR across all Health Care Agency service areas
Oversee EHR workflow design, system build, configuration standards, clinical documentation tools, order workflows, clinical decision support, and related lifecycle management activities
Direct multidisciplinary EHR teams and resources, including analysts, clinical informaticists, configuration/build specialists, developers, database administrators, interface support staff, business analysts, report writers, testers, trainers, and implementation partners
Ensure EHR workflows, documentation, data capture, and system logic align with applicable state and federal privacy and compliance requirements
Partner with Agency Analytics teams to support data population and data quality within data warehouses
Lead readiness, testing, validation, implementation, and post-release support for EHR updates, module expansions, regulatory changes, and major system initiatives
Manage escalated system issues, ticket trends, service delivery risks, stakeholder concerns, and competing priorities
Represent EHR operations in executive forums, steering committees, governance groups, compliance workgroups, and cross-program decision-making bodies
Lead workflow redesign and optimization efforts to reduce documentation burden, improve usability, support clinical quality, and strengthen operational efficiency
Manage vendor relationships, contract deliverables, performance issues, escalations, and implementation partner activities
Ensure system decisions, workflows, configurations, changes, and supporting logic are documented in standard operating procedures, knowledgebases, and internal repositories
Supervise, mentor, and develop staff responsible for EHR operations, configuration, issue resolution, testing, implementation, and system optimization