At 4A Consulting, we turn complexity into opportunity. Founded in 2014 and headquartered in Baltimore, MD, we are a women-owned, boutique consulting firm specializing in delivering innovative, data-driven solutions to both the Federal Government and Fortune 500 clients. Our team blends deep industry knowledge with advanced technologies to design tailored strategies that drive measurable and sustainable outcomes. We pride ourselves on an agile, collaborative approach that helps organizations navigate challenges and seize emerging opportunities in a rapidly evolving digital landscape. At 4A, we don’t just deliver projects, we build trusted partnerships that empower our clients to lead with confidence in the digital age.
Position Overview
We are seeking a Senior Electronic Health Records (EHR) Subject Matter Expert to provide technical leadership, healthcare domain expertise, and project oversight for large-scale EHR implementations and healthcare IT modernization initiatives. The ideal candidate will have extensive experience in EHR system implementation, clinical workflow optimization, health data architecture, data migration, vendor management, and healthcare regulatory compliance.
This role requires expertise in state government IT projects, enterprise healthcare platforms, and Netsmart solutions, along with the ability to coordinate with technical teams, clinical stakeholders, executive leadership, vendors, and independent oversight teams. The successful candidate will oversee solution design, workflow alignment, testing, quality assurance, project risks, and compliance with healthcare data privacy and interoperability standards.
Key Responsibilities
- Serve as the primary technical point of contact for EHR implementation activities, coordinating with state agencies, operational leadership, implementation vendors, and other stakeholders.
- Provide technical governance and oversight for EHR projects, including solution architecture, clinical workflow alignment, system testing, and quality assurance.
- Manage vendor performance and serve as the primary liaison with software vendor teams for scope management, platform enhancements, technical issues, and ticket escalations.
- Identify project risks, technical issues, workflow disruptions, and system downtime risks, and develop appropriate mitigation strategies.
- Monitor project scope, schedules, budgets, deliverables, and performance to ensure successful and timely implementation.
- Define critical paths, project tasks, milestones, testing requirements, and acceptance criteria.
- Ensure compliance with state SDLC standards and applicable healthcare privacy and security requirements, including HIPAA.
- Identify opportunities to improve operational efficiency, reduce costs, and maintain or improve clinical workflows and documentation quality.
- Monitor project issues, coordinate resolutions, and prepare accurate status reports and project management documentation.
- Organize, direct, and coordinate project planning, implementation, production, and support activities, including subcontractor contributions.
- Develop and maintain work breakdown structures, project schedules, milestone calendars, charts, and reports to support project planning and decision-making.
- Develop and implement procedures and reporting processes aligned with program objectives.
- Lead health data migration strategies, ensuring legacy data is accurately, securely, and compliantly mapped to modern EHR platforms.
- Manage client relationships and stakeholder expectations while supporting organizational change management and technology adoption.
- Prepare work plans, status reports, risk logs, project health assessments, and compliance reports.
- Coordinate with state oversight managers, Independent Verification and Validation (IV&V) teams, and quality assurance auditors.
- Plan, monitor, and adjust project resources, including personnel, budgets, materials, and schedules.
- Lead risk and issue management, root cause analysis, corrective and preventive actions, and continuous process improvement.
- Evaluate quality assurance, quality control, and User Acceptance Testing (UAT) activities.
- Apply healthcare industry best practices and evolving state and federal requirements, including interoperability standards, Medicaid billing rules, and regulatory updates.
- Provide technical leadership for enterprise digital transformation and modernization initiatives that improve operational efficiency and reduce technical debt.
Required Qualifications
- Bachelor's degree from an accredited college or university in a relevant discipline. A Master's degree or Ph.D. is preferred.
- 12+ years of relevant healthcare IT experience, primarily focused on large-scale EHR implementations, health data architecture, and clinical workflow optimization.
- 4+ years of healthcare project management experience.
- 10+ years of combined hands-on and leadership experience directly executing EHR system implementations.
- Experience leading technical solution design, health data migration, clinical workflow integration, and vendor technical oversight.
- Direct experience with healthcare data privacy and interoperability standards, including HIPAA and CRISP/HIE integration.
- Documented experience working on state government IT development projects.
- Direct experience managing, architecting, or supporting a designated Major IT Development Project (MITDP) within a state government framework.
- Proven experience leading large-scale EHR or complex enterprise healthcare technology platform implementations.
- Prior experience implementing, configuring, architecting, or managing Netsmart platforms, such as myAvatar, myUnity, or myEvolv.
- Direct experience with behavioral health, human services, post-acute care, or public health workflows, including associated state billing and reporting requirements.
- Experience evaluating QA/QC testing and UAT activities for healthcare IT implementations.
- Strong leadership, analytical, problem-solving, and decision-making skills.
- Excellent written and verbal communication, presentation, meeting facilitation, and stakeholder management skills.
- Ability to work independently, manage competing priorities, and deliver work according to established schedules.
- Strong interpersonal skills and the ability to build effective relationships with clients, vendors, technical teams, and executive stakeholders.
Preferred Qualifications
- Master's degree or Ph.D. in a relevant discipline.
- Experience with Netsmart EHR platforms, including myAvatar, myUnity, or myEvolv.
- Experience supporting government or public-sector healthcare modernization programs.
- Knowledge of state Medicaid billing requirements, healthcare reporting, and regulatory compliance updates.
- Experience coordinating with IV&V teams, compliance auditors, and state oversight organizations.
- Experience leading enterprise digital transformation, interoperability, and health data modernization initiatives.
- Strong understanding of clinical workflow integration, healthcare data migration, and enterprise health data architecture.
Why Join 4A
Be part of a mission-driven, women-owned consulting firm with a reputation for excellence. Work on high-impact projects across federal and commercial clients. Collaborate in an inclusive, growth-oriented culture where innovation is valued. Access career development programs, mentorship, and learning opportunities. Enjoy a comprehensive benefits package, flexible work options, and a focus on work-life balance. Equal Opportunity Statement 4A Consulting is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. All employment decisions are made without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability status, protected veteran status, or any other characteristic protected by law.