Technology Services Manager, Senior
County of Orange
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Job summary
County of Orange’s Health Care Agency Information Technology Services seeks a Technology Services Manager, Senior to lead the agency’s EHR environment. The role drives enterprise governance, prioritizes system initiatives, and collaborates with clinical staff, analytics, and vendors to optimize health records workflows.
The successful candidate will oversee cross-functional teams, ensure regulatory compliance, and guide major system updates to support clinical and billing functions across
Qualifications
- Five years of IT experience managing an enterprise-level EHR system in a healthcare setting.
- At least two years in lead or supervisory roles.
- Comprehensive knowledge of enterprise EHR operations.
- Expertise in clinical documentation, workflow design, and system lifecycle practices.
Responsibilities
- Lead enterprise strategy, governance, roadmap, and priorities for the EHR across all Health Care Agency service areas.
- Oversee EHR workflow design, system build, configuration standards, and clinical tools.
- Direct multidisciplinary EHR teams including analysts, informaticists, developers, DBAs, testers, trainers, and partners.
- Ensure EHR workflows and data handling comply with HIPAA and privacy regulations.
- Partner with Analytics to support data quality and population in data warehouses.
- Lead readiness, testing, validation, implementation, and post-release support for EHR updates.
- Manage vendor relationships, contracts, performance, and escalations.
- Document system decisions and SOPs; maintain knowledgebases.
Skills
Job description
Salary may be negotiable within the range listed above, based on position requirements and successful candidate's qualifications, subject to appropriate authorization.
This recruitment will be open for a minimum of five (5) business days and will remain open on a continuous basis until 11:59 p.m. (PST) on the day the County's needs are met. Qualified applicants are encouraged to apply immediately.
The first round of considerations will end on Wednesday, September 2nd, 2026, at 11:59 p.m. (PST). Applications received after this date will be processed in the next round.
This recruitment will establish an open eligible list and will be used to fill current and future Technology Services Manager, Senior positions with this specialty throughout the County of Orange. This eligible list may also be used to fill positions in similar and/or lower classifications.
The County of Orange, Health Care Agency (HCA) is a dynamic organization dedicated to creating and supporting an environment that promotes the achievement of optimal individual, family and community health. Under the direction of the Agency Director, a new and dynamic executive team with an organizational structure comprised of five (5) service areas - Administrative Services, Behavioral Health Services, Correctional Health Services, Specialized Medical Services and Public Health Services - is committed to meeting the health needs of the diverse Orange County community.
HCA Information Technology (IT) Services provides the vision, leadership, direction, strategic and tactical planning and implementation for all agency information technology initiatives. The primary mission of the department is to enable and support all functional service and administrative areas within the agency to meet their respective goals and objectives. This is accomplished via collaboration and partnership with the program areas, by factoring in customer needs in all decisions with a customer-centric focus and ensuring that the individual technology-based objectives of the program areas are aligned with the overall technology roadmap and goals of the Agency.
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.
This position will be responsible for but not limited to the following duties:
- 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
The ideal candidate will possess five (5) years of professional information technology experience managing an enterprise-level EHR system within a healthcare environment; experience must include 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
The minimum qualifications for the Technology Services Manager, Senior classification as well as the physical & mental requirements and the environmental conditions are provided in the official posting.
Foreign degrees require an evaluation of U.S. equivalency by an agency that is a member of the National Association of Credential Evaluation Services (N.A.C.E.S.).
Human Resource Services (HRS) will screen all application materials to identify qualified applicants. After screening, qualified applicants will be referred to the next step and notified of all further procedures applicable to their status in the recruitment process.
Applications and supplemental responses will be screened for qualifications that are highly desirable and most needed to successfully perform the duties of this job. Only those applicants that meet the qualifications as listed in the job bulletin will be referred to the next step.
The Structured Oral Interview is a timed assessment. Applicants will provide answers to job-related questions, which will be rated by a panel of subject matter experts using standardized evaluation criteria. Only the most qualified candidates will advance to the next step in the recruitment process or will be placed on the eligible list.
Once the assessment has been completed, HRS will establish an eligible list of candidates. Candidates placed on the eligible list may be referred to a selection interview to be considered for present and future vacancies.
Based on the County's needs, the selection procedures listed above may be modified. All candidates will be notified of any changes in the selection procedures.
The County is committed to providing a mechanism to give preferential consideration in the employment process to veterans and their eligible spouses and will provide eligible participants the opportunity to receive interviews in the selection process for employment and paid internship openings. Please review the Veterans Employment Preference policy.
The County of Orange is committed to providing reasonable accommodations to qualified individuals with disabilities. Individuals who require a reasonable accommodation during the application or selection process should notify the recruiter listed on the job posting as soon as possible. Documentation supporting the accommodation request may be required.
Email is the primary form of notification during the recruitment process. Please ensure your correct email address is included in our application and use only one email account.
For additional frequently asked questions, please refer to the provided resources.
For specific information pertaining to this recruitment, please contact Mariah Cuellar at (714) 834-3179 or MCuellar@ochca.com.
Orange County, as an equal employment opportunity employer, encourages applicants from diverse backgrounds to apply.
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