IT & Health Informatics — Healthcare

You manage the EHR environment (Epic, Cerner/Oracle Health, MEDITECH) that clinicians depend on: building and maintaining clinical workflows, order sets, documentation templates, clinical decision support rules, reporting, and integrations. Clinician satisfaction with the EHR directly impacts productivity, recruitment, and retention. You manage ongoing optimization requests (which far exceed capacity), upgrade cycles, and regulatory updates (CMS Promoting Interoperability requirements, ONC certification criteria). The EHR is simultaneously a clinical tool, a billing system, a quality measurement instrument, and a communication platform.

You manage health information exchange: connecting your systems to payer systems (X12 837/835 transactions, prior auth, eligibility), other providers (ADT notifications, referral management, care summaries via C-CDA/FHIR), public health agencies (electronic case reporting, immunization registries, syndromic surveillance), and patient-facing applications (patient portal, third-party apps via FHIR APIs per 21st Century Cures). You manage the information blocking rules (ONC Cures Act Final Rule), which require data sharing and prohibit practices that unreasonably limit access. Interoperability is simultaneously a regulatory mandate, a clinical necessity, and a competitive differentiator.