Clinical Systems Specialist, Praxis Health

The Clinical Systems Specialist brings hands-on clinical experience and EHR administration expertise to the systems that support providers and clinic staff across Praxis Health. A core part of the role is owning day-to-day EHR incident, change, and service request management: working with Oracle and internal teams to log and track issues, assess clinical and operational impact, and drive timely resolution and system changes aligned with clinical priorities and established Praxis Health processes. The role also covers core system administration, including user access and provisioning, EPCS, provider schedule maintenance, and troubleshooting across the EHR and surrounding clinic systems.  

The role reports to the Clinical Systems Manager and coordinates with clinical leadership when an issue affects a specific clinic or provider, and works closely with Operations to define and maintain clinical workflows and workflow changes driven by Oracle updates. 

Location & Schedule

• Schedule: Monday–Friday, 8:00 AM–5:00 PM
• Location: Hybrid role. Typically 3 days in office in Lake Oswego. Some weeks will require additional days in office.

Key Responsibilities

• Create, modify, and deactivate user accounts across clinical systems in line with onboarding, role change, and offboarding requests.
• Manage Electronic Prescribing of Controlled Substances (EPCS) enrollment, coordinate identity proofing, and maintain provider accounts.
• Process and maintain provider schedule updates in the relevant clinical systems.
• Provide initial troubleshooting support for clinic staff and providers on account access, system errors, and basic system functionality; escalate issues beyond this scope to the appropriate resource  
• Serve as the day-to-day point of contact with Oracle for incident management and change requests  
• Work with Clinical Systems Manager and clinical leadership to define and maintain clinical workflows and workflow changes driven by Oracle system updates.
• Partner with the Clinical Systems Training Specialists to flag workflow and technology changes that require staff education or training, so updates are communicated and adopted smoothly.
• Support change management for clinical systems initiatives and ensure changes are implemented in line with relevant Praxis Health policies and procedures.
• Advocate for innovative uses of technology that advance Praxis Health's strategic goals, looking beyond day-to-day maintenance to how clinical systems can move the organization forward.
• Maintain accurate records of account and access changes for audit and compliance purposes.
• Flag recurring issues or patterns to the Clinical Systems Manager rather than solving the same problem repeatedly in isolation.
• Support go-live and cutover activities for the Oracle Health EHR implementation as needed, through project, during go-live, and post-go-live  
• Provide provisioning, troubleshooting, and workflow support across the full clinic technology stack, including the EHR, patient registration, document management, and bolt-on vendor platforms, not the EHR alone.
• Support evaluation, rollout, and troubleshooting of AI-enabled clinic tools such as ambient documentation and AI scribes as they are adopted. 

What You Bring

• Direct patient care experience, or 2–3 years working in a clinical setting with a working knowledge of clinic operations and provider workflows (preferred).
• The ability to bridge clinical and technical perspectives: translating clinical needs into system changes, and explaining system or workflow changes in plain terms to staff and providers who may not be technical.
• 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 an interest in finding better ways to support Praxis Health’s goals, not just keeping systems running.

Required Qualifications

• 3+ years of hands-on EHR or clinical systems administration experience, including user account provisioning, access administration, ticket investigation and resolution, and user support. Oracle Health experience is a plus; other enterprise EHR platforms are welcome.
• Clinical background (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.

Preferred Qualifications

• A degree/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 such as patient registration, inbound document management, and basic billing/coding concepts.
• Exposure to AI tools in a healthcare setting; experience with AI scribes or ambient documentation is a plus. 

About Our Company

Praxis Health is a family of medical groups providing high-quality healthcare throughout the state of Oregon. Our community-based clinics are the DNA of our business, providing better medicine, advocacy for our patients, and a satisfying and collaborative culture for our providers and staff. The Praxis family approach is dynamically different from other healthcare companies in Oregon. We are not “big box” health care, but rather a company of small groups and clinics, of nimble micro-cultures that can quickly adapt to industry changes, as well as patient needs. We have been serving communities across the beautiful and adventurous state of Oregon for over 50 years! And we are pioneers and thought leaders in the industry. Our commitment to innovative and operational excellence has allowed us to create healthcare solutions that are both cost-efficient and cutting edge. Come see how healthcare is done right!

General Physical Requirements

Manual dexterity for office machine operation including computer and calculator; stooping, bending to handle files and supplies, mobility to complete errands for deliveries, or sitting for extended periods of time. The employee must regularly lift and /or move up to 10 pounds, frequently lift and/or move up to 25 pounds and occasionally lift and/or move up to 50 pounds. Stress can be triggered by multiple staff demands and deadlines.