Electronic Health Record Analyst III (Departmental Promotional Only)

Full Job Description

San Mateo County Health is seeking highly-qualified individuals for the position of Electronic Health Record Analyst III to, under minimal supervision, provide direct application support and user training for Health’s electronic health record (EHR) system; direct, install and maintain EHR applications and related security and interoperability; support the design, development, implementation, testing, update, integration and maintenance of system configuration, and application tables; determine user, system and application needs and evaluate solutions to address needs; provide data analysis, report development, and technical assistance to system users; and perform related duties as required.

There are currently two regular vacancies in the Health IT Division, one in Interoperability and one in Security, located in South San Francisco or San Mateo, CA, and will require travel/driving throughout the county to perform job duties. This position is currently hybrid, with both on-site and remote work based on business need and subject to change.

The ideal candidate will possess:

• Epic certification in specified areas and work experience in Interoperability or Security and provider workflow within a hospital/clinic-based environment.
• Advanced expertise working with electronic health records.
• Experience working in a healthcare setting, preferably government county health.
• Experience providing lead direction and guidance in assigning, delegating, directing, training, and reviewing the work of staff.
• Experience participating in the coordination of the workload of lower level EHR Analysts.
• Experience in lead roles in “user” meetings to prioritize, review, and respond to user requests and delegate tasks and activities.
• Ability to assist in identifying time, resource management, requirement gathering, business need assessments, training needs i.e. Optimization, software updates, changes in regulatory requirements.
• Experience as a liaison between system users and information technology staff, vendors, and service providers.
• Experience spearheading projects requiring deeper workflow analysis with stakeholders across Health.
• Demonstrated ability to troubleshoot and resolve complex issues involving the crossover of several legacy and EHR platforms.
• Ability to work with key internal and external stakeholders to align technology solutions with business strategies.
• Ability to provide product management, support, guidance, and troubleshooting through technology lifecycle management, including utilizing appropriate escalation steps.
• Experience in implementation of new application systems.
• Demonstrated exceptional customer service skills.
• Experience in providing consultation services to customers/end-users, with ability to document business and technical problems, and identify requirements.
• Ability to establish and maintain effective working relationships with those encountered on the job.
• Excellent written and verbal communication skills with internal and external stakeholders to ensure needs are met.
• Self-starter with the ability to work independently and as a member of a team.
• Excellent time management skills and ability to set priorities and adjust to meet deadlines.
• Experience working in a diverse work environment including with staff who provide the care and services for patients/clients.
• Adept at learning and applying newly acquired skills on the job.

NOTE: The eligible list generated from this recruitment may be used to fill future extra-help, term, unclassified, and regular classified vacancies.

Requirements

The duties of the position may include, but are not limited to, the following:

• Coordinate complex assignments involving multiple stakeholders, including software development life cycle, project planning, upgrade, build, optimization, identifying resource requirements, testing, and implementation.
• Perform in-depth analysis of workflows, data collection, report details, and other technical issues in support of technical and business decision-making efforts associated with the EHR system.
• Collaborate with stakeholders to improve overall EHR utilization.
• Interact with vendors and other stakeholders to identify, prioritize, and recommend alternative solutions and risk mitigation strategies.
• Assist in developing practices to improve configuration and documentation processes.
• Monitor system performance, troubleshoot, and resolve application issues and system errors.
• Participate in the evaluation of new application releases, test new applications and system upgrades.
• Identify, analyze, and recommend improvements and enhancements to operational processes, system automation, and information flows to ensure greater integration of functions within the organization.
• Design, develop, modify, and implement testing processes including scripts, recording test results, facilitating end-user testing, and maintaining test environments.
• Facilitate and attend meetings with stakeholders to review end-user and tracking/trending issues, workflow problems, system capabilities, monitoring feedback, and potential system enhancement needs.
• Respond to customer/user questions and concerns and recommend solutions as needed.
• Create security classification templates to provide appropriate access while protecting patient health information.
• Support Health IT’s mission in IT as a partner but responsibly providing access and interoperability opportunities to San Mateo partners and patients/ clients.
• Communicate with vendors regarding technical issues.
• Coordinate and participate in the review, design, configuration, and testing of new releases, upgrades, release authorizations, and special updates; evaluate new functionality and manage master file changes for new features.
• Configure, test, and evaluate new or changed clinical/business application functionality and workflows to meet enterprise requirements.
• Investigate, design, develop, test, and implement reports and dashboards.
• Develop and document internal procedures.
• Provide information and support to facilitate instructional training; participate in developing and/or lead training programs, curriculum, and lessons, including preparing training materials.
• Support systems, applications, processes, and customers, and respond to queries in a timely manner.
• Provide support for application incidents reported through the help desk, including 24/7on-call coverage, as required.
• Perform related duties as assigned.

Additional duties when designated as a Lead Worker:

• Provide lead direction and guidance in assigning, delegating, directing, training, and reviewing the work of lower level EHR Analysts.
• Participate in the coordination of the workload of lower level EHR Analysts.
• Assume lead roles in user meetings to prioritize, review, and respond to user requests and delegate tasks, activities of lower level EHR Analysts.
• Assist in identifying timelines, resources, requirement gathering, business need assessments, training needs, vendor and stakeholder engagement needs, milestone tracking, report needs and provide guidance for other analysts.
• Serve as liaison between system users and information technology staff, vendors, and service providers for County-wide systems or applications.
• Serve as the point person for the communication and coordination of vendor engagement and communication.

Additional duties when designated as an Advanced Specialist:

• Spearhead projects requiring deeper workflow analysis with stakeholders across Health.
• Troubleshoot and resolve complex issues involving the crossover of several legacy and EHR platforms, and crossing over several specialties/service lines, e.g., vendors, stakeholder.
• Work with business partners across the organization to align technology solutions with business strategies.
• Provide product management, support, and guidance through the software development life cycle, including requirement gathering and analysis, design, implementation or coding, testing, deployment, and maintenance.

This position will perform duties as either a lead worker or advanced specialist depending on the needs of the Health IT Division.

Qualifications

Education and Experience:

Any combination of education and experience that would likely provide the required knowledge, skills and abilities is qualifying.

A typical way to qualify is three years of information technology support experience in a healthcare operation setting, including at least one year of Epic user support experience.

License/Certification:

Epic Certification in one of the applications below; and a second Epic Certification in a second application that would be determined by Health IT management based on business needs, within six months from hire.

Maintain Epic training credentials through Epic's Continuing Epic Education (CEE) program with additional training that must be completed to maintain certifications, proficiencies, and badges.

For the Interoperability Team:

• EpicCare Ambulatory or Inpatient base certification +EpicCare Link, CareEverywhere, Cosmos, or Nebula

For the Security Team:

• Security and Data Courier

Knowledge of:

• Electronic health record systems, specifically Epic software applications.
• Software development life cycle including requirement gathering and analysis, design, implementation or coding, testing, deployment, and maintenance.
• Design, implementation, testing, updating, maintenance, evaluation, and analysis of system configuration, system setup, and application tables.
• Clinical applications and regulatory standards, a wide range of application functionality, content, and associated workflows.
• Basic supervisory principles and practices.
• Customer service principles.
• Policies, procedures, and business operations.
• Principles and procedures in project management and project management methodologies.

Skill/Ability to:

• Train and mentor staff, including effective coaching and team building.
• Translate and document complex clinical and/or business workflows.
• Interact with and work collaboratively with multidisciplinary teams and process stakeholders.
• Learn and retain knowledge of all assigned applications.
• Configure, implement, maintain, and evaluate Epic applications and platform.
• Troubleshoot application issues and system errors.
• Multi-task complex work assignments.
• Follow standards for naming and number conventions and security classifications.
• Design, modify, and implement testing process.
• Create security classification templates.
• Communicate effectively, both orally and in writing.
• Prioritize effectively and manage time efficiently.
• Lead meetings and resolve conflicts.
• Perform under pressure with tight deadlines.
• Become cross-functional in one or more applications.
• Motivate key process stakeholders.
• Travel outside the County for training.

Additional Information

Departmental Promotional Only.

Only current County of San Mateo employees in San Mateo County Health with at least six months (1040 hours) of continuous service in a classified regular, probationary, or extra-help/limited term position prior to the final filing date may apply.

The examination process will consist of an application screening (weight: pass/fail) based on the candidates' application and responses to the supplemental questions.

Candidates who pass the application screening will be invited to a panel interview (weight: 100%).

Depending on the number of applicants, an application appraisal of education and experience may be used in place of other examinations or further evaluation of work experience may be conducted to group applicants by level of qualification.

All applicants who meet the minimum qualifications are not guaranteed advancement through any subsequent phase of the examination.

All examinations will be given in San Mateo County, California and applicants must participate at their own expense.IMPORTANT: Applications for this position will only be accepted online.

If you are currently on the County's website, you may click the “Apply” button. If you are not on the County's website, please go to http://jobs.smcgov.org to apply.

Responses to the Supplemental Questionnaire must be submitted in addition to the standard County employment application form.

A resume will not be accepted as a substitute for the required application materials.

Online applications must be received by the Human Resources Department before midnight on the final filing date.Tentative Recruitment ScheduleFinal Filing Date: Monday, April 6, 2026 at 11:59 PMApplication Screening Date: Tuesday, April 7, 2026Combined Civil Service/Departmental Interview Panel: Monday, April 27, 2026About the CountySan Mateo County is centrally located between San Francisco, San Jose, and the East Bay.

With over 750,000 residents, San Mateo is one of the largest and most diverse counties in California and serves a multitude of culturally, ethnically, and linguistically diverse communities.The County of San Mateo, as an employer, is committed to advancing equity to ensure that all employees are welcomed in a safe and inclusive environment.

The County seeks to hire, support, and retain employees who reflect our diverse community. We encourage applicants with diverse backgrounds and lived experiences to apply.

Eighty percent of employees surveyed stated that they would recommend the County as a great place to work.

The County of San Mateo is an equal opportunity employer committed to fostering diversity, equity, and inclusion at all levels.

Talent Acquisition Analyst: Sarah Huynh (032326) (Electronic Health Record Analyst III/V402)