Director Clinical Systems Engineering - Remote

Crossroads Treatment Centers is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

Since 2005, Crossroads has been at the forefront of treating patients with opioid use disorder. Crossroads is a family of professionals dedicated to providing the most accessible, highest quality, evidence-based medication assisted treatment (MAT) options to combat the growing opioid epidemic and helping people with opioid use disorder start their path to recovery. This comprehensive approach to treatment, the gold standard in care for opioid use disorder, has been shown to prevent more deaths from overdose and lead to long-term recovery. We are committed to bringing critical services to communities across the U.S. to improve access to treatment for over 26,500 patients. Our clinics are all outpatient and office-based, with clinics in Georgia, Kentucky, New Jersey, North and South Carolina, Pennsylvania, Tennessee, Texas, and Virginia. As an equal opportunity employer, we celebrate diversity and are committed to an inclusive environment for all employees and patients.

Day in the Life of a Director, Clinical Systems Engineering

Key Responsibilities: Leadership and Delivery

• Lead the EHR implementation and engineering team, including lead analysts and technical specialists, setting priorities, assigning work, and holding the team accountable for quality and timelines.

• Direct large-scale EHR migrations and consolidations across multiple states and care models, owning the overall delivery plan, sequencing, go-live readiness, and post-go-live stabilization.

• Provide oversight of requirements, specifications, and build artifacts produced by the team, ensuring they are complete, traceable, and audit-ready before sign-off.

• Govern scope, change requests, and downstream impact decisions, and escalate trade-offs with clear cost, risk, and effort recommendations to senior leadership.

• Coach and develop team members, building career paths and technical depth across the team, and create the structure that lets senior analysts lead workstreams independently.

• Serve as the primary escalation point and technical counterpart to EHR vendors, trading partners, and internal IT, including SOW review and vendor performance management.

Technical Oversight: Interfaces, Integration, Data, and Automation

• Lead highly skilled technical teams across data, interface, and automation disciplines, with enough hands-on depth to challenge designs, assess vendor proposals, and unblock complex technical issues.

• Oversee the interface and data exchange portfolio, including HL7 v2 and FHIR messaging, laboratory and toxicology results, e-prescribing and EPCS, PDMP, pharmacy and dispensing systems, and reporting and analytics feeds.

• Own data migration strategy and quality for system transitions, including extraction, mapping, validation, and reconciliation of clinical, dosing, and billing data.

• Oversee eligibility, claims, and remittance transaction flows (270/271, 837, 835) in partnership with the revenue cycle team.

• Direct RPA and workflow automation initiatives that reduce manual work across EHRs and operational processes, including tool selection, governance, and maintenance standards.

• Establish monitoring standards for interface queues and error handling and lead root-cause analysis and remediation of major incidents.

Experience We're Looking For

• Proven record leading end-to-end EHR migrations or consolidations in a multi-site or multi-state healthcare organization.

• Experience leading large groups of technical teams, including data, interface, and automation specialists.

• Strong technical foundation in healthcare interoperability (HL7, FHIR, X12) and data migration, with the credibility to lead technical staff.

• Behavioral health, SUD, or OTP experience strongly preferred, including familiarity with 42 CFR Part 2.

Education and/or Experience

• Bachelor’s degree in health informatics, information systems, computer science, healthcare administration, or a related field required; Master’s degree preferred. Equivalent combination of education and directly relevant experience will be considered.
• 8+ years of progressive experience in clinical application configuration, systems analysis, or EHR implementation required.
• Minimum of 2 years of direct people leadership or formal project leadership experience required.
• Demonstrated ownership of end-to-end requirements gathering for clinical or enterprise software initiatives required.
• Hands-on configuration experience with at least one enterprise EHR or practice management platform required; behavioral health, substance use disorder, or OTP platform experience strongly preferred.
• Experience supporting multi-site EHR implementation, consolidation, or data migration required.
• Working knowledge of interfaces and integration (HL7, FHIR, API, SFTP) required. Demonstrated hands-on SQL experience is required and will be assessed during the interview process.
• Knowledge of OTP and OBOT operations, including methadone and buprenorphine dispensing workflows, take-home regulations, and 42 CFR Part 2, strongly preferred.
• Experience with a healthcare clearinghouse and familiarity with revenue cycle workflows preferred.
• Professional certification such as CPHIMS, CAHIMS, PMP, Certified Scrum Product Owner, Six Sigma, or vendor-specific application certification preferred.
• Ability to travel to clinic sites as required to support implementations, go-lives, and workflow assessments.
• Experience building reports, extracts, or dashboards used by operational or executive leadership required; experience owning data validation for a system conversion strongly preferred.
• Healthcare experience is required, with behavioral health or MAT experience highly preferred.

Benefits Package

• Medical, Dental, and Vision Insurance
• PTO
• Variety of 401K options including a match program with no vesture period
• Annual Continuing Education Allowance (in related field)
• Life Insurance
• Short/Long Term Disability
• Paid maternity/paternity leave
• Mental Health Day
• Calm subscription for all employees

About Us

Crossroads Treatment Centers is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

Our Story

Since 2005, Crossroads has been at the forefront of treating patients with opioid use disorder. Crossroads is a family of professionals dedicated to providing the most accessible, highest quality, evidence-based medication assisted treatment (MAT) options to combat the growing opioid epidemic and helping people with opioid use disorder start their path to recovery. This comprehensive approach to treatment, the gold standard in care for opioid use disorder, has been shown to prevent more deaths from overdose and lead to long-term recovery. We are committed to bringing critical services to communities across the U.S. to improve access to treatment for over 26,500 patients. Our clinics are all outpatient and office-based, with clinics in Georgia, Kentucky, New Jersey, North and South Carolina, Pennsylvania, Tennessee, Texas, and Virginia.

Our Mission Is Focused:

We exist to improve health equity in order to create superior outcomes.

Our Vision Is Clear:

To provide the most convenient, comprehensive, high-quality care through specialty medical homes.

Our Culture Is Inspiring:

Our culture is based on one simple tenet: we would treat others as we would like to be treated – with respect and empathy. We pride ourselves on how we serve our patients. Our INSPIRE culture sets us apart in how we interact not just with patients, but with our communities and each other on a day-to-day basis.