Who We Are Xtensys is a rapidly growing managed service provider delivering innovative technology solutions to health systems, beginning in New York and expanding nationwide.
Owned by two industry leaders with a strong focus on advancing rural and community healthcare, Xtensys is executing several major initiatives and scaling quickly.
With a team of more than 500 professionals, we are building a people-centered culture rooted in collaboration, innovation, and strategic thinking.
We are looking for an experienced Epic Cogito Business Intelligence Manager, to lead our team into its next chapter of excellence.
In this role you will oversee the strategic direction and management of the Epic Business Intelligence team at Xtensys.
You will drive the strategy by overseeing the development, implementation, and maintenance of reporting solutions.
This manager will serve as a vital bridge between executive leadership, operations, and analysts to transform data assets into operational insights, improved patient outcomes, and optimized financial performance.
How We Work:
East Coast Alignment: Our core operational and collaboration hours follow the Eastern Time Zone (ET), keeping our workflows synchronized with our primary clients and systems.
Shared Support: Because healthcare never sleeps, we participate in a collaborative after-hours on-call rotation. We plan and schedule intentionally so that coverage is predictable, balanced, and deeply supported by the entire team.
Why Join
Us?
Mission-Driven Work: You are the "bridge" ensuring technology serves health systems and their patients when they need it most.
Autonomy & Ownership: We trust you. You’ll lead projects, define success, and manage complexities with total support.
A Culture of Innovation: Have a fresh perspective? We want it. We encourage risk-taking and continuous improvement.
Continuous Growth: We fuel your "restless curiosity" with opportunities to expand your skillset and mentor others. The Role: Work Arrangement: This role requires the manager to provide hands-on, active physical leadership and management at client locations during critical lifecycle events. Operational duties include traveling to client locations to provide mandatory on-site support during upgrades, go-lives, and post-live visits. Specifically, the manager is expected to be physically embedded within the client command center for a baseline duration of two weeks during go-lives, unless the client specifies a longer period. Following the initial rollout, the manager executes standard three-day on-site post-live visits to stabilize access workflows, manage issues, and finalize deployment sign-off. Your Mission: In this role, you won’t just manage workflows —you will champion a culture. You’ll drive our operation to be a highly collaborative, customer-focused, and service-oriented team that delivers top-tier support across Xtensys. What You’ll Do Day-to-Day: Key Responsibilities Team Leadership & Talent Development
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Empower & Mentor: Manage daily workloads, performance reviews, professional growth plans, and balanced on-call scheduling for a team of specialized analysts.
Strategic Roadmap: Define the long-term vision for Epic analytics and reporting tools at Xtensys.
Community & Stakeholders: Manage vital relationships with clinical, financial, and operational leaders, and partner with operations to drive our Citizen Developers program. Business Analytics (Cogito)
Lead the Cogito Team: Oversee the day-to-day operations of the analytics team, ensuring the delivery of high-impact operational dashboards, executive performance metrics, and standardized templates.
Data Integrity: Troubleshoot complex reporting workflows, data model inconsistencies, and integrated data errors to maintain validated profiles. Data Governance, Compliance & Auditing
Drive Governance: Oversee data governance within the reporting infrastructure, proposing updated validation workflows, data lineage policies, and standard reporting procedures.
Audit & Remediate: Conduct routine internal audits of report usage and metric definitions, preparing documentation for regulatory compliance reviews. Cross-Functional Collaboration & Project Management
Analytics Lifecycle: Create project charters, execute structured implementation phases, and establish post-go-live reporting support plans.
Collaborative Workflows: Lead cross-functional reporting workgroups and partner with Application Managers to seamlessly optimize analytics delivery. Operational Optimization
Strategic Resource Planning: Assist the Director with annual budgeting, tracking team metrics, and justifying resource allocations.
Automation-First Focus: Identify bottlenecks to automate manual data preparation and streamline dashboard access provisioning. How Success is Measured (Performance Metrics)
Data & SLA Accuracy: Maintain a high accuracy rate on clinical/financial metrics and meet target SLAs for critical analytical insights.
Project Delivery: Meet all analytics project milestones, workgroup initiatives, and scheduled internal compliance audits on time.
Team Stability & Readiness: Drive annual team competency growth, eliminate on-call schedule gaps, and ensure new hires have correct system access on Day 1.
Compliance & SOPs: Resolve data quality findings and update reporting standard operating procedures (SOPs) annually.
Fiscal Responsibility: Deliver weekly and monthly visibility metrics while keeping operational spending strictly within the allocated budget. Who You Are & What You’ll Bring Proven Experience:
Two to Five plus years’ experience managing technical teams or healthcare analytics projects.
Strong proficiency in SQL and relational database structures.
Deep understanding of healthcare workflows, billing, and clinical terminology.
Track record of managing full-lifecycle business intelligence projects. Strategic Leadership & People First
Full-Cycle Talent Leader: Proven experience recruiting, mentoring, and developing high-performing, self-directed teams with a strong focus on employee engagement and retention.
Influential Communicator: Ability to build strong relationships, lead cross-functional initiatives, and influence stakeholders across multiple disciplines without direct authority.
Business & Financial Acumen: A high-integrity leader who champions innovation, manages execution seamlessly, and maintains a meticulous attention to detail.
Thrives Under Pressure: Strong organizational and problem-solving skills, with the ability to navigate tight deadlines and deliver creative solutions for clients. Epic Analytics & Governance Expertise
Epic Cogito Leadership: Deep experience leading and managing Epic Cogito business intelligence developers for a multi-entity health system or Community Connect environment.
Implementations & Modules: A proven track record of implementing Epic in new hospitals or ambulatory practices, paired with a solid understanding of downstream modules (Cadence, Ambulatory, PB, and HB).
Data Governance & Council Collaboration: Prior experience partnering with data governance committees or Epic councils, alongside the technical depth to mentor teams on security concepts.
Compliance & Trust: Deep familiarity with regulatory requirements (including HIPAA) and an absolute commitment to safeguarding sensitive data and PHI. Education/Certifications:
Certification in Caboodle and Clarity Data Models is preferred. Travel Requirements:
This role requires annual travel of up to 25%, which includes mandatory on-site deployment to the client's command center for two weeks during system go-lives unless the client specifies otherwise. Additionally, you will travel to the client site for three days during post-live follow-up visits. Physical Readiness:
The physical requirements for this remote position consist primarily of sedentary work, which involves sitting for extended periods while executing tasks on a computer.
Daily operations require fine motor skills for prolonged keyboard and mouse use, along with the visual acuity necessary to review digital records and participate in frequent video conferences.
The employee must also be able to occasionally stand, walk, and flex or reach as needed throughout the workday and may require the physical capability to occasionally lift, move, or manipulate office equipment and files weighing up to 25 pounds. #LI-Remote
About Xtensys Connected Health Solutions
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