Director of EHR Systems


The Iowa Primary Care Association’s (Iowa PCA’s) vision is Health Equity for All.  Our mission is Enhancing community health centers’ capacity to care. All employees of the Iowa PCA are expected to represent the company vision and mission.


The Director of EHR Systems, under the direction of the Senior Director of Data and Technology, the Chief Operating Officer and the Board of Directors, leads the project team through all aspects of the Epic implementation for the Iowa Primary Care Association and its related organizations INConcertCare, Inc. (INCC) and IowaHealth+ (IH+). INCC is a health information technology services organization serving community health centers (Federally Qualified Health Centers or FQHCs) in Iowa and Nebraska. IowaHealth+ is a clinically integrated network (CIN or ACO) of FQHCs in Iowa. Each FQHC in the network is an independently governed and community led organization which has come together to form INCC and IH+ in order to better serve their mission and their patients.

The Director of EHR Systems serves as the quarterback of the implementation and is responsible for implementation, adoption and successful program delivery to member FQHCs with input from the Board of Directors and advisory committees representing clinicians, care teams, quality, data, technology, finance, human resources and other support staff.  This leader is responsible for ensuring the project is properly resourced and supported from pre-implementation through go-live and post go-live with the optimal capacity, skills and knowledge to execute the project successfully.  Additional responsibilities include planning and facilitating cultural change across member health centers as required for the new technology and serving as the central point of communication, maintaining a common vision, plan, and goal and oversight across all areas of the EMR project.


The following duties are normal for this position. These are not to be construed as exclusive or all inclusive.  Other duties may be required and assigned.

  • Directs all aspects of the Epic project, including planning, contracting, governance, staffing, budgeting, communications, integrations, implementation, training, and sustainability. Maintains and enhances the organization culture of excellence and organizational values through this project.
  • Develops and implements strategies to ensure robust data governance and data integrity to optimize value-based care and health equity within the network, and to drive evidence-based decision making.
  • Serves as the liaison between centers and OCHIN for all project activities including scoping, implementation, optimization, and change management. Works with center and INCC senior leadership to facilitate shared decision-making. Ensures OCHIN staff and INCC staff are working and communicating in alignment toward common goals throughout all stages of the project.
  • Promotes the new system and represents it and the organization positively to the user community. Acts as a change agent, advocating workflow and process change to maximize value of system functionality reducing exceptions from standard network best practices through project governance committee structures.
  • Shares organizational, operational and technical knowledge and guidance with the project team and project governance committee to facilitate decision-making. Effectively translates business requirements into technical requirements.
  • Proactively facilitates organizational readiness, effective training, robust communication, and change management tactics in collaboration with network wide project governance committee and the Board of Directors ensuring engagement, understanding and buy-in from all members throughout the project.
  • Coordinates with staff to build, lead, and/or direct existing or new work groups and advisory committees through all aspects of the implementation and ongoing governance.
  • Facilitates vendor contracting and execution with support from the Leadership Team and legal counsel.
  • Coordinates overall needs and direction with OCHIN Epic’s implementation team, outside consultants, and organization’s Leadership Team.
  • Develops relationships and coordinates execution with third party vendors supporting program integrations and ongoing support and communications.
  • Manages the scope, cost, schedule, and quality of the project including project status and success metrics, deliverables, documentation, risk management, and mitigations.
  • Sets appropriate timelines and expectations for all members of the project team and health center community. Ensure project accountability, results, and outcomes.
  • Develops and implements strategies for sustainability of change management, data governance, and advises funds flow and INCC business modeling.
  • Develops long-term strategies to support health equity, performance management, and value-based care through EHR governance and technology opportunities.
  • Act as a point of escalation for project team and health centers.

Expected Values and Behaviors:

The person in this position will be expected to model our workplace values which are:

  • Collaborative – We are one team. Celebrate success together. Learn from failure together. Willing to embrace change and responsive to each other. We can and should depend on each other. Share your work and ask questions. Offer to help, offer to learn, and offer solutions to problems.
  • Accountable – We work for health centers and we work with each other. Tell the truth, keep your word, listen, and make it better. Expect excellence from yourself and others.
  • Respectful – Approach every interaction with thoughts of equity, inclusion, and humility. We are one organization, and we are many people. We understand our differences and are better for it. Welcome feedback of all kinds. We are all learning something.
  • Deliberate – Always understand the problem before trying to solve it. Nothing should be done without a purpose. Unite around common goals, visions, and strategies.
  • Proactive – We seek opportunities to learn and prepare for future challenges. Everyone is responsible, expected and empowered to prepare us for the future. Train and plan for what comes next and who comes after us.
  • Transformative – We empower systems change with a lens of excellent healthcare, health equity and compassion. Or health centers lead the way; we will clear the way. Adapt to changing circumstances and improve through adversity.


This position has no direct supervisory responsibilities, although has indirect/matrix supervisory responsibility for all team members participating in the project. Will provide feedback for accountability and growth and will communicate and implement feedback loop with direct supervisor. The following leadership expectations are required:

Model the Way

  • Align your words, decisions and actions with the organization’s mission, vision, and values.
  • Hold yourself to a standard that is above the organization’s minimum expectations.
  • When you make mistakes lead by bringing it to light, taking responsibility, and making it right.

Establish a Safe Environment

  • Recognize your negative emotions and be proactive in communicating or modifying as the situation requires. Do not extend your bad day onto others.
  • Express how each team member is valuable and important to the team’s and organization’s success.
  • Create a team environment that supports and appreciates one another.

Set Expectations and Hold People Accountable

  • Set and clearly communicate task and behavioral expectations.
  • Have the tough-love conversation with any team member who is not meeting expectations.
  • Empowering team members and holding them accountable for modeling our values and for:
  • Meeting minimum behavioral and task expectations
  • Completing work tasks on time and doing quality work
  • Working well with and getting along with people
  • Finding value in others
  • Embracing change
  • Welcoming feedback and continuing to learn and grow
  • Having a point of view and speaking up respectfully
  • Listening, asking questions, and considering other points of view
  • Finding ways to continually add value to their team, the organization, and the health centers we serve

Grow People for Improved Performance

  • Be faithful about having weekly 1:1’s with each member of your team.
  • Use 1:1’s to build the relationship necessary to truly know one another, understand the employee’s professional goals, support the individual and address questions and concerns.
  • Deliberately identify and improve the task and behavioral skill sets of your team. Every employee reporting to you should grow and be better because of your leadership.

Deliver Results

  • Establish team, departmental, and/or business unit goals and a plan to meet those goals.
  • Ensure the team operates efficiently and effectively to meet those goals and deliver results.


To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education and/or Experience

  • Minimum of a bachelor’s degree in computer science, information technology, business administration, healthcare administration / management, or a related healthcare field is required.
  • Minimum 5 years of experience leading Epic implementations from planning through post go-live in a multi-facility healthcare system in addition to 5 years of previous experience in project management role leading a medium to large scale EPIC software implementation.
  • Experience leading large teams of individuals and demonstrated effectiveness as a leader.
  • Epic Certification in one or more of the following subject areas preferred but not required: EpicCare Ambulatory, Resolute Professional Billing, Prelude and Cadence Registration and Scheduling, Healthy Planet.
  • Three years’ experience in ambulatory clinic and revenue cycle flow and operations. FQHC knowledge and experience preferred but not required.
  • Strong understanding of healthcare information systems and technology.
  • Strong listening, communication, and organizational skills; strong ability to influence others without direct lines of authority.
  • Past success with large-scale projects. Must have successfully led similar projects in ambulatory and/or hospital settings, such as other software application implementations, or other key technology initiatives.
  • Excellent written and oral communication skills with the ability to provide clear, concise directives.
  • Strong commitment to customer service.
  • Excellent project management skills.
  • Proficiency with use of MS Teams, Outlook, PowerPoint, SharePoint, Excel, Word, and PM tools.

Language Skills:

Ability to read and interpret documents and operating and procedure manuals. Ability to write routine reports and correspondence. Ability to speak effectively before groups.

Mathematical Skills:

Ability to calculate figures and amounts such as discounts, interest, proportions, percentages, area, circumference, and volume. Ability to apply concepts of basic algebra and geometry.

Reasoning Ability:

Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.

Computer Skills:

To perform this job successfully, an individual should have knowledge of Microsoft Office programs, including spreadsheets, word processing, and databases.

Physical Demands:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to sit and talk or hear. The employee is occasionally required to sit and use hands to handle or feel. The employee must occasionally lift and/or move up to 10 pounds. Specific vision abilities required by this job include close vision.

Work Environment:

The work environment characteristics described here are representative of those an employee encounter while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Professional business office work setting. 

Additional Info

  • Specialty: Iowa Primary Care Association
  • Position Type: Full Time
  • Location: Des Moines

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