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Principal EHR Systems Analyst - EHR Cadence

June 8, 2026

Principal Ehr Systems Analyst -ehr Cadence

The Principal Ehr Systems Analyst -ehr Cadence serves as the primary application support contact within the Clinical Access Revenue System Department, partnering closely with leadership, information technology analysts, and operational stakeholders. The Principal Electronic Health Record Systems Analyst ehr Cadence leads complex design decisions, ensures consistent implementation of system standards, and coordinates communication across hospital departments to support effective access and revenue workflows. This role plays a critical part in aligning Epic Cadence functionality with institutional goals while supporting patient access, safety, and operational excellence.

The Principal Electronic Health Record Systems Analyst ehr Cadence supports this mission by optimizing electronic health record capabilities to enable seamless patient access, accurate scheduling, and reliable revenue system performance. Through collaboration, governance participation, and system leadership, the Principal Electronic Health Record Systems Analyst ehr Cadence contributes to enterprise-wide technology solutions that support high-quality cancer care. The ideal candidate is Cadence certified, demonstrates strong leadership and communication skills, and has the ability to translate complex operational and clinical needs into technical solutions. The candidate is expected to obtain and maintain required Epic certifications, manage complex system builds, and provide mentorship and subject matter expertise across multidisciplinary teams. Minimum $123,000 – Midpoint $154,000 – Maximum $185,000 per hour based on a 40-hour work week Work Location: Remote within Texas only.

Responsibilities Standards, Testing & Governance

Develop and adhere to standard operating procedures and maintain Epic build standards with appropriate signoff.
Follow institutional best practices, policies, procedures, and information systems standards.
Prepare and maintain documentation for system enhancements and new technology implementations.
Follow change control processes and perform change control audits as needed.
Conduct quality control and testing and review analyst build for technical soundness.
Oversee Epic updates and new releases for assigned modules.
Partner with leadership to ensure consistent application of standards across the system.
Provide clinical expertise for build and testing standards when applicable.

Build, Content Management & System Configuration

Implement and manage complex system changes and projects while proactively communicating with end users.
Maintain and troubleshoot Epic electronic health record build.
Modify Epic content as directed by project teams and governance bodies.
Lead and participate in implementation and optimization initiatives.
Analyze system configuration with a focus on patient safety and risk mitigation.
Perform high-risk and complex system maintenance activities.
Oversee routine build work and support achievement of build metrics.
Manage multiple projects, integrated teams, and complex problem resolution.
Prepare and present status reports for leadership.
Provide expert technical leadership for system design and development.

Support & Operations

Provide customer support and problem resolution, including safety and incident events.
Respond to requests in a timely manner and communicate expectations for service delivery and project milestones.
Participate in after-hours application support and downtime procedures.
Apply technical and workflow knowledge to troubleshoot and resolve incidents.
Mentor staff and enhance team knowledge of assigned applications.
Coordinate issue resolution with Epic technical support.
Translate clinical communication into technical changes when applicable.

Liaison, Leadership & Business Knowledge

Collect, analyze, and prioritize enhancement requests and workflow improvement opportunities.
Manage liaison relationships with customers and OneIS partners.
Collaborate with analysts to build technical and operational knowledge of business processes.
Ensure adherence to regulatory requirements, quality standards, and best practices.
Participate in meetings, workgroups, and committees as required.
Coach and provide guidance and feedback to team members.
Serve as a team lead and may have direct reports.
Participate in employee performance evaluation processes when assigned.
Translate technical build information to clinical stakeholders when applicable.

Education

Required: Bachelor's Degree

Work Experience

Required: 7 years Relevant healthcare information technology experience.
May substitute required education with years of related experience on a one to one basis.
May substitute up to two years of clinical experience or relevant business experience for relevant healthcare information technology experience.
Preferred: Cadence certified, experience leading EHR initiatives/projects, customer engagement experience.

Licenses And Certifications

Required: EPIC - EPIC Certification within 180 Days

Other Requirements: Must pass pre-employment skills test as required and administered by Human Resources. The University of Texas MD Anderson Cancer Center offers excellent benefits, including medical, dental, paid time off, retirement, tuition benefits, educational opportunities, and individual and team recognition. This position may be responsible for maintaining the security and integrity of critical infrastructure, as defined in Section 113.001(2) of the Texas Business and Commerce Code and therefore may require routine reviews and screening. The ability to satisfy and maintain all requirements necessary to ensure the continued security and integrity of such infrastructure is a condition of hire and continued employment. It is the policy of The University of Texas MD Anderson Cancer Center to provide equal employment opportunity without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, disability, protected veteran status, genetic information, or any other basis protected by institutional policy or by federal, state, or local laws unless such distinction is required by law. http://www.mdanderson.org/about-us/legal-and-policy/legal-statements/eeo-affirmative-action.html

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Common Interview Questions And Answers

1. HOW DO YOU PLAN YOUR DAY?

This is what this question poses: When do you focus and start working seriously? What are the hours you work optimally? Are you a night owl? A morning bird? Remote teams can be made up of people working on different shifts and around the world, so you won't necessarily be stuck in the 9-5 schedule if it's not for you...

2. HOW DO YOU USE THE DIFFERENT COMMUNICATION TOOLS IN DIFFERENT SITUATIONS?

When you're working on a remote team, there's no way to chat in the hallway between meetings or catch up on the latest project during an office carpool. Therefore, virtual communication will be absolutely essential to get your work done...

3. WHAT IS "WORKING REMOTE" REALLY FOR YOU?

Many people want to work remotely because of the flexibility it allows. You can work anywhere and at any time of the day...

4. WHAT DO YOU NEED IN YOUR PHYSICAL WORKSPACE TO SUCCEED IN YOUR WORK?

With this question, companies are looking to see what equipment they may need to provide you with and to verify how aware you are of what remote working could mean for you physically and logistically...

5. HOW DO YOU PROCESS INFORMATION?

Several years ago, I was working in a team to plan a big event. My supervisor made us all work as a team before the big day. One of our activities has been to find out how each of us processes information...

6. HOW DO YOU MANAGE THE CALENDAR AND THE PROGRAM? WHICH APPLICATIONS / SYSTEM DO YOU USE?

Or you may receive even more specific questions, such as: What's on your calendar? Do you plan blocks of time to do certain types of work? Do you have an open calendar that everyone can see?...

7. HOW DO YOU ORGANIZE FILES, LINKS, AND TABS ON YOUR COMPUTER?

Just like your schedule, how you track files and other information is very important. After all, everything is digital!...

8. HOW TO PRIORITIZE WORK?

The day I watched Marie Forleo's film separating the important from the urgent, my life changed. Not all remote jobs start fast, but most of them are...

9. HOW DO YOU PREPARE FOR A MEETING AND PREPARE A MEETING? WHAT DO YOU SEE HAPPENING DURING THE MEETING?

Just as communication is essential when working remotely, so is organization. Because you won't have those opportunities in the elevator or a casual conversation in the lunchroom, you should take advantage of the little time you have in a video or phone conference...

10. HOW DO YOU USE TECHNOLOGY ON A DAILY BASIS, IN YOUR WORK AND FOR YOUR PLEASURE?

This is a great question because it shows your comfort level with technology, which is very important for a remote worker because you will be working with technology over time...