• Own athenahealth as a core operating system and system of record • Define scalable configuration patterns, workflows, templates, and access models • Ensure the EHR remains stable, compliant, and audit-ready as the organization grows • Lead root cause analysis and structural remediation when system issues occur • Serve as the final authority on configuration changes affecting clinical workflows, billing, reporting, and integrations • Establish and enforce governance processes for configuration, access, and releases • Approve, reject, or redesign proposed system changes to protect long-term system integrity • Ensure system changes are documented, traceable, and compliant • Ensure athenahealth safely supports new programs, markets, and care models • Partner with Product and Engineering to align EHR usage with broader platform architecture • Maintain reliable data flows between athenahealth and downstream analytics and operational systems • Identify structural improvements that increase system reliability and efficiency • Serve as the primary EHR authority for Clinical Operations, Billing, Compliance, Product, and Data teams • Advise leaders on system capabilities, risks, and constraints • Ensure workflows support accurate documentation, billing, and reporting • Partner with Compliance to maintain audit readiness and regulatory alignment • Establish standards for documentation, workflows, and configuration management • Maintain clear internal documentation supporting operational consistency • Mentor and guide junior EHR administrators and associates • Ensure operational execution aligns with governance and architectural standards.