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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 seeking an experienced Epic Cogito Business Intelligence Developer Analyst, to support our continued growth and commitment to deliver exceptional client outcomes.

• MissionDriven 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 risktaking and continuous improvement.
• Continuous Growth: We fuel your "restless curiosity" with opportunities to expand your skillset and mentor others.
The Role:Your Mission:

As the Epic Cogito Business Intelligence Developer Analyst, you will serve as a key contributor to our mission of delivering operational excellence across clinical and financial systems. In this role, you will report to the Cogito Application Manager, and play a key part in designing, developing, and maintaining enterprise analytics solutions using Epic’s Cogito reporting suite.

What You’ll Do Day-to-Day:
• Ownership & Initiative: You take ownership and run with it; proactively driving work forward, following through, and seeking opportunities to add value. You use sound judgment, stay solutionsoriented, and inspire others to stay focused on outcomes that matter.
• Strong DecisionMaking: You’re confident navigating complexity—analyzing challenges, gathering insights, and making informed decisions, even with limited information. You anticipate risks, think ahead, and adapt quickly when priorities shift.
• ResultsDriven Mindset: You set high standards and deliver. You prioritize effectively, overcome obstacles, and stay accountable to timelines, quality, and outcomes—while aligning your work to broader team and organizational goals.
• Adaptability & Resilience: You thrive in dynamic environments, staying composed under pressure and flexible through change. You embrace new ways of working, help others navigate change, and continuously look for ways to improve.
• Innovation & Continuous Improvement: You challenge the status quo and bring fresh ideas to the table. You’re comfortable taking smart risks, solving problems creatively, and driving meaningful improvements in processes and outcomes.
• Project Management Expertise: You bring a strong foundation in project management—planning, prioritizing, and executing with precision. You manage multiple priorities, anticipate resource needs, track progress, and ensure successful delivery across projects of varying complexity.
• Growth Mindset: You’re committed to continuous learning and development—seeking feedback, expanding your skillset, and sharing knowledge with others. You take initiative in your own growth while helping elevate the team.
• MissionDriven: You embody and promote Xtensys’ vision and values, bringing energy and purpose to your work while aligning your contributions to our broader mission.
Additional Responsibilities:
• Working with other BI Developers, Cogito Developers, Analytics Business Analysts, Clinical Informatics, application teams, and customers to gather, analyze, and document reporting requirements, utilizing Epic's Cogito suite of tools to deliver data solutions
• Designing, coding, testing, and maintaining reporting and analytics objects, including extracts, utilizing industry best practices
• Providing production support and responding to help desk tickets related to the BI development tool set and Epic Cogito suite
• ITS is responsible for the ongoing support and maintenance of the infrastructure and applications which support all these institutions, along with the implementation of new services and applications that are used to support and further the Xtensys misson
• You provide technical guidance to various crossfunctional BI stakeholders
• You perform design and code reviews of developed solutions for quality assurance
• You follow ITS Analytics report build standards and change control processes, focusing on enterprise build and longterm system maintenance
• You design and develop metrics, reports, and analyses of intermediate to advanced complexity to drive key business decisions
• You collaborate with team members to develop BI solutions in a proficient and timely manner, consistent with estimates created during design
• You test solutions developed prior to any external reviews or testing
• You coordinate with Business Analysts, Data Architects, Structured Quality Language (SQL) Administrators, BI Administrators, and others to understand and document technical requirements, capabilities, and limitations
• You prioritize tasks with guidance from the manager, designated lead, supervisor, or project manager
• You research questions and issues involving Production Reporting solutions
• Must coordinate projects without direct supervisory authority
• Must work within the constraints of multiple technical environments

Who You Are & What You’ll Bring

• Demonstrated experience independently working with Clarity and Caboodle schema
• A minimum of two years of experience in a healthcare setting in a similar role supporting report requests and use of Epic’s Cogito ergo sum Enterprise Intelligence suite and UserWeb
• A minimum of two years of experience with SQL writing complex, highly optimized queries across large volumes of data, query performance tuning, and stored procedures
• Demonstrated experience using Epic’s Reporting Workbench extract framework and Batch Scheduler
• Experience in at least 1 Epic implementation preferred
• Demonstrated experience working through the complete report development lifecycle for small to medium scale projects
• Strong understanding of BI reporting best practices
• The individual in this position must learn many organizational structures and cultures and continually foster collaboration
• Ability to communicate effectively in English, both verbally and in writing
Proven Track Record:
• Reporting lifecycle development including requirements gathering, tracking/updating build in Jira, and communication with requesters
• Supporting upgrades, Special Updates, completing Epic Nova Notes, utilizing Sherlocks, and Checklists as appropriate
Education/Certifications:
• Bachelor’s degree in Computer Science, Health Information Systems, Information Technology, or related field or equivalent combination of education/experience
• Current and active Epic certifications are required in Cogito, Caboodle Data Model, Clarity Data Model, Clinical and/or Revenue Data Model

Technical Savvy: Proven experience in leveraging knowledge of Epic Foundation and Epic applications to optimize workflows and improve patient care

Communication: An ability to translate "tech-speak" into helpful, clear solutions for non-technical users.

Travel Requirements: Up to 20% travel is required, primarily for go-live support to hospitals within the Central New York region.

Physical Readiness: Capability for sedentary work, including sitting for long periods and occasionally exerting up to 10 pounds of force.

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