Senior Net Software Developer Jobs in Ithaca, NY

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.

Functioning under the direction of the Application Manager, the Epic Cogito Business Intelligence Developer Senior Analyst provides advanced system-level support of multi-user clinical or financial applications, operating systems, hardware, software, and reporting tools, including installation, configuration, training, maintenance, and end user support of complex systems. Requires advanced knowledge of systems analysis. In-depth knowledge of project management concepts and methodology.

This Senior Analyst will provide technical leadership and mentoring to the team of analysts, able to support the Application Manager in growing a strong team.

• 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 afterhours oncall rotation. We plan and schedule intentionally so that coverage is predictable, balanced, and deeply supported by the entire team.
Why Join Us?
• 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:

Work Arrangement: This role, although mostly remote, may require onsite support within Hospitals, Clinics or Business centers that align with project implementation timelines.

Your Mission:

In this position, you will promote excellent customer service and strong communication skills to ensure the success of all software applications. You will partner with outside departments to promote, educate and train on current applications. You will work closely with members of the Xtensys staff, customer clinical and operational departments, and other Xtensys personnel to accomplish the goals established for the project.

You will lead and participate in project planning sessions, and establish project goals, milestones, and procedures. You have the strong ability to manage multiple projects with varying levels of complexity and collaborate with project leaders on all aspects of project planning to meet project deadlines.

What You’ll Do Day-to-Day:Key Responsibilities
• Drive project planning sessions, establishing project goals, milestones, and procedures, and managing multiple projects with high levels of complexity.
• Inspire and partner with project leaders and leadership teams to meet deadlines, drive optimization efforts, and support futurestate perioperative strategies.
• Spearhead largescale projects, provide strategic guidance, and mentor intermediate and junior analysts to ensure consistency, quality, and longterm success of application support.
• Initiative: Takes care of responsibilities and work efforts without being asked to do so. Demonstrates ownership of assigned tasks and facilitates followthrough. Seeking opportunities to take on additional responsibilities. Offers constructive recommendations and proposes courses of action in support of team responsibilities.
• DecisionMaking /Judgment: Recognizes problems and how they relate to other areas of the system. Systematically gathers information, seeks input from others. Can articulate the underlying issues of the problem, sort through complex issues, and evaluate potential solutions. Takes the lead in seeking input and receiving consensus from others, making timely and difficult decisions. Can implement the correct solution to resolve the problem. Communicates decisions to others and evaluates the results of the decision.
• ResultsFocused: Sets challenging personal goals with achievable dates. Works with others on the team to set and meet team goals. Prioritizes and takes ownership of tasks, overcomes obstacles by researching and asking peers questions. Accepts accountability, and ownership of meeting deadlines.
• Adaptability/Flexibility: Quickly adapts to change in the performance of duties. Remains calm and composed under stressful situations. Persuades others to stay calm and focused on the main goals. Promotes and demonstrates openmindedness towards change. Seeking opportunities to affect positive changes to solve business or clinical challenges.
• Creativity / Innovation: Brings new thoughts and ideas to the conversation and can execute, challenges the status quo, leads brainstorming sessions with other team members. Takes risks, supports change, and encourages innovation. Explore alternative solutions. Networks with peers both internal and external to Xtensys.
• Project Management: Indepth knowledge of project management concepts and methodology. Able to lead and participate in project planning sessions. Ability to establish project goals, milestones, and procedures. Able to define roles and responsibilities, acquire project resources, coordinate projects throughout Xtensys. Ability to monitor project progress and identify, mitigate and communicate issues and risk. Able to manage multiple projects with varying levels of complexity.
• Mission and Vision: Supports, communicates, and incorporates Xtensys Vision and Mission through daily actions and decisions, generates enthusiasm, incorporates vision when planning.
• SelfDevelopment: Takes responsibility for his / her personal growth and development and continually works to foster skillset development of self and team. Keeps knowledge and skills up to date. Updates professional knowledge and skills on a regular basis to stay current and apply new trends or best practices to his/her work.

Who You Are & What You’ll Bring

You are a seasoned Epic expert who understands that behind every build is a clinician and a patient. You don’t just configure software; you design solutions that make perioperative environments safer and more efficient. As a Senior Analyst, you are a mentor by nature and a strategic partner to the clinical teams you support.

• Epic Subject Matter Expertise: You bring advanced, expertlevel knowledge in Cogito. You aren't just maintaining the system; you are committed to staying ahead of the curve on Epic upgrades and industry best practices to keep our health systems cuttingedge.
• The "Consultant" Mindset: You possess the rare ability to bridge the gap between technical build and clinical reality. You are a CustomerCentric Partner who builds trust with leadership, operational, IT, and clinical teams to ensure workflows are seamless and intuitive.
• A Strategic Collaborator: You thrive when working across boundaries. Whether you’re aligning with Surgical Services or Revenue Cycle partners, you excel at bringing diverse stakeholders together to reach a common organizational goal.
• A Natural Leader Mentor: You enjoy sharing your knowledge. You’re ready to provide strategic guidance and mentor junior and intermediate analysts, ensuring the whole team grows alongside you.
• Communication; Presence: You have robust communication skills and a "whiteglove" approach to customer service, allowing you to navigate complex conversations with poise and clarity.
• 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
• Strong understanding of BI reporting best practices
Education/Certifications:
• Bachelor’s degree in Computer Science, Health Information Systems, Information Technology, or related field strongly preferred.
• Current and active Epic certifications are REQUIRED in Cogito, Caboodle Data Model, Clarity Data Model, Clinical and/or Revenue Data Model
Travel Requirements:
• This position requires up to 25% travel to align with project milestone and Xtensys needs.
Physical Readiness:
• Sedentary work: Exerting up to 10 pounds of force occasionally in carrying, lifting, pushing, and pulling objects. Sitting most of the time, walking and standing are required only occasionally.

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