Waco Family Medicine
Job Posting
Skills: SQL Server administration and performance tuning Experience troubleshooting and supporting ETL packages Administration of Active Directory and Windows-based server environments Storage systems and enterprise infrastructure support Familiarity with integration tools and data interfaces Experience implementing or supporting security measures Strong collaboration skills across technical and non-technical teams Primary Duties: Epic Cogito Systems Administration Implement and maintain ETL processes Monitor performance and proactively resolve issues Assist with enhancements, upgrades, and patches SQL Database Administration: Manage SQL Server environments Tune performance and monitor availability Support schema design and efficient data architecture System Administration: Administer core IT systems including Active Directory Monitor and maintain general server infrastructure Assist with infrastructure documentation, system imaging, and asset lifecycle management Assist in responding to security alerts and participating in vulnerability remediation Maintain awareness of security risks and assist in aligning systems with HIPAA and organizational compliance requirements Cross-Team Collaboration: Serve as a backup administrator for Epic Operational Database systems Support coordination with Reporting, Application Analysts, and Tech Support teams Participate in ongoing cross-coverage training and knowledge sharing Other Duties: Occasional after-hours work is required for system maintenance Maintain accurate documentation and standard operating procedures Provide technical support for system outages or scheduled upgrades Assist with automation, scripting, and integration between platforms Participate in infrastructure and system-related projects Physical and Mental Requirements: Visual and auditory accuracy Shift length - 9 hours Indoor setting Frequent use of computer Long periods of standing, sitting Frequent use of telephone Continuous repetitive grasping and manipulation of both hands Continuous conversational communication Frequent walking, bending, reaching, twisting, kneeling, squatting, climbing Occasional exposure to mechanical and electrical conditions Occasional carrying, lifting, pushing and pulling of up to 55 lbs Occasionally working in noisy and confined areas Occasional use of personal transportation Occasional travel Understand/carry out simple/detailed, oral/written instructions Memorize and retain instructions Read and interpret detailed specifications Qualifications
Reports To: Director of IT
Systems & Support Education: Associate degree in a relevant field or 5+ years of demonstrated relevant experience in system administration, database management, or related IT roles. Epic Cogito System Administrator and Epic Operational Database Administrator certifications are required and must be obtained within the first six months of employment (training and certification costs covered by employer). Summary: The IT System Administrator is responsible for the configuration, maintenance, and support of systems critical to organizational operations, including Epic Cogito environments, SQL databases, and core IT infrastructure. This position serves as the primary Cogito system administrator and provides general system administration in collaboration with cross-functional teams, including Systems, Reporting, Applications, and Support. Experience: Experience with Microsoft SQL Server, including query writing, SSMS, and SSIS
required. Experience in system administration (Active Directory, file/storage systems, etc.)
required. Experience with Epic Clarity and/or Caboodle administration
preferred (Epic training will be provided; certifications must be obtained within 6 months).
Skills: SQL Server administration and performance tuning Experience troubleshooting and supporting ETL packages Administration of Active Directory and Windows-based server environments Storage systems and enterprise infrastructure support Familiarity with integration tools and data interfaces Experience implementing or supporting security measures Strong collaboration skills across technical and non-technical teams Primary Duties: Epic Cogito Systems Administration Implement and maintain ETL processes Monitor performance and proactively resolve issues Assist with enhancements, upgrades, and patches SQL Database Administration: Manage SQL Server environments Tune performance and monitor availability Support schema design and efficient data architecture System Administration: Administer core IT systems including Active Directory Monitor and maintain general server infrastructure Assist with infrastructure documentation, system imaging, and asset lifecycle management Assist in responding to security alerts and participating in vulnerability remediation Maintain awareness of security risks and assist in aligning systems with HIPAA and organizational compliance requirements Cross-Team Collaboration: Serve as a backup administrator for Epic Operational Database systems Support coordination with Reporting, Application Analysts, and Tech Support teams Participate in ongoing cross-coverage training and knowledge sharing Other Duties: Occasional after-hours work is required for system maintenance Maintain accurate documentation and standard operating procedures Provide technical support for system outages or scheduled upgrades Assist with automation, scripting, and integration between platforms Participate in infrastructure and system-related projects Physical and Mental Requirements: Visual and auditory accuracy Shift length - 9 hours Indoor setting Frequent use of computer Long periods of standing, sitting Frequent use of telephone Continuous repetitive grasping and manipulation of both hands Continuous conversational communication Frequent walking, bending, reaching, twisting, kneeling, squatting, climbing Occasional exposure to mechanical and electrical conditions Occasional carrying, lifting, pushing and pulling of up to 55 lbs Occasionally working in noisy and confined areas Occasional use of personal transportation Occasional travel Understand/carry out simple/detailed, oral/written instructions Memorize and retain instructions Read and interpret detailed specifications Qualifications
Reports To: Director of IT
Systems & Support Education: Associate degree in a relevant field or 5+ years of demonstrated relevant experience in system administration, database management, or related IT roles. Epic Cogito System Administrator and Epic Operational Database Administrator certifications are required and must be obtained within the first six months of employment (training and certification costs covered by employer). Summary: The IT System Administrator is responsible for the configuration, maintenance, and support of systems critical to organizational operations, including Epic Cogito environments, SQL databases, and core IT infrastructure. This position serves as the primary Cogito system administrator and provides general system administration in collaboration with cross-functional teams, including Systems, Reporting, Applications, and Support. Experience: Experience with Microsoft SQL Server, including query writing, SSMS, and SSIS
required. Experience in system administration (Active Directory, file/storage systems, etc.)
required. Experience with Epic Clarity and/or Caboodle administration
preferred (Epic training will be provided; certifications must be obtained within 6 months).