Director Clinical Systems Engineering

Crossroads Treatment Centers is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

Since 2005, Crossroads has been at the forefront of treating patients with opioid use disorder. Crossroads is a family of professionals dedicated to providing the most accessible, highest quality, evidence-based medication assisted treatment (MAT) options to combat the growing opioid epidemic and helping people with opioid use disorder start their path to recovery. This comprehensive approach to treatment, the gold standard in care for opioid use disorder, has been shown to prevent more deaths from overdose and lead to long‑term recovery.

We are committed to bringing critical services to communities across the U.S. to improve access to treatment for over 26,500 patients. Our clinics are all outpatient and office‑based, with clinics in Georgia, Kentucky, New Jersey, North and South Carolina, Pennsylvania, Tennessee, Texas, and Virginia.

As an equal opportunity employer, we celebrate diversity and are committed to an inclusive environment for all employees and patients.

• Lead structured requirements elicitation with clinical, pharmacy, front office, revenue cycle, quality, and compliance stakeholders; facilitate workshops, workflow walkthroughs, and design sessions.
• Translate operational and clinical needs into clearly written functional and technical specifications that can be built, tested, and audited.
• Produce and maintain requirements artifacts, including current- and future‑state workflow maps, user stories with acceptance criteria, configuration workbooks, requirements traceability matrices, and test scripts.
• Drive formal requirements review and sign‑off prior to build; manage scope, change requests, and downstream impact analysis.
• Evaluate whether business needs are best met through configuration, integration, third‑party solution, or process change, and present recommendations with cost, risk, and effort trade‑offs.

• Oversee interfaces and data exchange across the application portfolio, including HL7 v2 and FHIR messaging, laboratory and toxicology results, e‑prescribing and EPCS, PDMP, pharmacy and dispensing systems, and downstream reporting and analytics feeds.
• Support eligibility, claims, and remittance transaction flows (270/271, 837, 835) through the organization's clearinghouse and payer channels in partnership with the revenue cycle team.
• Monitor interface queues and error handling; lead root‑cause analysis and remediation with vendors, trading partners, and internal IT.
• Develop and validate reports and data extracts using SQL and native reporting tools; ensure data definitions are consistent across systems.

• Independently write, optimize, and troubleshoot complex SQL across clinical, pharmacy, and financial data; build and maintain operational, regulatory, and executive reporting, extracts, and dashboards.
• Own data validation for migrations and system changes, including reconciliation queries, record and field‑level validation, exception reporting, and documented sign‑off criteria.
• Maintain the enterprise data dictionary and source‑to‑target mapping; investigate data integrity issues to root cause across configuration, interfaces, and workflow.
• Present findings, methodology, and limitations clearly to clinical, operational, and executive audiences; apply minimum‑necessary and 42 CFR Part 2 principles to all reporting and data sharing.

• Serve as the technical lead for site migrations onto the target EHR platform, including data extract and mapping, conversion…