Electronic Health Record Analyst II - Behavioral Health and Recovery Services (Open and Promotional)

Salary : $142,105.60 - $177,611.20 Annually
Location : County of San Mateo, CA
Job Type: Full-Time
Job Number: V401W
Department: Health IT
Division: Health IT
Opening Date: 10/26/2026
Bargaining Unit: 35

Description
San Mateo County Health is seeking well-qualified individuals for the position of Electronic Health Record Analyst II - Behavioral Health and Recovery Services (BHRS) to, under general supervision, configure, build, and maintain Epic applications in support of SMC Health's Behavioral Health and Recovery Services (BHRS) programs; provide direct application support and user training for SMC Health's electronic health record (EHR) system; maintain behavioral health-specific application configurations and security; support the design, development, implementation, testing, updates, integrations, and maintenance of system configuration; determine user, system and application needs and evaluate solutions to address needs; provide data analysis and technical assistance to system users; and perform related duties as required.
Epic certification is required at hire. This position requires Epic certification in EpicCare Ambulatory, with Epic Behavioral Health proficiency strongly preferred.
This role serves as the bridge between BHRS clinical and operational leaders, recovery-focused program staff, and the Health IT division, translating behavioral health care delivery workflows into EHR configuration and ensuring that Epic supports the unique regulatory, clinical, and program demands of a county behavioral health system.
There is currently one regular vacancy in the Health IT Division located in South San Francisco or San Mateo, CA, and will require travel/driving throughout the county to perform job duties. This position is currently hybrid, with both on-site and remote work based on business need and subject to change.
The ideal candidate will possess:

• Epic certification in EpicCare Ambulatory or Inpatient, preferably with the Behavioral Health proficiency, with hands-on configuration experience in a live production environment.
• Direct experience configuring and supporting behavioral health build in Epic, preferably in a county, behavioral health department, community mental health center, or substance use disorder treatment program.
• Working knowledge of behavioral health regulatory requirements, including 42 CFR Part 2 confidentiality protections, and related state and federal mandates.
• Experience working directly with operational leaders and program managers in a behavioral health environment, with the ability to understand clinical priorities and translate them into system requirements.
• Working knowledge of billing, charge capture, and revenue cycle workflows as they relate to behavioral health EHR configuration.
• Familiarity with the workflows, patient populations, and service models characteristic of behavioral health and recovery services, including crisis intervention, co-occurring disorder treatment, and community-based care coordination.
• Experience in lifecycle management from project initiation through implementation, training, and ongoing troubleshooting.
• Demonstrated exceptional customer service skills and the ability to build trust and effective working relationships with frontline clinical staff, supervisors, and program leadership.
• Experience providing consultation services to customers/end-users, with the ability to document business and technical problems and identify requirements for both technical and non-technical audiences.
• Excellent written and verbal communication skills with internal and external stakeholders to ensure that needs are met.
• Ability to establish and maintain effective working relationships with those encountered on the job.
• Self-starter with the ability to work independently and as a member of a team.
• Excellent time-management skills and the ability to set priorities and adjust to meet deadlines.
• Experience working in a diverse work environment, including staff who provide care and services for patients/clients.
• Adept at learning and applying newly acquired skills on the job.

Examples Of Duties
The duties of the position may include, but are not limited to, the following:

• Serve as the primary EHR liaison for assigned BHRS programs, including outpatient mental health clinics, substance use disorder treatment programs, crisis services, and community-based recovery support teams.
• Collect, analyze, and document clinical business operations and workflows unique to behavioral health settings, including intake and assessment processes, treatment planning, group therapy documentation, and recovery-oriented care models.
• Meet with clinic and program operational leaders, program managers, and clinical supervisors to assess EHR requests, translating operational and clinical needs into clear technical requirements.
• Configure and maintain Epic features, including screening tools, note templates, outcome measures, screening tools, referral workflows, and clinical decision support tools tailored to behavioral health populations.
• Support compliance with behavioral health regulatory and documentation standards, and applicable federal regulations such as 42 CFR Part 2 for substance use treatment confidentiality.
• Support charge capture workflows for ambulatory behavioral health encounters, ensuring accurate documentation and billing configuration within Epic.
• Identify, analyze, and recommend improvements and enhancements to operational processes, system automation, and information flows to ensure greater integration of functions within BHRS programs.
• Serve as the first point of contact for BHRS staff, including clinical, administrative, and operational users, and vendors on EHR-related issues; troubleshoot problems and respond to inquiries.
• Perform a variety of analytical duties in the design, implementation, and maintenance of EHR information systems or applications.
• Implement testing requirements and processes; facilitate end-user and hardware testing; and maintain test environments.
• Participate in the evaluation of new module releases, test new modules, and system upgrades with attention to behavioral health-specific impacts.
• Interact with end users and vendors on project design issues and work to resolve vendor production support issues.
• Respond to customer/user questions and concerns and recommend solutions as needed.
• Provide on-site support during go-lives and system upgrades at BHRS clinic and program sites.
• Keep trainers and end users abreast of new functionality and system changes affecting clinic and program operations.
• Analyze data conversion needs.
• Ensure test scripts have been created, reviewed, and updated to reflect proposed workflow solutions.
• Troubleshoot basic user or system problems, address end-user questions, and at the II level, provide on-call support on a rotating basis.
• Analyze new functionality in new releases to identify impact, make recommendations, and review and test changes.
• Participate in disaster recovery measures.
• Ensure quality assurance processes are followed, including change management and testing efforts.

Qualifications
Education and Experience:

Any combination of education and experience that would likely provide the required knowledge, skills, and abilities is qualifying. A typical way to qualify is:

EHR Analyst II:Two years of information technology support experience in a healthcare operation setting, including at least six months of Epic user support experience.

License/Certification:

EHR Analyst II: (1) Epic Certification in EpiCare Ambulatory or Inpatient; and (2) maintain Epic training credentials through Epic's Continuing Epic Education (CEE) program with additional training that must be completed to maintain certifications, proficiencies, and badges.
Knowledge of:

• Electronic health record systems, specifically Epic software applications.
• Design, implementation, testing, updating, maintenance, evaluation, and analysis of system configuration, system setup, and application tables.
• Clinical applications and regulatory standards, a wide range of application functionality, content, and associated workflows.
• Customer service principles.
• Policies, procedures, and business operations.
• Principles and procedures in project management and project management methodologies.

Skill/Ability to:

• Interact with and work collaboratively with multidisciplinary teams.
• Learn and retain knowledge of all assigned applications.
• Troubleshoot application issues and system errors.
• Multi-task complex work assignments.
• Follow standards for naming and number conventions and security classifications.
• Configure, implement, maintain, and evaluate Epic modules and platform.
• Design, modify, and implement testing process.
• Create security classification templates.
• Communicate effectively, both orally and in writing.
• Prioritize effectively and manage time efficiently.
• Lead meetings and resolve conflicts.
• Perform under pressure with tight deadlines.
• Become cross-functional in one or more applications.
• Motivate key process stakeholders.
• Travel outside the County for training.

Application/Examination
Open & Promotional. Anyone may apply. Current County of San Mateo and County of San Mateo Superior Court of California employees with at least six months (1040 hours) of continuous service in a classified regular, probationary, or extra-help/limited term position prior to the final filing date will receive five points added to their final passing score on this examination.
The examination process will consist of an application screening (weight: pass/fail) based on the candidates' application and responses to the supplemental questions. Candidates who pass the application screening will be invited to a panel interview (weight: 100%). Depending on the number of applicants, an application appraisal of education and experience may be used in place of other examinations or further evaluation of work experience may be conducted to group applicants by level of qualification. All applicants who meet the minimum qualifications are not guaranteed advancement through any subsequent phase of the examination. All examinations will be given in San Mateo County, California and applicants must participate at their own expense.
IMPORTANT: Applications for this position will only be accepted online. If you are currently on the County's website, you may click the "Apply" button.If you are not on the County's website, please go to to apply. Responses to the Supplemental Questionnaire must be submitted in addition to the standard County employment application form. Responses to the supplemental questions must be submitted in addition to our regular employment application form. A resume will not be accepted as a substitute for the required employment application and supplemental questionnaire.
TENTATIVE RECRUITMEsNT SCHEDULE
Final Filing Date: Monday, November 16, 2026 at 11:59 PM PST
Application Screening: Tuesday, November 17, 2026Panel Interview: Week of November 30, 2026

Talent Acquisition Analyst: Sarah Huynh (Electronic Health Record Analyst II-V401)
We invite you to explore our page for a snapshot of the comprehensive and competitive benefits available to eligible employees of the County of San Mateo. From health and wellness to financial security, our benefits are designed to support you at every stage of your career. (Please note that benefits are subject to change.)

In addition to core benefits, the County is proud to offer a variety of wellness and professional development programs to help you grow both personally and professionally. Most of these enriching opportunities are available during work hours and come at no cost to you.

As a County employee, you'll also be covered by the federal Social Security system, earning valuable retirement benefits based on your salary and years of service.
01

IMPORTANT: Applicants for this position are required to submit responses to the following supplemental questions. Your responses will give us additional information about your background and experience related to this position and will be used in the selection process. Be concise and specific. Neatness, clarity of expression, grammar, spelling and ability to follow instructions will be considered in the evaluation process. A resume will not be accepted as a substitute for your responses to these questions.

• I have read and understand these instructions.

02

This position requires possession of an EpicCare Ambulatory or Inpatient certification. Do you have the required certification? Please attach a copy of your certification to your application. If your certifications are not attached, your application will not be accepted.

• Yes
• No

03

Describe your experience working on IT implementation projects in a behavioral health or healthcare setting. Be sure to discuss any projects related to behavioral health and substance use treatment, and electron