Systems Administrator IV, Health Systems (Epic Tapestry, Referrals)

Primary Location Pleasanton, California Employee Status: Regular Worker Location: Flexible Schedule Full-time Scheduled Weekly Hours: 40 Shift Day Salary $129200 - $167200 / year

Job Number 1451745 Date Posted 10/07/2026

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Please note, this position is designated as flexible (aka hybrid), and the expectation is that the selected candidate will report to the assigned office 3 days per week. Also, this position will require working west coast time zone business hours (8am - 5pm PT).

Technical Summary:

The System Administrator III/IV, Health Systems (Epic Tapestry, Referrals) supports the Clinical Care and Patient Engagement Technologies organization by serving as a senior-level subject matter expert responsible for the analysis, design, configuration, implementation, optimization, and ongoing support of Epic applications. This role evaluates complex clinical and business requirements and translates them into scalable, efficient technology solutions that align with organizational goals, Epic best practices, regulatory requirements, and industry standards. Leveraging advanced analytical, technical, and workflow design expertise, the Systems Administrator III/IV, Health Systems (Epic Tapestry, Referrals) leads and supports large-scale projects, system implementations, upgrades, and optimization initiatives. The position identifies opportunities to improve system functionality, operational efficiency, and the end-user experience while supporting all phases of the application lifecycle, including requirements gathering, design, build, testing, implementation, training, optimization, and production support. Working collaboratively with clinical leaders, business stakeholders, vendors, and cross-functional IT teams, this role serves as a trusted advisor, providing strategic guidance and technical expertise to ensure the stability, scalability, performance, and long-term success of enterprise Epic solutions.

Job Summary:

In addition to the responsibilities listed below, this position is responsible for system build, testing, validation, and ongoing support of assigned applications. This position will possess clinical or IT systems knowledge and experience to develop and support safe and high quality care using the electronic health record. This position will perform in depth and precise investigation and documentation of future- state operational specifications and application functionality. Performing analysis of application capabilities, workflows, data collection, report details, and other clinical and/or technical issues associated with Epic software. This position is responsible for developing and documenting the internal procedures that will be used in conjunction with Epic applications. Some of the unique challenges this position will face include analyzing clinical and business operations and investigating user preferences; prioritizing & implementing requested system changes & updates; serving as a liaison between end users, third parties, and Epic implementation staff. This position develops and documents internal procedures, collects information and prepares specifications of system enhancements, analyzes functionality in new releases and tests each new release. This position will also provide supervisory support of the system administration team

Essential Responsibilities:

• Completes work assignments and supports business-specific projects by applying expertise in subject area; supporting the development of work plans to meet business priorities and deadlines; ensuring team follows all procedures and policies; coordinating and assigning resources to accomplish priorities and deadlines; collaborating cross-functionally to make effective business decisions; solving complex problems; escalating high priority issues or risks, as appropriate; and recognizing and capitalizing on improvement opportunities.
• Practices self-development and promotes learning in others by proactively providing information, resources, advice, and expertise with coworkers and customers; building relationships with cross-functional stakeholders; influencing others through technical explanations and examples; adapting to competing demands and new responsibilities; listening and responding to, seeking, and addressing performance feedback; providing feedback to others and managers; creating and executing plans to capitalize on strengths and develop weaknesses; supporting team collaboration; and adapting to and learning from change, difficulties, and feedback.
• Meets timelines to drive the delivery of appropriate, sustainable, and prompt solutions.
• Assists technical and project team members to resolve system problems and application-specific issues.
• Supports the stability, availability, and performance of enterprise systems (e.g., systems, applications, network, databases, storage, security) by performing complex systems analysis to identify problems, trends, and opportunities for improvement.
• Provides first and second level support for enterprise systems and systems in one or more additional IT domains by diagnosing, troubleshooting, and resolving complex incidents to minimize system issues.
• Escalates unresolved or critical issues, risks or problems to system engineers.
• Supports communications with product users and suppliers to share information, identify opportunities, resolve problems, prioritize customer requirements, and maintain continuous improvement through customer feedback.
• Plans and performs complex system configuration.
• Participates in installs, upgrades, or decommissions of designated systems, products, and infrastructure.
• Creates documentation of new and existing system configuration and procedural information, and ensures system configurations documentation is complete and accurate.
• Plans the implementation of hardware and software changes into environments and one or more additional IT production environments by performing impact analyses of system changes.
• Supports vendor support activities, as appropriate.
• Participates in and influences change management processes.
• Defines the maintenance, modification, and documentation of complex and advanced applications.
• Supports the development of guidelines to prevent and/or resolve recurring problems.
• Recommends and executes performance tuning and optimization activities.

Knowledge, Skills and Abilities: (Core)

• Ambiguity/Uncertainty Management
• Attention to Detail
• Business Knowledge
• Communication
• Critical Thinking
• Cross-Group Collaboration
• Decision Making
• Dependability
• Diversity, Equity, and Inclusion Support
• Drives Results
• Facilitation Skills
• Health Care Industry
• Influencing Others
• Integrity
• Learning Agility
• Organizational Savvy
• Problem Solving
• Short- and Long-term Learning & Recall
• Teamwork
• Topic-Specific Communication

Knowledge, Skills and Abilities: (Functional)

• Application Delivery Process
• Application Maintenance
• Application Testing
• Packaged Application Integration
• Scripting Tools and Languages
• System and Technology Integration
• Acts with Compassion
• Analytical Skills
• Client Focus
• Crisis Incident Management
• Debugging and Troubleshooting
• Demonstrating Personal Flexibility
• Managing Diverse Relationships
• Microsoft Excel
• Organizational Skills
• Prioritization
• Relationship Building

Minimum Qualifications:

• Minimum three (3) years experience working with EPIC or comparable health system software

OR

Minimum three (3) years scripting or programming experience.

• Minimum one (1) year in an informal leadership role working with IT or operational teams.
• Bachelors degree in Computer Science, Engineering, Social Science, Education, Business, Health Care or related field and Minimum six (6) years working in IT or operations. Additional equivalent work experience may be substituted for the degree requirement.

Preferred Qualifications:

• Three (3) years experience in EPIC administration and configuration.
• Three (3) years experience in the administration and custom configuration of large of-the-shelf applications or software packages.

Primary Location: California,Pleasanton,Pleasanton Tech Cntr Building D

Additional Locations:

• Portland, OR
• Honolulu, HI
• Atlanta, GA
• Denver, CO
• Pasadena, CA
• Hyattsville, MD
• Renton, WA

Scheduled Weekly Hours: 40 Shift: Day Workdays: Mon, Tue, Wed, Thu, Fri Working Hours Start: 08:00 AM Working Hours End: 05:00 PM Job Schedule: Full-time Job Type: Standard Employee Status: Regular Worker Location: Flexible Employee Group/Union Affiliation: NUE-IT-01|NUE|Non Union Employee Job Level: Individual Contributor Department: KPIT ADMIN - HC SI STR N ITG SVCS - 9601 Pay Range: $129200 - $167200 / year Kaiser Permanente strives to offer a market competitive total rewards package and is committed to pay equity and transparency. The posted pay range is based on possible base salaries for the role and does not reflect the full value of our total rewards package. Actual base pay determined at offer will be based on labor market data, internal alignment, and a candidate''s years of relevant work experience, education, certifications, skills, and geographic location. Travel: Yes, 10 % of the Time Kaiser Permanente is an equal opportunity employer committed to fair, respectful, and inclusive workplaces. Applicants will be considered for employment without regard to race, religion, sex, age, national origin, disability, veteran status, or any other protected characteristic or status.

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