Lead the most consequential technology transformation in Praxis Health's history.

Portland, OR | Reports to CEO | $180K+ base plus 20% annual bonus target | 8–10 direct reports

About Praxis Health

Praxis Health is a multi-million-dollar ambulatory care company operating in 40+ locations and employing 152 providers across the Pacific Northwest. We deliver primary and specialty care at scale and we are in the middle of the most consequential technology transformation in our company's history.

The Opportunity

We are replacing the central nervous system of our enterprise. Praxis is consolidating a fragmented vendor technology stack into a single enterprise platform that will define how we deliver care, operate, and compete for the next decade.

We are hiring an enterprise operator to own this transformation end-to-end, from implementation through permanent stewardship of our digital operating model.

The Director of Digital Transformation leads our newly established Transformation Management Office (TMO): the purpose-built team responsible for go-live execution, provider adoption, AI deployment, vendor rationalization, and digital patient engagement across all markets. You will report directly to the CEO and operate with cross-functional authority at the director level across Clinical Operations, Access, Population Health, and Business Intelligence.

What You Will Own

As Program Lead for implementation across our 40+ locations, you will drive the full lifecycle from kickoff through post-conversion stabilization. You will partner closely with the Director of Revenue Cycle Management to ensure EHR configuration and workflow design support revenue cycle performance, through and beyond conversion, while maintaining clear ownership boundaries between the two functions.

Beyond go-live, your mandate expands:

• Build a 24-month vendor rationalization roadmap to sunset legacy tools
• Deploy the AI suite to measurably reduce provider documentation time.
• Design Praxis's digital patient engagement strategy through a consumer engagement platform.
• Lead, assess, and develop a team of 8–10 direct reports, including transitioning select members of our Clinical Operations team into TMO roles.

Who You Are

You have led at least one complex, multi-site EHR implementation and carry the hard-earned perspective that comes with it. You hold our EHR partner, your internal teams, and yourself accountable to the same standard. You are an operator who owns outcomes, not a consultant who documents them.

This role is for you if:

• You have stood in a clinic at 6 a.m. on go-live day and owned what happened next.
• You have told a vendor "no" when their timeline didn't match clinical reality and made it stick.
• You think in operating models, not project plans, and you measure success in provider adoption and documentation minutes saved not slides delivered.
• You want a permanent seat at the table, not a 12-month engagement.

This role is not for you if:

• You have run PMOs but never taken the calls when an EHR conversion went sideways.
• Your EHR experience is inpatient-only or limited to a single site or single specialty.
• You need a fully staffed team and a finished playbook on day one; you will be building both.

Required Qualifications

• 5+ years leading large-scale healthcare or enterprise technology transformations.
• Demonstrated multi-site EHR implementation experience.
• Hands-on experience with AI-assisted clinical documentation automation.
• Proven ability to lead cross-functional change in a matrixed organization without direct authority over all stakeholders.
• Strong executive presence and financial/operational data literacy at enterprise scale.

Preferred Qualifications

• Background in ambulatory primary care at scale (100+ providers, multi-TIN, multi-state).
• Experience with value-based care, ACO operations, and population health platforms.

Compensation & Location

• Base Salary: $180,000+, commensurate with experience.
• Annual Bonus Target: 20% of base.
• Transformation Incentive: Additional performance-based compensation tied to go-live milestones, provider adoption, and vendor rationalization outcomes.
• Location: Portland, Oregon area. Multi-site travel required during implementation phases. Some remote flexibility outside of go-live periods.

Why This Role, Why Now

Most transformation roles end when the implementation does. This one begins there. You will inherit the platform you built, the team you developed, and the operating model you designed — and run it for the long term.