Director of Clinical Informatics - Enterprise EHR/CIS Implementation

Director of Clinical Informatics – Enterprise EHR/CIS Implementation

Program: Symbio – Provincial Clinical Information Solution Program

Client: Department of Health, Government of New Brunswick (GNB)

Location: Remote, with travel to New Brunswick at least once per month

Contract Duration: November 2, 2026 – November 1, 2028, with one optional one-year renewal

Work Schedule: Full-time

Maximum Rate: $120 per hour, based on a standard 7.5-hour workday

Position Overview

The Department of Health, Government of New Brunswick, is seeking an experienced Director of Clinical Informatics (BA3) to support the Symbio Provincial Clinical Information Solution Program. Symbio is a province-wide healthcare transformation initiative focused on replacing fragmented hospital information systems, paper-based clinical records, and disconnected applications with a unified, standardized, and integrated Clinical Information Solution (CIS).

Reporting to the Chief Clinical Information Officer (CCIO) for the Symbio Program and working closely with the CCIO and Chief Nursing Information Officer (CNIO), the successful candidate will establish, mature, and sustain the clinical informatics capabilities, operating methodologies, governance structures, and delivery practices required for the program.

This senior leadership role will oversee the day-to-day delivery of clinical informatics activities across a multi-site acute care health system, ensuring that provincial clinical workflows are standardized while accommodating approved local variations across large, medium, and small hospitals. The Director will bridge clinical stakeholders, physicians, nursing professionals, clinical operations, informatics specialists, and technical EHR/CIS build teams to ensure that the solution reflects approved clinical requirements and supports patient safety, clinical quality, operational readiness, and effective clinician adoption.

The successful candidate will also mentor New Brunswick program personnel, transfer knowledge, and develop sustainable internal capabilities to support the long-term operation and continuous improvement of the provincial clinical information solution.

Key Responsibilities

1. Clinical Informatics Strategy and Program Delivery

• Work with the CCIO and CNIO to establish and maintain a sustainable clinical informatics operating model, methodology, and integrated workplan aligned with the Symbio Prepare, Adopt, and Improve journey.
  
• Lead the day-to-day execution of clinical informatics activities across steady-state operations and project-based initiatives.
  
• Establish transparent oversight of milestones, deliverables, progress, risks, dependencies, priorities, and escalations.
  
• Provide regular status and risk reporting to the Department of Health.
  
• Coordinate clinical informatics resources, activities, and priorities to support the program's overall objectives.
  

2. Provincial Clinical Workflow Standardization and Localization

• Develop and lead a methodology for standardizing clinical workflows across a large regional or provincial health system.
  
• Establish consistent clinical workflow standards applicable to large, medium, and small hospital facilities.
  
• Lead the implementation and localization of standardized workflows to accommodate facility-specific operational needs while preserving provincial standards.
  
• Assess proposed local variations, document their rationale, evaluate their impact, and support formal review and approval through established governance processes.
  
• Ensure workflow design promotes consistency, efficiency, patient safety, and effective care delivery across participating facilities.
  

3. Physician and Clinician Engagement

• Develop and execute engagement and advocacy approaches for physician groups, nursing professionals, and other clinical stakeholders.
  
• Engage physician leads and frontline clinicians in clinical workflow design, EHR/CIS configuration decisions, validation, and implementation planning.
  
• Represent physician and clinician needs in clinical governance forums, design discussions, prioritization decisions, and issue resolution.
  
• Facilitate collaboration between clinical stakeholders, program leadership, clinical operations, and technical delivery teams.
  
• Ensure frontline clinical requirements are accurately reflected in approved workflows, system design, and implementation decisions.
  

4. Clinical Governance and Decision-Making

• Establish, lead, or support clinical working groups, committees, and governance forums responsible for clinical workflows, EHR/CIS design, prioritization, and cross-site decisions.
  
• Define decision-making processes, governance structures, escalation pathways, and accountability mechanisms.
  
• Facilitate timely and transparent resolution of clinical design issues, competing priorities, and workflow conflicts.
  
• Maintain documented decisions, approved requirements, priorities, risks, actions, and escalations.
  
• Ensure governance decisions are communicated to relevant clinical, operational, informatics, and technical stakeholders.
  

5. Clinical Informatics and Technical Build Team Alignment

• Manage the day-to-day relationship between clinical informatics and technical EHR/CIS build teams.
  
• Translate clinical requirements, approved workflows, and clinical design decisions into clear functional requirements and build specifications.
  
• Prioritize build requests and coordinate capacity, dependencies, competing requirements, and delivery timelines.
  
• Resolve conflicts between clinical needs, technical constraints, and approved design standards.
  
• Oversee delivery against approved requirements and ensure that system configuration reflects intended clinical workflows.
  
• Establish effective processes for requirement traceability, design review, build validation, and issue resolution.
  

6. Technical Build Governance and Oversight

• Provide leadership and oversight to technical EHR/CIS build teams.
  
• Establish build governance, standardized build methodologies, configuration standards, and delivery processes.
  
• Manage build priorities, resource capacity, work allocation, and competing demands.
  
• Oversee system build, configuration, testing, release management, and deployment readiness.
  
• Coordinate planning and impact assessments for major system changes, including code upgrades and other significant platform changes.
  
• Ensure appropriate alignment between technical delivery, clinical requirements, system quality, and operational needs.
  

7. Clinical Workflow Validation, Testing, and Release Readiness

• Define and lead clinical workflow validation, testing, release-readiness, and cutover approaches.
  
• Coordinate clinical and technical testing cycles to verify that configured workflows meet approved requirements.
  
• Assess system quality, clinical safety, operational readiness, and unresolved risks before deployment.
  
• Establish and apply clear go/no-go criteria and provide release-readiness recommendations.
  
• Develop and oversee clinical and technical cutover plans, including stakeholder coordination, issue escalation, and contingency considerations.
  
• Ensure readiness decisions are supported by documented validation results, identified risks, and appropriate stakeholder approvals.
  

8. Patient Safety and Clinical Quality

• Embed patient safety and clinical quality considerations into EHR/CIS design, configuration, validation, and implementation.
  
• Apply comprehensive clinical informatics knowledge across clinical documentation, order management, order sets, clinical decision support, medication management, and workflow analysis.
  
• Focus on medication systems and orders management to ensure the solution supports safe and reliable clinical practices.
  
• Partner with Clinical Operations to translate intended safety and quality outcomes into practical operational improvements.
  
• Identify clinical workflow risks, system-related safety concerns, and improvement opportunities and coordinate appropriate mitigation activities.
  

9. Go-Live, Incident Management, and Stabilization

• Lead or support planning and execution for large-scale EHR/CIS activations from a clinical informatics perspective.
  
• Coordinate clinical readiness activities, activation planning, command-centre operations, and incident-management processes.
  
• Support clinical incident triage, prioritization, escalation, and resolution during implementation and stabilization.
  
• Monitor clinical workflow performance and system issues following deployment.
  
• Coordinate stabilization activities and transition the program toward sustained operations and continuous optimization.
  
• Ensure clinical stakeholders receive the support required to maintain safe and effective care delivery during system transitions.
  

10. Clinician Education, Adoption, and Optimization

• Develop and support clinician education strategies and learning materials for new and revised clinical workflows.
  
• Apply adult learning principles to training design, delivery, and evaluation.
  
• Coordinate clinician readiness, adoption support, and communication activities.
  
• Evaluate education effectiveness and identify opportunities to strengthen user confidence and system utilization.
  
• Lead post-go-live optimization activities based on clinician feedback, operational performance, workflow issues, and lessons learned.
  
• Support continuous improvement of clinical workflows and system usability.
  

11. Clinical Informatics Team Leadership and Enterprise EHR/CIS Experience

• Build, lead, mentor, and develop clinical informatics teams supporting enterprise-scale EHR/CIS implementation and optimization.
  
• Provide direction, coaching, and oversight to clinical informatics personnel and multidisciplinary delivery teams.
  
• Apply experience with a major enterprise EHR/CIS platform to the platform selected for the Symbio Program.
  
• Establish sustainable team practices, operating procedures, and knowledge-sharing mechanisms.
  
• Promote collaboration across clinical, operational, informatics, and technical teams.
  

12. Knowledge Transfer and Capability Development

• Mentor and develop New Brunswick program personnel throughout the engagement.
  
• Transfer practical knowledge, skills, methodologies, and expertise in clinical workflow standardization, facilitation, governance, validation, and documentation.
  
• Develop and maintain reusable processes, guidance, and documentation that support continuity of clinical informatics operations.
  
• Enable internal program personnel to independently apply established practices and sustain the program beyond the engagement.
  
• Support the long-term maturity and self-sufficiency of the province's clinical informatics capabilities.
  

Requirements

Mandatory Requirements

Candidates must explicitly demonstrate compliance with every mandatory requirement . Relevant education, roles, responsibilities, project experience, and employment dates must be clearly documented.

M1 – Education and Equivalent Experience

• A bachelor's degree from a recognized institution in Nursing, Health Informatics, Health Sciences, or a related field; OR
  
• An equivalent combination of education and demonstrated senior clinical informatics experience with CIS implementations.
  

M2 – Clinical Informatics and EHR/CIS Experience

• Minimum 10 years of experience in clinical informatics, large-scale EHR/CIS implementation or optimization, and clinical workflow design within a health system.
  
• Demonstrated progressive leadership responsibility throughout the relevant experience.
  

M3 – Senior Leadership in a Multi-Site Acute Care Environment

• Minimum 5 years of experience in a leadership or high-level advisory role.
  
• Experience leading clinical informatics teams, EHR/CIS build teams, or clinical workflow teams within a multi-site acute care health system.
  

M4 – Conflict of Interest Eligibility

• The proponent must not have been a prime respondent or a named subcontractor/partner to a prime respondent on RFP #8025087-25.
  
• Participation in that RFP constitutes an actual or perceived conflict of interest and renders the proponent ineligible for this opportunity.
  

M5 – Vendor Submission Limit

• A maximum of one submission per vendor is permitted.
  

Desirable Skills and Scored Requirements

Candidates should demonstrate the following experience, with specific projects, dates, responsibilities, methodologies, and measurable outcomes wherever applicable.

S1 – Clinical Workflow Standardization

• Demonstrated experience developing and leading a methodology for standardizing clinical workflows across a large regional or provincial health system encompassing large, medium, and small hospitals.
  
• Provide at least 2 project references demonstrating the methodology, individual role, and results achieved.
  

S2 – Regional and Provincial Workflow Localization

• Demonstrated experience localizing regional or provincial standard workflows for small, medium, and large facilities while preserving standards and managing approved variations.
  
• Provide at least 2 project references explaining the role, variation-assessment approach, and approval process.
  

S3 – Physician Engagement and Advocacy

• Minimum 5 years of experience working with and advocating for physician groups and physician workflows.
  
• Experience engaging physician leads in design decisions and representing physician needs in governance and build prioritization.
  

S4 – Clinical Informatics Knowledge

• Minimum 5 years of relevant experience applying comprehensive clinical informatics knowledge, including:
  
• Clinical documentation.
  
• Order management and order sets.
  
• Clinical decision support.
  
• Medication management.
  
• Patient safety.
  
• Clinical workflow analysis.
  

S5 – Informatics and Build Team Interface

• Minimum 5 years of relevant experience managing collaboration between clinical informatics and technical build teams.
  
• Ability to translate clinical requirements into build specifications, prioritize work, resolve conflicts, and ensure the delivered system aligns with approved workflows.
  

S6 – Technical Build Team Oversight

• Minimum 3 years of relevant experience overseeing technical EHR/CIS build teams.
  
• Experience establishing build governance, standardizing processes, managing priorities and capacity, overseeing system build, testing and releases, and planning major system changes such as code upgrades.
  
• Candidates should identify the team sizes and systems involved.
  

S7 – Clinical Governance and Decision-Making

• Minimum 3 years of relevant experience chairing or leading clinical working groups, committees, or governance forums.
  
• Experience making or facilitating decisions regarding clinical workflows, EHR design, and prioritization across multiple sites.
  

S8 – Clinical Workflow Validation, Testing, and Release Readiness

• Minimum 3 years of relevant experience leading or participating in clinical workflow validation, testing cycles, release readiness, and clinical and technical cutover.
  
• Demonstrated ability to define validation approaches, apply go/no-go criteria, assess patient safety and operational readiness, and document results.
  

S9 – Go-Live, Incident Management, and Stabilization

• Demonstrated experience supporting large-scale EHR/CIS activations from a clinical informatics perspective.
  
• Experience with activation planning, command-centre or incident-management activities, and post-deployment stabilization.
  
• Provide 2 project references .
  

S10 – Clinician Education, Adoption, and Optimization

• Minimum 3 years of relevant experience developing and evaluating clinician education, supporting adoption, and leading post-go-live optimization.
  
• Demonstrated application of adult learning principles.
  

S11 – Patient Safety and Clinical Quality Outcomes

• Minimum 3 years of relevant experience linking EHR design to patient safety and clinical quality outcomes.
  
• Experience involving medication systems, orders management, and partnership with Clinical Operations to achieve intended outcomes in practice.
  

S12 – Team Leadership and Enterprise EHR Platform Experience

• Minimum 5 years of relevant experience building, leading, and mentoring clinical informatics teams.
  
• Experience with a major enterprise EHR/CIS platform and the ability to apply that experience to the platform selected for the program.
  

S13 – English and French Communication

• Written and verbal communication skills in both English and French .
  
• A current resume must be attached to the submission.
  

Contract Details and Working Arrangements

• Start date: November 2, 2026, or earlier if possible.
  
• Initial term: Two years, ending November 1, 2028.
  
• Extension: One optional one-year renewal period.