Systems Engineer II

Job summary

The Systems Engineer II will manage the migration from legacy systems to Nextech Practice+ while serving as a Tier 3 escalation point for technical issues. They are responsible for maintaining system integrity, developing migration tooling, and optimizing clinical workflows through automation and AI integration.

Job details

Overview The Systems Engineer II - Practice Management Platform Exp. plays a critical role in supporting Forefront’s transition from NexCloud and other legacy practice management/EHR systems to Nextech Practice+, ensuring data integrity, system stability, and seamless user experiences throughout migration and ongoing operations. This role combines technical expertise, workflow understanding, system administration, and integration oversight to support clinical and operational teams using Nextech platforms. The role functions as a Tier 3 escalation point, providing advanced troubleshooting for complex system issues, integration failures, performance problems, and user access concerns, while serving as the primary technical liaison between internal teams and Nextech vendor support after migration. This is an engineering-minded role requiring comfort with light coding, scripting, and SQL to solve operational challenges through reproducible solutions, root-cause analysis, automation, and purpose-built utilities. The role also requires fluency with modern AI tools to improve efficiency, documentation, troubleshooting, and workflow optimization. Responsibilities Serve as Tier 3 support for Nextech platforms, resolving escalated issues related to application errors, system performance, data integrity, and workflow failures. Diagnose root causes across application configuration, integrations, data flows, and infrastructure dependencies. Lead efforts to map, transform, validate, and migrate clinical, operational, and administrative data from legacy PM/EHR systems to Practice+. Build and maintain repeatable migration tooling using SQL, scripts, and validation queries. Manage user provisioning, access permissions, and role configurations across NexCloud and Practice+. Serve as an administrator for NexCloud and Practice+, including configuration, optimization, monitoring, and routine maintenance. Execute and support upgrades, patches, hotfixes, releases, and regression testing. Monitor and troubleshoot integrations between Practice+ and third-party systems. Develop expertise in clinical workflows and support optimization initiatives that improve clinic experience and operational efficiency. Use AI assistants (e.g., Copilot, Claude, ChatGPT) to accelerate technical work, automate repetitive tasks, improve troubleshooting, and generate documentation. Maintain technical documentation, SOPs, configurations, workflows, and architectural diagrams. Collaborate cross-functionally with IT, clinical, operational teams, and vendors to ensure reliable system performance Qualifications Required Qualifications: Experience with Nextech NexCloud and/or Practice+ platforms; other Practice Management platforms acceptable. Experience supporting regulated healthcare environments and HIPAA requirements. Strong understanding of healthcare data structures, EHR workflows, and clinical operations. Hands-on experience with data migration, ETL concepts, or system conversions. Proficiency in system administration and user access management. SQL proficiency sufficient to query, validate, and transform data independently. Comfort with light scripting (PowerShell, Python, or similar) to automate repetitive tasks and validate data. Demonstrated use of AI assistants to improve technical productivity and reduce manual effort. Strong troubleshooting, communication, and documentation skills. Preferred Qualifications: Experience within a healthcare organization or clinical application team. Familiarity with HL7, FHIR, APIs, and healthcare integration frameworks. Experience supporting enterprise application platforms or EHR implementations. Experience with ambulatory EHR/PM systems such as NextGen or ModMed. Experience with Git or version control tools. Core Competencies: Systems Thinking Engineering Mindset AI Fluency Communication Problem Solving Collaboration Required Education: Bachelor's Degree Forefront will never request personal information, such as your social security number or banking information, via text or email. In addition, Forefront does not use external messaging applications such as WireApp or Skype to communicate with candidates. If you receive communication or requests of this nature, delete them. Forefront Dermatology is committed to providing equal employment opportunity and maintaining a workplace for employees and applicants that is free from discrimination based upon age, race, religion, color, disability, marital status, sex (including pregnancy), national origin, ancestry, ethnicity, sexual orientation, gender identity or expression, genetic information, veteran or military status, or any other status protected by applicable federal, state, or local law. If, because of a medical condition or disability, you need a reasonable accommodation for any part of the application process, please contact hr@forefrontderm.com to let us know the nature of your request and your contact information.

What you’ll do

The Systems Engineer II will manage the migration from legacy systems to Nextech Practice+ while serving as a Tier 3 escalation point for technical issues. They are responsible for maintaining system integrity, developing migration tooling, and optimizing clinical workflows through automation and AI integration.

Requirements

Candidates must have experience with Nextech platforms, healthcare data structures, and HIPAA compliance. Proficiency in SQL, scripting languages, and data migration processes is required, along with a Bachelor's degree.

Listed skills

• Technical Documentation · Preferred
• SQL · Preferred
• Troubleshooting · Preferred
• Python · Preferred

Other relevant skills

Identified from the job description. Confirm important requirements above.

• Systems Engineering
• Nextech
• SQL
• Data Migration
• ETL
• System Administration
• Troubleshooting
• PowerShell
• Python
• Healthcare IT
• HIPAA
• EHR
• Automation
• Technical Documentation
• AI Tools
• Integration Management
• ChatGPT
• Operational Efficiency
• Workflow Management
• Git (Version Control System)
• Fast Healthcare Interoperability Resources (FHIR)
• Microsoft Teams
• Application Programming Interface (API)
• Artificial Intelligence
• Application Configuration Access Protocols
• Management
• Medical Records
• Version Control
• Communication
• Data Integrity
• Extract Transform Load (ETL)
• Data Structures
• Dermatology
• Health Insurance Portability And Accountability Act (HIPAA) Compliance
• Hotfix
• Problem Solving
• Python (Programming Language)
• Operations
• Windows PowerShell
• Practice Management
• Regression Testing
• SQL (Programming Language)
• Systems Thinking
• Tooling
• Troubleshooting (Problem Solving)
• User Provisioning
• Scripting
• Root Cause Analysis
• Claude AI

Job areas

• Technology
• Healthcare
• Engineering
• Software
• Data & Analytics
• Systems Engineer
• Software Developers
• Computer Systems Engineers/Architects
• Computer Occupations, All Other