Senior Clinical Applications Manager – Technico-Functional Expertise

Ref 2588875 | Date: 3 Nov 2026 FHV Informatique La Fédération des Hôpitaux Vaudois informatique ([FHVi](< >)), is the preferred IT partner of more than 12 hospitals and regional healthcare establishments in the canton of Vaud. The FHVi accompanies them in the many challenges of digital transformation in the health sector and has as its main missions to plan, design, implement, and operate the IS of its members. This represents more than 100 employees serving 10,000 users, for a fleet of more than 7,000 workstations distributed across about a hundred geographical sites and in three cantons (VD, VS, FR). The position is open to both women and men. For ease of reading, terms are in the masculine only. Senior Clinical Applications Manager -- Technico-Functional Expertise What if your technical expertise and your ability to solve complex problems contributed directly to the performance of hospital information systems? As part of the reinforcement of our team in charge of clinical information systems, we are looking for a Senior Applications Manager, possessing solid technico-functional expertise, a strong capacity for analysis, and real autonomy in resolving complex application issues. This position is aimed at an experienced professional who likes to understand how applications work in their entirety, investigate malfunctions, identify their root causes, and propose concrete, reliable solutions adapted to business needs. Your mission: As a Senior Applications Manager, you ensure the technical and functional responsibility of a portfolio of critical applications of the clinical information system, guaranteeing their availability, performance, security, and evolution. As a true technico-functional reference, you intervene both in the resolution of complex incidents and in the analysis of business needs, application evolutions, and feasibility studies. You are able to move from a functional issue to an in-depth technical investigation, then to the definition and implementation of an adapted solution. You work in close collaboration with users in hospital establishments, internal IT teams, and solution providers. Your role is based on a balance between operational expertise, business understanding, technical autonomy, and the ability to take a step back from proposed solutions. Your main activities and responsibilities: Application management and resolution of complex incidents * Ensure the operational maintenance of the applications within your scope and guarantee their availability, performance, and reliability. * Take charge of complex application incidents requiring an in-depth analysis of functional and technical dimensions. * Investigate malfunctions autonomously, identify their root causes, and implement sustainable corrective solutions. * Analyze interactions and dependencies between applications, databases, servers, interfaces, and technical components. * Utilize databases, notably through advanced SQL queries, to analyze anomalies and identify corrective actions. * Perform the first technical investigations and request specialized expertise when the situation requires it. * Anticipate risks related to technological evolutions, incompatibilities, and the obsolescence of application components. Technical expertise and systems integration * Understand application architectures and integration mechanisms between heterogeneous systems. * Analyze data exchanges, interfaces, and web services in order to identify and resolve interoperability problems. * Read, understand, and analyze existing code, notably in C#/.NET environments, to facilitate investigations and application evolutions. * Utilize and adapt scripts, notably PowerShell, to automate certain operations or contribute to problem resolution. * Intervene on issues related to Windows application environments, databases, and technical dependencies. * Collaborate with development, infrastructure, and interoperability teams to ensure the consistency and maintainability of solutions. Application evolution and business needs analysis * Collect, analyze, and challenge the needs expressed by users and hospital establishments. * Understand business processes in their entirety and measure the impacts of evolutions on users and interconnected applications. * Translate operational needs into adapted functional and technical solutions. * Perform feasibility analyses integrating technical constraints, dependencies, costs, deadlines, and risks. * Propose pragmatic solutions, proportionate to the needs and compatible with available resources. * Participate in the planning and implementation of application evolutions, version upgrades, and transformation projects. * Organize technical tests and coordinate functional validations before production releases. * Contribute to the application lifecycle management and their continuous improvement. Collaboration and user support * Be a reference interlocutor for business teams, IT teams, and providers. * Exchange with various interlocutors, notably healthcare professionals, administrative teams, and IT managers of the establishments. * Popularize technical issues and clearly explain the impacts of the various options considered. * Challenge in a const