Salesforce Administrator - Home Health

Job Description

Job Description

21st Century Home Health Agency is growing fast, and our technology has to keep pace. Salesforce is the backbone of how we capture referrals, convert them to admissions, and equip our community liaisons in the field — which makes this role central to how quickly and how well the agency grows.

You'll own our Salesforce environment — build it, run it, and know it better than anyone. This is a hands-on back-end development job, not configuration or consulting. You'll work directly with leadership to design solutions, write production code, build MuleSoft integrations, and automate our Health Cloud org. 

Sometimes you'll work solo, sometimes alongside our outside Salesforce consultants. Either way, you're the internal technical authority. Fully on-site in Burlingame. 

What you'll do as the Salesforce Administrator:

What you'll do 

• Write and maintain production Apex — classes, triggers, batch and scheduled jobs, async processing 

• Build custom UI with Lightning Web Components (and Aura where it still lives) 

• Build and optimize MuleSoft integrations connecting Health Cloud to clinical, operational, and third-party systems 

• Design REST and SOAP integrations 

• Write complex SOQL and SOSL, and keep it fast and inside governor limits 

• Automate business logic across the platform — Flows, batch processes, custom scripts 

• Run sandboxes, deployments, and release pipelines (Salesforce DX, change sets, Copado or Jenkins) 

• Scope, review, and validate what external consultants deliver 

• Administer the org — users, profiles, permission sets, roles, security 

• Handle data migrations, ETL, and data integrity with Data Loader and scripts 

• Keep Git discipline and document architecture, customizations, and integration logic 

• Build the reports and dashboards our operational and clinical teams rely on 

• Debug and fix platform issues using developer console, debug logs, and error analysis 

To be a success as the Salesforce Administrator

Required 

• 1+ years of hands-on Salesforce administration experience

• Demonstrated skill with flows, reports and dashboards, security model configuration, and data management tooling. 

• Working knowledge of HIPAA and comfort handling PHI responsibly. 

• Strong written and verbal communication; able to explain platform concepts to non-technical clinical and administrative staff. 

• Ability to manage competing requests and document decisions clearly. 

Preferred 

• Experience in home health, hospice, home care, or another post-acute or provider setting. 

• Salesforce Certified Administrator (ADM-201) or ability to obtain within six months of hire. 

• Familiarity with Salesforce Health Cloud and with EMR integrations 

• Advanced Administrator or Platform App Builder certification. 

• Exposure to SOQL, Apex debugging, Flow error handling, or Salesforce Shield. 

• Experience supporting a mobile field sales or liaison team 

 

21st Century is an equal opportunity employer, committed to fostering a diverse and inclusive workplace. We strictly prohibit discrimination or harassment of any kind, including but not limited to race, color, sex, religion, sexual orientation, gender identity, national origin, disability, genetic information, pregnancy, or any other characteristic protected under federal, state, or local law.

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