Technical Architect - Healthcare Platforms (FHIR

Key Responsibilities

Architecture & Solution Design

• Assess the current application architecture and identify performance, scalability, reliability, and maintainability challenges.
• Design a target-state architecture that supports growth from 380+ users to 580+ users and beyond.
• Define application, data, integration, and security architecture patterns aligned with healthcare best practices.
• Establish scalability strategies including horizontal scaling, caching, asynchronous processing, and database optimization.
• Design solutions that maintain high availability and resiliency for critical patient care workflows.

Healthcare Interoperability

• Lead the architecture and implementation of FHIR-based integrations.
• Design scalable healthcare data exchange mechanisms using HL7 FHIR APIs.
• Integrate with EHR/EMR systems such as eClinicalWorks, Epic, Cerner, Athena, or equivalent healthcare platforms.
• Ensure healthcare regulatory compliance including HIPAA and healthcare data security requirements.

Performance Engineering

Conduct architecture reviews and performance assessments of existing applications.

Identify bottlenecks across

Angular UI

• .NET APIs
• SQL Server database
• iIntegration services
• Infrastructure components

Define performance tuning strategies for

• API response times
• Database queries
• Search operations
• Reporting workloads
• Concurrent user handling
• Create performance benchmarks, capacity planning models, and growth forecasts.

Platform Modernization

• Define modernization roadmaps for legacy components.
• Recommend cloud-native and microservices adoption where appropriate.
• Drive implementation of event-driven and loosely coupled architectures.
• Introduce observability, monitoring, logging, and telemetry frameworks.

Technical Leadership

• Work closely with Product Owners, Delivery Leaders, Engineers, and Business Stakeholders.
• Mentor development teams on architecture best practices and coding standards.
• Conduct architecture governance reviews.
• Drive security, reliability, and quality initiatives throughout the SDLC.

Requirements

• 12+ years of software engineering experience.
• 5+ years as a Solution Architect or Technical Architect.
• Experience architecting large-scale healthcare platforms.
• Proven experience scaling enterprise applications supporting hundreds to thousands of concurrent users.

Technical Expertise

Front-End

Angular 10+ (preferably Angular 15+)

Angular Material

• State management frameworks
• Performance optimization techniques
• UI scalability and accessibility

Backend

• .NET Core / ASP.NET Core
• REST API architecture
• Microservices architecture
• Event-driven architecture
• Background processing frameworks

Database

Microsoft SQL Server

• Query optimization
• Indexing strategies
• Database partitioning
• Data modeling
• High-availability architectures

Healthcare Standards

HL7 FHIR

SMART on FHIR

• Healthcare interoperability patterns
• Healthcare data governance
• HIPAA compliance

Cloud & DevOps

Azure (preferred)

Azure App Services

Azure SQL

Azure Functions

Azure Service Bus/Event Grid

• CI/CD pipelines
• Infrastructure as Code

Performance & Scalability Expectations

The selected architect will be expected to

Evaluate current system limitations and identify root causes of performance degradation.

Design an architecture capable of supporting

• 580+ active users immediately
• Future growth beyond 1,000+ users
• Increased transaction volumes
• Additional FHIR integrations
• Expanded clinician-facing capabilities

Define

• Capacity planning models
• Database scaling strategy
• Application scaling strategy
• Caching architecture
• Load balancing approach
• Disaster recovery architecture
• Monitoring and observability framework

Preferred Qualifications

• Experience with population health management platforms.
• Experience building clinical workflow applications.
• Knowledge of healthcare payer/provider ecosystems.
• Familiarity with CQRS, Event Sourcing, and Domain-Driven Design.
• Experience performing application Well-Architected Reviews.
• Experience with Azure Architecture Center and Microsoft Well-Architected Framework.

Key Deliverables (First 90 Days)

• Current-State Architecture Assessment.
• Performance Bottleneck Analysis Report.
• Future-State Architecture Blueprint.
• Scalability and Capacity Planning Model.
• Database Optimization Strategy.
• FHIR Integration Architecture Framework.
• Security and Compliance Assessment.
• Technology Modernization Roadmap.
• Non-Functional Requirements (NFRs) and Performance Benchmarks.
• Architecture Governance Standards and Reference Implementations.

Success Criteria

• Platform response times improved by at least 40–60%.
• Ability to scale seamlessly beyond 580 users.
• Improved system stability and reliability.
• Reduction in production performance incidents.
• Establishment of a scalable healthcare platform architecture supporting future growth and interoperability initiatives.