Haystack
← Back to Jobs
Remote
Other

Technical Architect - Healthcare Platforms (FHIR | .Net )

FiekonUnited States🇺🇸United StatesPosted 29 Jul 2026

Quick Overview

Work Type
Remote
Level
Mid Senior

Job Description

Title: Technical Architect - Healthcare Platforms (FHIR | .Net )

Location: Remote

Duration:6+ Months

Job Summary

Roles & 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.

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
  1. Angular 10+ (preferably Angular 15+)
  2. Angular Material
  3. State management frameworks
  4. Performance optimization techniques
  5. UI scalability and accessibility
  • Backend
  1. .NET Core / ASP.NET Core
  2. REST API architecture
  3. Microservices architecture
  4. Event-driven architecture
  5. 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 BEvent 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

Skills

Microservices
SQL
SQL Server
Load Balancing
Angular
Azure
Capacity Planning
Cerner
Compliance
.NET
ASP.NET
EHR
EMR
HIPAA
Patient Care
REST
Regulatory Compliance

Similar jobs