Architect à États-Unis

Job Description

Senior Technical Architect (EMR/EHR Discovery & Prototype)

Engagement: 3 months initially

Objective: Lead the overall technology-and-data discovery for a unified electronic health/medical record across payer & provider operations (Global & UK) and take a hands-on approach to the implementation of any prototypes that are needed. This role may not require engineering, but does require an individual who can engineer if needed. This role will require excellent technical and business communication skills both written and spoken.

Core Responsibilities:

- Run workshops to map current-state architecture, data flows and governance.

- Define “to-be” interim and target states: people, processes, technology, data models, and governance frameworks.

- Evaluate market solutions (OpenEHR, FHIR platforms, proprietary EMR suites) versus “build-your-own” on a standard data model.

- Produce a shortlist of high-level reference architectures, including integration patterns between multiple payer and multiple provider systems.

- Benchmark against leading global implementations (especially UK NHS, US integrated delivery networks) and extract best-practice lessons.

- Dive deep on data-model design: map entities, relationships, APIs and event streams to support a single medical/health record.

- Define integration patterns and middleware requirements (message queues, ETL, API gateways).

Must-have Experience:

- 5+ years in healthcare technology strategy, including at least one end-to-end EHR/EMR implementation.

- Deep knowledge of health-data standards: HL7 v2/v3, FHIR R4+, OpenEHR archetypes & templates.

- Hands-on with at least two commercial or open-source EMR/EHR/FHIR products (e.g. Epic/Cerner, Google Cloud Healthcare API, InterSystems, OpenEHR Reference Implementation).

- Prior exposure to both payer systems (claims, underwriting) and provider systems (clinical, scheduling, billing).

- Strong grasp of data governance, security (GDPR, HIPAA), master-patient-index, resolution.

- Excellent stakeholder facilitation skills: able to interview clinicians, data stewards, IT and compliance teams.

- Strong backend skills: in Domain Driven Design implementing RESTful APIs & microservices, events and data models

Nice-to-Have:

- Previous digital transformation in regulated environments (NHS trusts, US ACOs, large insurers).

- Knowledge of global health systems (NHS Spine, US HIE networks, Canada’s digital health platforms).

- Experience evaluating “build vs. buy” business cases for core clinical systems.

- Cloud platform experience—especially Google Cloud Platform (Cloud Run, Healthcare API).

- Hands-on with data integration tools (Kafka, Mulesoft, Apache NiFi) and event-driven design patterns.