Healthcare Tech Architect & Principal Engineer (AI)

LE1000 Veradigm LLC; Raleigh (NC); Hybrid; USD 150,000 - 190,000; Full time

Job summary

Veradigm is seeking a hands-on technical leader to guide healthcare revenue cycle solutions. You will steer multi-team initiatives, define architectures across databases, .NET services and APIs, Angular apps, AWS infrastructure, and deployment platforms, while staying close to code, data, UX, and production operations.

This hybrid Raleigh role requires 10+ years delivering and operating production software, and the ability to mentor engineers without direct authority.

Qualifications

• Required Bachelor's degree or equivalent work experience.
• 10+ years of professional experience delivering and operating production software.
• A record of leading complex technical initiatives across multiple engineering or product teams.
• Demonstrated ability to deliver full stack solutions across relational data, backend services and APIs, Angular frontend applications, cloud infrastructure, and production operations.
• Strong hands-on experience with distributed systems, RESTful APIs, and asynchronous messaging.
• Strong experience with relational data design, automated testing, CI/CD, observability, security, and operational resilience.
• Experience designing, deploying, and operating cloud applications and infrastructure, preferably on AWS.
• Excellent communication, technical judgment, and ability to create alignment without direct reporting authority.
• Preferred Healthcare, revenue cycle management, EHR, or practice management experience.
• HL7, FHIR, EDI, HIPAA, secure handling of regulated data, or other healthcare interoperability experience.
• SQL Server, PostgreSQL, Redis, Snowflake, Docker, Kubernetes, Terraform, or CloudFormation.
• Experience defining platform standards, reference architectures, or shared engineering capabilities.
• Leadership of modernization, migration, integration, or re-platforming efforts.
• CloudWatch, Datadog, Splunk, or similar observability tools.
• Experience evaluating and using AI-assisted development tools such as GitHub Copilot, Claude Code, or Cursor with strong review, testing, and data-protection practices.
• Technology environment AWS, Azure, MSSQL, PostgreSQL, C#, .NET, TypeScript, Angular, OpenSearch, Snowflake, Docker, Terraform, GitHub Actions, Azure DevOps, Splunk, and GitHub.
• Experience with every technology is not required; strong fundamentals and the ability to learn are important.

Responsibilities

• Lead complex, multi-team initiatives from discovery through delivery and production operation.
• Define architectures and roadmaps across databases, .NET services and APIs, Angular applications, integrations, AWS infrastructure, and deployment platforms.
• Stay hands-on by prototyping, designing, coding, debugging, reviewing, and implementing critical or high-risk work.
• Create alignment across teams by making technical decisions, tradeoffs, risks, dependencies, and evolution paths clear.
• Establish shared patterns and standards that help teams deliver consistently without becoming a bottleneck.
• Identify and address systemic risks in security, scalability, resilience, performance, data, cost, and developer experience.
• Lead modernization of large or long-lived systems while protecting customer value and operational stability.
• Set quality standards through design reviews, testing strategy, observability, incident learning, and operational readiness.
• Mentor engineers and technical leaders and influence engineering practices without relying on direct authority.
• Evaluate emerging technologies and AI-assisted development practices, establish useful patterns, and share guidance across teams.
• Help teams learn from delivery and production feedback through documentation, technical discussions, demos, and communities of practice.

Skills

Leadership

Distributed systems

RESTful APIs

Asynchronous messaging

CI/CD

Observability

Security

AI-assisted development

AWS

OpenSearch

Snowflake

Terraform

GitHub Actions

Education

Bachelor's degree or equivalent

Tools

SQL Server

PostgreSQL

Redis

Snowflake

Docker

Kubernetes

Terraform

CloudFormation

Job description

Veradigm is seeking a hands-on technical leader to guide healthcare revenue cycle solutions. You will steer multi-team initiatives, define architectures across databases, .NET services and APIs, Angular apps, AWS infrastructure, and deployment platforms, while staying close to code, data, UX, and production operations.

This hybrid Raleigh role requires 10+ years delivering and operating production software, and the ability to mentor engineers without direct authority.