Senior Solution Architect

HCA Healthcare; Nashville (TN); On-site; USD 140,000 - 190,000; Full time

Job summary

HCA Healthcare ITG is seeking a Senior Solution Architect to lead the architecture and strategy for enterprise healthcare payer integration and interoperability products. You will guide design, development, and deployment across HL7 FHIR, HL7 v2, EDI/X12, REST APIs, and cloud-native platforms.

You will collaborate with business units to translate use cases into scalable architecture, mentor engineers, and help modernize legacy integrations toward API-first, cloud-native solutions.

Qualifications

• Bachelor's degree in Information Systems or related field.
• Seven or more years of Systems Engineering, Automation, or Development experience.
• Experience with HL7, FHIR, EDI/X12, REST APIs and healthcare interoperability standards.

Responsibilities

• Lead the end-to-end solution architecture, technical design, and implementation strategy for enterprise healthcare payer integration and interoperability products.
• Architect scalable solutions supporting FHIR, HL7, EDI/X12, REST APIs and other healthcare interoperability standards.
• Provide technical leadership throughout the product lifecycle from architecture to deployment and modernization.
• Design reusable healthcare integration platforms enabling secure data exchange across payers, providers, EHRs, and partners.
• Architect HL7 FHIR-based solutions including APIs, resources, profiles, and implementation guides.

Skills

Automation Strategy

Portfolio Management

Process Engineering

Code Review

Repository Management

Organizational Knowledge

Automation Engineering

Automation Validation

Domain Knowledge

Communication

Leadership

HIPAA & Security

Education

Bachelor's degree in Information Systems

Master's degree Preferred

Job description

Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a Senior Solution Architect with HCA Healthcare you can be a part of an organization that is devoted to giving back!

Job Summary and Qualifications

What makes ITG unique as a technology company is that our solutions ultimately impact the care of patients. Although our skills are needed in a number of industries, we in ITG apply them specifically to the noble cause of healthcare. We are "Healthcare Inspired." It is this guiding vision that pervades and positively influences every level of our organization. It shapes our mission, defines our values, and brings our leaders and employees together in a shared enthusiasm for their work, setting ITG apart as a uniquely purpose-driven company in the IT industry. As a part of that, we exist to Raise the bar, Unlock possibilities, and Care like family.

HCA ITG Senior Solution Architects are innovative individuals who drive changes for people, policies and processes. The Senior Solution Architect utilizes technical and business expertise and leadership skills to direct staff and resolve issues to ensure automation program requirements are met. Senior Solution Architects assume responsibility for driving HCA’s technical automation program through broad policy decision based on strategic business or IT objectives. Senior Automation Architects provide technical direction for automation development teams through consulting, solution design and review. Senior Solution Architects provide direction for HCA’s technical automation strategy by being able to connect use cases with the appropriate technology or tool. Individuals also serve as leaders in the development community, providing tools and best practices for automation developers to be successful. Senor Solution Architects work with business units to help them define and execute on automation strategies, and layout the architecture of how those programs should function. Senior Solution Architects have ownership of the technical automation program as assigned. As a recognized leader, Senior Solution Architects will be sought after to coach and mentor colleagues.

CORE COMPETENCIES

• Automation Strategy

• Portfolio Management

• Process Engineering

• Compliance and Code Review

• Repository Management

• Organizational Knowledge

• Automation Engineering

• Automation Validation

VALUABLE SKILLS

• Domain Knowledge

• Communication, Diplomacy and Advocacy

• Automation Landscape

SPECIALIST/EMERGING SKILLS

• Service Management

• Statistics and Data Science

• Leadership

Major Responsibilities

• Lead the end-to-end solution architecture, technical design, and implementation strategy for enterprise healthcare payer integration and interoperability products.

• Architect scalable solutions supporting FHIR, clinical data exchange, HL7, EDI/X12, REST APIs, and other healthcare interoperability standards.

• Provide technical leadership throughout the complete product lifecycle, from architecture and product design through development, implementation, deployment, production readiness, and ongoing modernization.

• Design reusable healthcare integration platforms and services that enable secure data exchange across payers, providers, EHRs, clinical systems, vendors, government entities, and other healthcare ecosystem partners.

• Provide deep architectural expertise for HL7 FHIR-based solutions, including FHIR APIs, resources, profiles, implementation guides, terminology, validation, and interoperability patterns.

• Architect solutions supporting healthcare clinical data exchange, including ingestion, transformation, normalization, validation, storage, routing, and distribution of clinical information.

• Design and guide implementation of healthcare EDI/X12 integrations, including transactions such as 270/271, 276/277, 278, 834, 835, and 837, as applicable to payer business processes.

• Architect solutions supporting HL7 v2 and other legacy healthcare integration standards, including strategies for interoperability between legacy platforms and modern FHIR/API-based ecosystems.

• Design cloud-native and hybrid-cloud architectures using GCP and Azure, selecting appropriate cloud services based on scalability, availability, performance, security, operational supportability, and cost.

• Provide expertise across cloud architecture capabilities including API management, containers/Kubernetes, serverless computing, messaging, event streaming, data platforms, storage, networking, identity and access management, monitoring, and observability.

• Define and implement modern integration patterns using APIs, microservices, event-driven architecture, asynchronous messaging, streaming, batch processing, and enterprise integration patterns.

• Establish architectural standards and reusable patterns for healthcare APIs, interoperability services, partner integrations, data transformation, error handling, auditing, monitoring, and resiliency.

• Design solutions capable of supporting high-volume healthcare transactions and clinical data exchange, with appropriate considerations for performance, scalability, concurrency, latency, fault tolerance, and disaster recovery.

• Partner with Product Managers to translate product roadmaps, business requirements, regulatory requirements, and healthcare use cases into technical architecture and implementation plans.

• Collaborate closely with engineering teams during implementation, providing technical direction, design guidance, troubleshooting support, and architecture oversight to ensure solutions align with approved designs.

• Conduct architecture and detailed design reviews, identify technical risks and dependencies, and recommend appropriate mitigation strategies.

• Develop and maintain architecture artifacts including solution architecture diagrams, sequence diagrams, integration flows, API designs, data-flow diagrams, deployment architectures, technical specifications, and Architecture Decision Records (ADRs).

• Ensure architectures comply with applicable HIPAA, privacy, cybersecurity, data protection, and enterprise security requirements, including encryption, identity, authorization, auditability, and protection of PHI.

• Incorporate security by design, privacy by design, zero-trust principles, least-privilege access, and secure API architecture into healthcare solutions.

• Work with DevOps and engineering teams to establish appropriate CI/CD, Infrastructure as Code, automated testing, deployment, monitoring, observability, and operational readiness patterns.

• Drive modernization of legacy healthcare integration solutions toward cloud-native, API-first, FHIR-based, event-driven, and reusable platform architectures.

• Evaluate technology products, cloud services, healthcare interoperability platforms, and third-party solutions and provide recommendations based on technical capability, strategic fit, interoperability, security, scalability, and total cost of ownership.

• Lead technical proofs of concept (POCs), prototypes, architecture evaluations, and technology assessments for new healthcare integration capabilities.

• Serve as a technical design authority for major healthcare interoperability initiatives and ensure consistency with enterprise architecture principles and technology strategy.

• Provide technical leadership and mentorship to engineers, technical leads, developers, and other architects, helping establish architecture and engineering best practices across teams.

• Communicate complex architecture decisions, trade-offs, risks, dependencies, and recommendations effectively to engineering teams, Product Management, business stakeholders, and senior leadership.

• Stay current with developments in FHIR, HL7, EDI/X12, CMS interoperability requirements, healthcare APIs, cloud technologies, security, and healthcare interoperability standards, and incorporate relevant advancements into the technology roadmap.

What qualifications you will need:

• Bachelor's degree Information Systems Preferred

• Master's degree Preferred

• Seven or more years of experience in a Systems Engineering, Automation, or Development Required

Licenses, Certifications, & Training:

• Google Cloud Provider Preferred

• Agile or Scrum Management Preferred

• FHIR Required

Knowledge, Skills, Abilities, Behaviors:

• Understanding of HCAs IT organization and its business functionsRequired

• Ability to determine best practices and articulate authoritative directionRequired

• Ability to review automation code and ensure it conforms to standardsRequired

• Knowledge of system architectureRequired Knowledge of CI