Senior Solution Architect

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

Job summary

HCA Healthcare, Inc. is seeking a Senior Solution Architect to lead end-to-end architecture for enterprise healthcare payer integrations and interoperability products.

The role focuses on HL7 FHIR, EDI/X12, REST APIs, and other interoperability standards, ensuring scalable cloud-native and hybrid-cloud solutions. You will guide technical design, oversee implementation, and establish patterns for secure data exchange across payers, providers, EHRs, and vendors while aligning with HIPAA and

Qualifications

• Deep understanding of healthcare IT landscape and interoperability standards.
• Ability to articulate complex architectural decisions to stakeholders.
• Experience with modern integration patterns and cloud architectures.

Responsibilities

• Lead end-to-end solution architecture for enterprise healthcare payer integration and interoperability products.
• Architect scalable solutions supporting HL7 FHIR, EDI/X12, REST APIs and other standards.
• Provide technical leadership across product lifecycle from design to deployment and modernization.
• Design reusable healthcare integration platforms enabling secure data exchange between payers, providers, and EHRs.
• Provide expertise for HL7 FHIR-based solutions including APIs, resources, and implementation guides.
• Collaborate with Product Managers to translate roadmaps into architecture and implementation plans.

Skills

Domain Knowledge

Communication

Automation Landscape

Service Management

Statistics and Data Science

Leadership

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.

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