Technical Architect - Healthcare Platforms (FHIR | Angular | .NET | SQL Server)

About this role

Key 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.

Identify bottlenecks across:
Angular UI
.NET APIs
SQL Server database
iIntegration services
Infrastructure components

Define performance tuning strategies for:
API response times
Database queries
Search operations
Reporting workloads
Concurrent user handling
Create performance benchmarks, capacity planning models, and growth forecasts.

Platform Modernization
Define modernization roadmaps for legacy components.
Recommend cloud-native and microservices adoption where appropriate.
Drive implementation of event-driven and loosely coupled architectures.
Introduce observability, monitoring, logging, and telemetry frameworks.

Technical Leadership
Work closely with Product Owners, Delivery Leaders, Engineers, and Business Stakeholders.
Mentor development teams on architecture best practices and coding standards.
Conduct architecture governance reviews.
Drive security, reliability, and quality initiatives throughout the SDLC.
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

Angular 10+ (preferably Angular 15+)

Angular Material

State management frameworks

Performance optimization techniques

UI scalability and accessibility

Backend

.NET Core / ASP.NET Core

REST API architecture

Microservices architecture

Event-driven architecture

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 Bus/Event 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

Preferred Qualifications
Experience with population health management platforms.
Experience building clinical workflow applications.
Knowledge of healthcare payer/provider ecosystems.
Familiarity with CQRS, Event Sourcing, and Domain-Driven Design.
Experience performing application Well-Architected Reviews.
Experience with Azure Architecture Center and Microsoft Well-Architected Framework.

Key Deliverables (First 90 Days)
Current-State Architecture Assessment.
Performance Bottleneck Analysis Report.
Future-State Architecture Blueprint.
Scalability and Capacity Planning Model.
Database Optimization Strategy.
FHIR Integration Architecture Framework.
Security and Compliance Assessment.
Technology Modernization Roadmap.
Non-Functional Requirements (NFRs) and Performance Benchmarks.
Architecture Governance Standards and Reference Implementations.

Success Criteria
Platform response times improved by at least 40–60%.
Ability to scale seamlessly beyond 580 users.
Improved system stability and reliability.
Reduction in production performance incidents.
Establishment of a scalable healthcare platform architecture supporting future growth and interoperability initiatives.