Software Architect

Software Architect (Clinical Trials Platform) (Nashville)

Join ExecutivePlacements.com to design, develop, and lead the architecture of a modern clinical trials platform. The system will integrate directly with EMRs/EHRs, ingest and normalize clinical data from multiple sources (HL7, FHIR, CCD, APIs), standardize coded clinical information (ICD?10, SNOMED, LOINC), and support automated downstream decision?making and workflow engines.

Salary Range: $150,000 $180,000

Key Responsibilities

• System Architecture & Platform Design
  
  • Architect end?to?end systems for ingesting, normalizing, and operationalizing clinical data.
  • Create scalable, fault?tolerant service architectures using microservices, event?driven patterns, or modular domain?driven design.
  • Produce architectural diagrams, integration patterns, data models, and API standards.
  • Define platform?wide guidelines for service decomposition, state management, data contracts, and code quality.
    
• EMR Integrations & Clinical Data Ingestion
  • Architect and implement secure, compliant EMR/EHR integrations using HL7 v2, FHIR R4, CCD/C?CDA, and vendor interfaces (Epic, Cerner, AthenaHealth, Meditech, etc.).
  • Build ingestion pipelines for pathology, radiology, diagnostics, labs, medications, problems, encounters, and other clinical artifacts.
  • Normalize and standardize data using clinical coding systems (ICD?10, SNOMED CT, LOINC, RxNorm).
  • Implement clinical data validation, deduplication, reconciliation, and identity matching.
    
• Interoperability & Integration Framework
  • Design reusable interoperability frameworks for onboarding new health systems.
  • Establish secure communication channels (VPN, SFTP, APIs, FHIR Subscriptions, eventing).
  • Ensure alignment with HIPAA, SOC2, HITRUST, and enterprise privacy/security policies.
  • Define repeatable onboarding patterns for rapid integration with hospital IT teams.
    
• Application & Backend Development
  • Build core backend services using modern application frameworks (Java/Kotlin, Go, Python, etc.).
  • Develop APIs and event?driven microservices for data ingestion, normalization, storage, and downstream workflows.
  • Optimize system performance with caching, concurrency, streaming, and resilience patterns.
  • Provide hands?on engineering, code review, and mentorship to the development team.
    
• Data Architecture & Storage Design
  • Define operational schemas for patient demographics, encounters, clinical observations, diagnostic results, and provider data.
  • Partner with data engineering teams on schema design, warehouse patterns, and lineage.
  • Create separation layers between real?time ingestion, normalized stores, and analytical datasets.
  • Ensure data integrity, primary/foreign key mappings, ICD/SNOMED/LOINC code handling, and longitudinal patient histories.
    
• Quality, Security, & Compliance
  • Implement architectural patterns for encrypted PHI handling, IAM policies, access controls, and audit trails.
  • Establish automated testing strategies: contract tests, schema tests, integration tests, and workflow validation.
  • Ensure the platform meets healthcare compliance and interoperability expectations across diverse clients.
    
  
  

Required Qualifications

• Experience in Healthcare Application Architecture
  
  • 5+ years as a software architect or senior engineer designing distributed platforms.
  • Demonstrated experience with EMR/EHR integrations (HL7, FHIR, CCD, or vendor APIs).
  • Understanding of clinical data structures, patient?centric workflows, and healthcare interoperability standards.
    
• Technical Expertise
  • Proficiency in one or more backend languages: Java/Kotlin, Python, Go, etc.
  • Experience with event?driven systems (Pub/Sub, Kafka, SNS/SQS, or similar).
  • Strong understanding of cloud platforms (GCP preferred; AWS or Azure acceptable).
  • Experience with operational and NoSQL databases for structured and semi?structured healthcare data.
    
• Interoperability & Clinical Data Knowledge
  • Hands?on experience with HL7 v2 message structures and FHIR resources.
  • Understanding of coded clinical systems, including ICD?10, SNOMED CT, LOINC, and RxNorm.
    
• Architecture & Development Skills
  • Deep understanding of system design, API architecture, and microservices.
  • Ability to build scalable, high?availability systems.
  • Strong foundation in CI/CD, DevOps practices, infrastructure?as?code, and observability.
    
  
  

Bonus Skills (Preferred But Not Required)

• Experience with workflow engines.
• Familiarity with AI/ML models for clinical text processing or structured data interpretation.
• Experience with GCP analytics tools (BigQuery, Dataflow, Dataform/dbt/Sqlmesh).
• Background in pathology, radiology, or structured and unstructured clinical document processing.
• Experience building healthcare SaaS platforms.
  

Why Join Us?

• Architect a modern clinical data platform used across large healthcare systems.
• Work at the intersection of interoperability, cloud architecture, and real?world clinical data.
• Collaborate with engineering, clinical informatics, and data teams to build mission?critical healthcare technology.
• Work with modern, cloud?native tools in a fully remote environment with high autonomy and ownership.
• Fully remote opportunity with a high?impact role.
  

Seniority level

Mid?Senior level

Employment type

Full?time

Job function

Engineering and Information Technology

Industries

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