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

> ProArch · Atlanta, United States (Remote) · Contract · Posted 2026-07-29

**Salary:** USD 220,000–240,000

**Workplace:** remote

**Department:** Sushma Delivery

## Description

**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.

## Apply

[Apply at ProArch](https://apply.workable.com/proarch-3/j/B55BC6759B/apply)

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