Integrations Architect / Tech Lead

Role Description

Integration Platform Architecture

• Own the technical architecture of WellBeam’s interoperability platform.
• Define architectural standards and best practices for healthcare interoperability.
• Design scalable integration patterns across:
  • HL7v2
  • FHIR APIs
  • SMART on FHIR
  • REST APIs
  • XML
  • Flat-file exchanges
  • Event-driven integrations
  • Etc. (Any other standards)
• Define standards for:
  • API versioning
  • Security
  • Identity management
  • Patient matching
  • Error handling
  • Observability
  • Reliability
• Conduct architecture reviews for major engineering initiatives and customer implementations.
• Identify opportunities to convert customer-specific solutions into reusable platform capabilities.

Customer Solution Architecture

• Lead technical discovery workshops with health systems and post-acute providers.
• Serve as WellBeam’s principal technical advisor during customer engagements.
• Design scalable integration architectures that balance customer requirements with long-term platform strategy.
• Produce technical solution designs, architecture diagrams, implementation strategies, and technical recommendations.
• Partner with Delivery during pre-sales, implementation planning, and complex customer engagements.
• Review Statements of Work from a technical architecture perspective.
• Identify implementation risks and recommend mitigation strategies.

Cross-Functional Technical Leadership

• Serve as the healthcare interoperability Subject Matter Expert (SME) across the organization.
• Support multiple Product Managers with technical feasibility assessments and architectural guidance.
• Partner with Engineering teams to solve complex interoperability challenges.
• Mentor engineers on healthcare integration best practices and architectural patterns.
• Lead technical design reviews across squads.
• Influence engineering direction without direct management responsibility.

Healthcare Interoperability Strategy

• Drive WellBeam’s technical interoperability strategy.
• Stay current with industry standards including:
  • TEFCA
  • QHINs
  • FHIR
  • SMART on FHIR
  • PACIO
  • Direct Secure Messaging
  • Bulk FHIR
  • CDS Hooks
• Evaluate emerging technologies and recommend strategic investments.
• Build relationships with interoperability partners, EMR vendors, and industry organizations.

Delivery & Implementation Partnership

• Support Delivery and Customer Success with technically complex customer requests.
• Evaluate implementation feasibility and long-term architectural implications.
• Recommend when customer requests should be addressed through:
  • Configuration
  • Existing platform capabilities
  • New reusable platform features
  • Customer-specific implementation
• Partner with Engineering to resolve complex implementation and production issues.
• Participate in critical customer escalations requiring deep technical expertise.

Platform Engineering & Continuous Improvement

• Drive standardization across customer implementations.
• Reduce implementation effort through reusable frameworks, tooling, automation, and platform enhancements.
• Identify recurring implementation challenges and convert them into engineering improvements.
• Improve observability, diagnostics, and operational support for integration workflows.
• Champion “build once, deploy many” engineering principles.

Documentation & Technical Standards

• Own and maintain technical documentation including:
  • Reference architectures
  • Architecture Decision Records (ADRs)
  • Integration standards
  • API design guidelines
  • Implementation patterns
  • Customer integration guides
  • Internal engineering documentation
  • Best practice playbooks

What Success Looks Like

• Within your first 12 months you will have:
  • Established a clear architectural vision for WellBeam’s interoperability platform.
  • Reduced custom implementation effort through reusable integration capabilities.
  • Standardized integration patterns across engineering squads.
  • Improved implementation predictability through architecture and technical governance.
  • Built trusted relationships with Product, Engineering, Delivery, and customer technical teams.
  • Increased reuse of platform capabilities across customer implementations.
  • Reduced production integration issues through improved architecture and engineering standards.
  • Positioned WellBeam to rapidly onboard new health systems and post-acute partners with minimal custom engineering.

Qualifications

• 8+ years of software engineering, solutions architecture, or healthcare interoperability experience.
• 5+ years designing and delivering enterprise healthcare integrations.
• Deep expertise with:
  • HL7v2
  • FHIR APIs
  • SMART on FHIR
  • REST APIs
  • XML
  • Flat-file integrations
• Experience integrating with enterprise EMRs such as:
  • Epic
  • Oracle Health (Cerner)
  • Athenahealth
  • Homecare Homebase
  • or similar healthcare platforms.
• Strong understanding of healthcare data mapping, transformation, validation, patient identity matching, and interoperability workflows.
• Experience designing scalable distributed systems and API architectures.
• Strong understanding of cloud-native application architecture (AWS preferred).
• Demonstrated ability to lead technical initiatives without direct management authority.
• Excellent communication skills with the ability to explain complex technical concepts to both technical and non-technical audiences.
• Comfortable operating in fast-paced startup or high-growth environments.

Preferred

• Experience building interoperability platforms rather than only customer-specific integrations.
• Experience with event-driven architectures and asynchronous messaging systems.
• Familiarity with Mirth Connect (NextGen Connect), Rhapsody, Cloverleaf, or similar integration engines.
• Experience with OAuth2, OpenID Connect, and healthcare identity management.
• Knowledge of:
  • TEFCA
  • QHINs
  • PACIO
  • Direct Secure Messaging
  • Bulk FHIR
  • CDS Hooks
• Experience working with health systems, home health, hospice, or care coordination organizations.
• Hands-on software development experience with modern programming languages.
• Experience reviewing architecture and mentoring senior engineers.

Benefits

• Competitive salary and equity participation
• Remote work with flexible working hours
• Monthly team dinners (if local to the SF Bay Area) and regular company-wide offsites
• Generous holidays and Paid Time Off
• Health, vision, and dental insurance options
• 401(k)
• Compensation Range: $120,000 - $170,000

Interested?

Email View email address on us.fitly.work with the role title in the subject line. Please include a brief introduction and your resume.