Full-Time or 0.5+ FTE

Clinical Integration Lead (Health Records & Workflow), Post-Award Role

Location: Remote / US-based (US Citizen or Permanent Resident)

Type: Full-Time or 0.5+ full-time equivalent (FTE) (Post-Award, starting ~Q3 2026)

Compensation (conditional on award) :

• $200,000–250,000/year (FTE) or $150–200/hr (consultant)

The Opportunity

Regain Health is applying for the ARPA-H ADVOCATE Program , a $50M+ federal initiative to create the first FDA-authorized autonomous AI for cardiovascular care.

We're not proposing to build. We're demonstrating working software:

| System | What It Does | Status ||--------|-------------|--------|| Deutsch (cardiovascular agent; Technical Area 1, or TA1) | Autonomous cardiovascular care via three-agent clinical reasoning, protocol-bound guideline-directed medical therapy (GDMT) optimization | 100% core complete, 4,000+ patients in production || Popper (supervisory agent; Technical Area 2, or TA2) | Deterministic safety supervision: 7-gate pipeline gating every clinical output in 47ms | 100% core deployed || Hermes Protocol | Open-source TA1TA2 communication standard (Apache 2.0) | Released Feb 5, 2026 |

The Integration Challenge: Deutsch is production-ready but deployed outside the US hospital electronic health record (EHR) ecosystem. You'll build the FHIR/HL7 bridge that connects our cardiovascular agent to two Epic-based clinical sites for the first US validation of autonomous clinical AI.

Your Role

As our Clinical Integration Lead (0.5–1.0 FTE post-award), you will own the data pipeline between Deutsch and partner health system EHRs across a two-site, 39-month clinical program .

Phase 1A (12 months): Foundation

• Architect the FHIR pipeline connecting Deutsch to Epic at UI Health (Chicago) and UCHealth/CU Anschutz (Colorado)
• Configure Epic sandbox environments : UI Health budget includes $130K for Epic sandbox, FHIR/HL7 configuration, and IT support
• Define clinical workflows : map how the AI interacts with human staff (e.g., when the AI detects decompensation, does it page the on-call resident or flag the chart?)
• Support pilot enrollment : 50 patients at UI Health, 25+ at UCHealth
• Solve \"last mile\" problems : HL7 v2 legacy feeds, admission, discharge and transfer (ADT) messages, proprietary EHR APIs

Phase 1B (12 months): Scale

• Multi-site coordination across 3 clinical sites
• Expand enrollment : 500 patients at UI Health, 150+ at UCHealth
• Production hardening : low-latency data pipelines (<100ms processing for real-time safety supervision)
• Work directly with partner health system IT teams for expanded integration

Phase 2 (15 months): Scalability

• I-I-CAPTAIN network deployment : UCHealth's 5-system hospital network for scalability studies
• Support FDA submission data requirements (ensure data capture meets De Novo evidence standards)
• Post-market integration patterns : design for sustainable operation beyond the study

Clinical Sites

| Site | Location | Patient Population | EHR | Your Integration Scope ||------|----------|-------------------|-----|----------------------|| UI Health | Chicago, IL | Safety-net, 70% minority | Epic | Primary site: sandbox, FHIR/HL7, pilot || UCHealth/CU Anschutz | Aurora, CO | Rural + Medicaid | Epic | Second site: I-I-CAPTAIN network scaling |

Requirements

Must-Have

• 5+ years healthcare integration experience
• Epic integration experience (App Orchard, SMART on FHIR launch)
• FHIR R4 expertise

Strongly Preferred

• HL7 v2 experience (ADT, ORM, ORU messages)
• Understanding of clinical workflows: computerized provider order entry (CPOE), medication administration record (MAR), discharge planning
• Familiarity with Trusted Exchange Framework and Common Agreement (TEFCA) / national health information exchange (HIE) networks

Nice-to-Have

• HIPAA security or compliance background
• Wearable/remote monitoring data integration: continuous glucose monitors, ECG and blood pressure devices
• Experience with low-latency data pipelines (<100ms processing)
• Prior ARPA-H, NIH, or federal health grant experience

Why This Role Matters

| Benefit | Details ||---------|---------|| Historic Impact | Build the first EHR integration for autonomous clinical AI. Not decision support: actual autonomous care || Production Software | Connect a working system (4,000+ patients) to US hospitals, not a research prototype || Two-Site Validation | Solve integration for both safety-net (UI Health) and rural (UCHealth) populations || Compensation | $200–250K/year (FTE) or $150–200/hr (consultant) on a $15M+ federal award || Growth Path | Scale from 2 sites to the I-I-CAPTAIN 5-hospital network in Phase 2 |