This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Data/Lakehouse Architect - FHIR & Clinical Data based in United States.
This is a high-impact architecture role focused on building a governed, interoperable data foundation for large-scale healthcare programs.
You will lead the architecture and engineering design of an enterprise lakehouse supporting clinical, claims, eligibility, social-care, and public-health data.
The role combines hands-on healthcare data engineering with AWS cloud architecture, FHIR-aligned modeling, and enterprise data governance.
You will transform complex, heterogeneous source data into reliable, production-grade structures that support analytics, APIs, reporting, and operational decision-making.
Working within a collaborative, multi-vendor Medicaid environment, you will partner with security, integration, FHIR, analytics, and delivery teams.
The position offers the opportunity to influence foundational data capabilities while working on technically challenging public-sector healthcare initiatives.
This is a fully remote U.S. role, with travel to Jefferson City, Missouri, as directed.
Accountabilities
- Lead the architecture and implementation of a modern enterprise lakehouse, defining raw/bronze, curated/silver, and reporting/gold layers while maintaining source fidelity, auditability, and traceability.
- Design and implement batch, near-real-time, and event-driven ingestion pipelines for clinical, claims, eligibility, social-care, and public-health data using AWS-native technologies, including AWS Glue.
- Transform heterogeneous clinical feeds into governed transactional and analytical structures using canonical and FHIR-aligned data models.
- Establish robust data-quality controls covering validation, reconciliation, deduplication, harmonization, schema evolution, and exception management.
- Implement enterprise metadata, lineage, cataloging, provenance, retention, and traceability capabilities from source systems through downstream reports and APIs.
- Coordinate lakehouse integration with FHIR platforms, API layers, master data and patient identity capabilities, analytics environments, and CMS/state reporting systems.
- Develop architecture decisions, data mappings, interface specifications, operational runbooks, and knowledge-transfer materials suitable for ongoing state operations.
- Collaborate closely with security, integration, FHIR, analytics, and delivery teams across a complex, multi-vendor Medicaid environment.
- Translate business and healthcare data requirements into scalable architecture and production-ready data solutions.
Requirements
- 8+ years of experience mapping unstandardized clinical data feeds into cloud-hosted transactional database tables.
- 8+ years of experience in data engineering or data architecture, including AWS, ingestion pipelines, canonical/FHIR data modeling, and metadata or data-lineage practices.
- Demonstrated ability to translate complex healthcare source data into governed, production-grade data models and reliable data pipelines.
- Strong hands-on knowledge of AWS data services and cloud-based data architecture, particularly AWS Glue and related ingestion, storage, orchestration, cataloging, observability, and security capabilities.
- Strong understanding of canonical and FHIR-aligned healthcare data modeling and interoperability concepts.
- Experience working with complex clinical data and heterogeneous healthcare source systems.
- Preferred experience with FHIR R4, US Core, HL7 v2, CDA/C-CDA, healthcare terminology, or healthcare implementation guides.
- Experience with lakehouse architectures, metadata management, data governance, lineage, provenance, and data-quality frameworks is highly valued.
- Healthcare industry experience involving Medicaid, MMIS/MES, state health and human services, claims and eligibility, or public-health data is preferred.
- Familiarity with master patient indexes, master data management, consent management, CMS reporting, HIPAA, or MARS-E controls is advantageous.
- Strong architectural thinking, analytical problem-solving, documentation, and cross-functional collaboration skills.
- Ability to work effectively in a multi-vendor environment and communicate complex technical concepts to both technical and business stakeholders.
- Must be able to perform all work within the United States and support onsite needs in Jefferson City, Missouri, as directed.
Benefits
- Fully remote work arrangement within the United States.
- Competitive compensation package.
- Medical, dental, and vision insurance with premium assistance.
- Additional insurance coverage, including life and disability benefits.
- Paid time off.
- 401(k) retirement savings plan.
- Health Savings Account (HSA).
- Training courses and opportunities for continuous professional development.
- Corporate wellness program.
- Exposure to innovative technology projects and opportunities to develop in-demand technical skills.
- Stable environment with a focus on long-term client relationships and employee development.
- Culture that emphasizes family, collaboration, and healthy work-life balance.
- Opportunity to contribute to healthcare and public-sector initiatives with meaningful community impact.
- Participation in initiatives supporting education and professional development in underserved communities.
How Jobgether works:
We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team.
We appreciate your interest and wish you the best!
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