Clinical Application Architect Jobs (NOW HIRING)

Role: Technical Architect
Location: Remote
Let’s create our future together at The AES Group!

About The AES Group:
The AES Group is a premier technology and engineering consulting company that has been bringing businesses and talent together for over 20 years to deliver innovative solutions that have the greatest positive impact on society. AES has helped over 40 business enterprises, including Fortune 500 companies, engage their customers, empower their employees, and transform their business operations with the power of cloud, data, AI, engineering, and other emerging technologies.

Roles & 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
• Integration 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

1. Angular 10+ (preferably Angular 15+)
2. Angular Material
3. State management frameworks
4. Performance optimization techniques
5. UI scalability and accessibility

• Backend

1. .NET Core / ASP.NET Core
2. REST API architecture
3. Microservices architecture
4. Event-driven architecture
5. 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.