About the Role
We're building an independent FHIR R4 interoperability layer that lets our CRM's clinical workflows starting with provider launch directly from inside the EHR, beginning with Oracle Health (Cerner) PowerChart. We need someone who can do both halves of this job well: design and personally validate the technical architecture, and lead the engineers full-stack, AI, and QA who build it. This is not a design-and-handoff role. You'll be in the SMART on FHIR launch flow when it breaks, in the code review when a mapping rule is wrong, and in the room when the team needs a call made.

What You'll Own
Architecture & Solution Design
- Own the end-to-end architecture of the FHIR layer — SMART on FHIR launch and OAuth2, the canonical data model, the EMR adapter framework, tenant isolation, and event-driven orchestration — and keep it extensible to future EMRs (Epic, athenahealth) and formats (HL7v2, X12) beyond the Cerner pilot.
- Make build-vs-buy and vendor decisions (self-hosted HAPI FHIR vs. a managed FHIR store; Keycloak vs. a commercial identity provider; build vs.



adopt an interface engine) and can defend the reasoning to both engineers and non-technical stakeholders.
- Design the architecture against HIPAA-grade security and auditability requirements from day one — encryption, least-privilege access, audit trails — not as a pre-launch retrofit.
- Validate the architecture against real constraints: Oracle Health/Cerner's actual FHIR R4 conformance, US Core and Da Vinci PAS implementation guides, and the operational realities of a live, EHR-embedded launch — not just a reference diagram.

Technical Leadership & Delivery
- Lead a cross-functional engineering pod — full-stack engineers, AI/ML engineers, and QA engineers — setting technical direction, running code and design reviews, and removing blockers day to day.
- Translate the solution architecture into a sequenced, phased delivery plan (proof of concept → pilot → multi-client scale) and hold the team acc

📌 FHIR Integration Architect (India)
🏢 Value Health
📍 India