Altarum

Altarum is seeking a Senior Solution Architect to design and deliver next-generation health information exchange (HIE), disease-surveillance, and registry solutions—while weaving advanced AI/ML capabilities into every layer.

You’ll steer local, state, federal, and commercial clients through the interoperability landscape (TEFCA, HL7, FHIR), architect cloud-native, API-driven platforms, and help win and implement complex data/SaaS contracts.

Responsibilities

• Architect end-to-end HIE, registry, and surveillance workflows—including ELR, eCR, syndromic surveillance, cancer registries, immunization registries, and vital records—aligned with TEFCA, CDC/NNDSS/NCHS, and QHIN specifications.
• Integrate AI/ML components (e.g., NLP for unstructured data extraction, predictive analytics, generative-AI assistants) into clinical‐ and public-health data pipelines, ensuring model governance and bias mitigation.
• Define integration patterns using HL7 FHIR resources, RESTful APIs, and legacy HL7 v2 interfaces while preserving backward compatibility with provider EHRs and public -health systems.
• Analyze the interoperability competitive landscape—benchmark vendors, surface customer pain points, and craft differentiating roadmaps.
• Lead technical discovery & pre-sales workshops; partner with capture teams to position complex data/SaaS offerings for local, state and federal procurements.
• Design and enforce API security (OAuth 2.0/OIDC, Mutual TLS, SMART scopes), privacy segmentation, and HIPAA/HITRUST safeguards.
• Mentor engineering & DevOps teams on micro-services, CI/CD, IaC, automated FHIR testing, and MLOps.
• Communicate architectures to senior executives at national and state levels—translating deep technical concepts into clear business value.
• Author technical proposals and develop accurate levels of effort and pricing to guide seamless transition from award to delivery and ensure profitable execution.

Required Qualifications

• 8+ years designing and engineering large-scale health-IT systems, including hands on engineering expertise; 3+ years in a lead/architect role.
• Expertise in HL7 FHIR (profiling, IG creation, bulk data) and HL7 v2 messaging workflows.
• Deep understanding of the interoperability market—vendors, regulations, and customer challenges.
• Experience with disease-surveillance platforms (e.g., ELR, eCR, BioSense, ESSENCE), and state/federal registries (cancer, immunization, newborn screening).
• Track record integrating AI/ML solutions—such as predictive risk models, NLP pipelines, or generative-AI copilots—into production health-IT environments.
• Pre-sales or sales-engineering background supporting complex data/SaaS offerings and driving successful implementations.
• Familiarity with state and federal contracting lifecycles (RFPs, IDIQs/GWACs, proposal compliance).
• Exceptional executive-level communication skills—able to distill technical concepts for CIOs, CMOs, and policy leaders.
• Cloud architecture expertise on AWS, Azure, or GCP (Kubernetes, serverless).
• Security & compliance: OAuth 2.0, SMART scopes, Mutual TLS, HIPAA, NIST 800-53, HITRUST CSF.
• Bachelor’s in CS, Information Systems, Biomedical/Public Health Informatics, or equivalent.

Preferred Qualifications

• TOGAF, AWS Solutions Architect Professional, or comparable certification.
• Experience integrating payer systems (CMS APIs, DaVinci IGs) or applying advanced analytics to public-health surveillance.
• Exposure to USCDI+, SDOH data models, and patient-mediated exchange.
• Master’s degree in Health or Public-Health Informatics.

Soft Skills & Leadership

• Strategic thinker with a sales-savvy mindset—balancing client value, delivery feasibility, and competitive positioning.
• Trusted partner to cross-functional teams: product, compliance, capture, data-science, and engineering.
• Comfortable leading distributed agile teams and mentoring junior engineers.
• Bias for action, continuous-learning mindset, and commitment to health-equity goals.

Logistical Requirements

• At this time we will only accept candidates who are presently eligible to work in the United States and will not require sponsorship.
• Our organization requires that all work, for the duration of your employment, must be completed in the continental U.S. unless required by contract.
• If you are local to our offices in Arlington, Silver Spring or Novi this role will be hybrid (in office on Wednesdays - collaboration days).
• Must be able to work during eastern time unless approved by your manager.
• Employees working remotely must have a dedicated, ergonomically appropriate workspace free from distractions with a mobile device that allows for productive and efficient conduct of business.

Altarum is a nonprofit organization focused on improving the health of individuals with fewer financial resources and populations disenfranchised by the health care system. We work primarily on behalf of federal and state governments to design and implement solutions that achieve measurable results. We combine our expertise in public health and health care delivery with technology development and implementation, practice transformation, training and technical assistance, quality improvement, data analytics, and applied research and evaluation. Our innovative solutions and proven processes lead to better value and health for all.

Altarum is an equal opportunity employer that provides employment and opportunities to all qualified employees and applicants without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, or any other characteristic protected by applicable law.