Lead Healthcare Interoperability Engineer

Stack

Responsibilities

• ▹Design and implement scalable, secure data architectures on Azure
• ▹Build and maintain data pipelines using Azure Data Factory and Azure Synapse
• ▹Contribute to database designs across multiple platforms (Azure SQL Database, SQL Managed Instance, PostgreSQL, CosmosDB)
• ▹Optimize data storage strategies across Azure Blob Storage, Data Lake, and structured databases
• ▹Design data models and structures for efficient analytics and reporting
• ▹Design, develop, and maintain complex stored procedures, functions, triggers, and views
• ▹Implement database DevOps processes including schema versioning, deployment automation, and rollback
• ▹Perform database performance tuning, indexing strategies, and query optimization
• ▹Ensure data integrity, security, and compliance with HIPAA/HITRUST requirements
• ▹Manage database lifecycle across development, pre-production, and production using RedGate Flyway
• ▹Design and implement ETL/ELT processes to integrate data from multiple sources
• ▹Build event-driven data processing solutions using Azure Service Bus, Event Grid
• ▹Integrate with external REST APIs and develop internal data APIs using Python (FastAPI/Flask) on Azure Container Apps or Functions
• ▹Integrate with Azure AI services and machine learning endpoints
• ▹Review designs of Power BI solutions including semantic models, reports, and dashboards
• ▹Provide technical guidance and mentorship to junior developers and engineers
• ▹Create and maintain comprehensive technical documentation

Requirements

• ▹Deep expertise in the Microsoft data stack
• ▹Strong architectural thinking
• ▹Experience with healthcare data compliance requirements (HIPAA/HITRUST)
• ▹Experience with FHIR, C-CDA, HL7 healthcare data exchange standards

Soft skills