Lead cloud architecture design for healthcare migrations, modernize clinical and third-party applications, and ensure compliance with HITECH, HIPAA, and HITRUST standards.
Key Highlights
Key Responsibilities
Technical Skills Required
Benefits & Perks
Nice to Have
Job Description
100% Remote, Contract
Overview
Our healthcare client is seeking a highly experienced Cloud Application Architect with deep healthcare expertise to lead the modernization and migration of core clinical and third-party applications onto Azure and AWS platforms. This role is responsible for designing, validating, and guiding cloud architectures that improve reliability, security, scalability, and cost efficiency for hospital and health-system environments.
The ideal candidate has hands-on experience with Epic, Cerner, and major ancillary healthcare systems, understands the complexities of EMR/EHR ecosystems, and has delivered multiple cloud migration or data-center modernization initiatives.
Key Responsibilities
Cloud Architecture & Design
- Lead the end-to-end application architecture for healthcare cloud migrations across Azure and AWS.
- Architect secure, highly available, compliant solutions for Epic, Cerner, and critical third-party systems (lab, radiology, cardiology, ERP, PACS, HIM, integration engines, etc.).
- Define cloud landing zones, network topology, IAM, encryption, tagging, FinOps structure, and disaster recovery patterns aligned to HITECH, HIPAA, HITRUST, and cloud provider best practices.
- Partner with infrastructure, security, clinical application owners, and data teams to design future-state integrations across cloud, on-prem, and hybrid workloads.
- Lead application assessments, migration strategies, and readiness analysis for hospital portfolios.
- Identify modernization patterns (rehost, replatform, refactor, retire, replace) for both clinical and non-clinical apps.
- Develop data-migration, integration, and high-availability strategies for EMR and ancillary systems.
- Collaborate with clinical informatics teams to ensure workflow continuity, minimal downtime, and robust cutover plans.
- Serve as a senior technical lead during migration waves, working with engineering, application teams, and system integrators.
- Guide the buildout of cloud environments, including compute, storage, networking, security controls, databases, containers, and serverless.
- Provide technical oversight for pilot migrations, proofs of concept, and rapid prototyping.
- Ensure all migration activities follow compliance and regulatory standards, with validated testing and rollback plans.
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- Act as a liaison between cloud engineering, clinical applications, business partners, and external vendors.
- Translate complex technical designs into executive-level communication for CIO, CMIO, CTO, and CISO audiences.
- Support program governance, architectural reviews, risk mitigation planning, and value realization tracking.
- 7–10+ years in enterprise application architecture, cloud architecture, or healthcare IT engineering.
- Proven experience supporting or integrating Epic, Cerner, or another major EMR/EHR system.
- Demonstrated experience migrating clinical and ancillary applications to Azure and/or AWS.
- Strong understanding of:
- Healthcare interoperability standards (HL7, FHIR, CCD, X12)
- HIPAA, HITRUST, NIST 800-53, SOC2 controls
- High-availability and disaster-recovery design in regulated environments
- Hands-on deployment experience with:
- Azure (VMs, App Services, AKS, Managed SQL, Storage, ExpressRoute)
- AWS (EC2, RDS, EKS, Lambda, S3, IAM, VPC, FSx for Windows, Direct Connect)
- Expertise in migration tooling and frameworks (Azure Migrate, AWS Migration Hub, CloudEndure, Zerto, HCX, database replication tools).
- Strong experience designing or supporting core clinical systems (Epic, Cerner) and third-party apps (PACS, Lab, Radiology, Pharmacy, ERP, RevCycle, imaging, etc.).
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- Experience delivering full hospital or IDN cloud migrations (Epic-in-Cloud, Cerner-in-Cloud, hybrid deployments).
- Cloud certifications:
- AWS Solutions Architect – Associate or Professional
- Azure Solutions Architect Expert
- Background in healthcare provider environments (Hospitals, IDNs, Academic Medical Centers).
- Experience designing cloud architectures for:
- High-performance databases
- Real-time integrations and message buses
- Observability and monitoring (CloudWatch, Azure Monitor, Dynatrace, New Relic)
- Knowledge of FinOps principles to support cost-efficient architecture decisions.
- Experience with VMware, VCF, or large data-center migration tooling.
- Strong communication and stakeholder management across clinical, operational, and technical domains.
- Ability to translate clinical workflows into technical requirements.
- Excellent documentation and presentation skills (Visio, LucidChart, PowerPoint).
- Highly collaborative, with a consultative mindset and experience in large program environments.
Healthcare IT Leaders provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
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