Healthcare Product Architect (AWS, SAAS)

About the role

The Lead Product Architect will play a pivotal role in shaping the architecture of a critical healthcare SaaS product. This position requires a deep understanding of product architecture, domain modeling, and AWS best practices, particularly in the context of HIPAA and PHI compliance.

Responsibilities

• Lead the architecture of a SaaS product through multiple major releases, making informed decisions based on cost, impact, and future-proofing.
• Defend and explain complex domain models to clinicians and operators, ensuring clarity and practicality.
• Make production calls on AWS services such as Aurora, Lambda, ElastiCache, and optimize for scalability, security, and performance.
• Design REST and FHIR APIs that handle real-world client load and integration partner scrutiny, focusing on resource modelling, versioning, and authentication.
• Write TypeScript and Node.js code, including modern React components, and manage PostgreSQL databases at scale, including Aurora Serverless.
• Write Infrastructure as Code using AWS CDK in TypeScript, Terraform, or similar tools, and ensure observability and audit readiness.
• Set technical direction, document decisions, and mentor engineers, sharing both successes and lessons learned.
• Work closely with Atlassian tools like Jira and Confluence, and leverage AI tools like Anthropic Claude for code and design reviews.
• Have experience with EHR/EMR architecture, SMART on FHIR, HL7v2 integration, ONC certification, and multi-tenant SaaS architecture.
• Ensure the system is secure, compliant with HIPAA and other regulations, and maintain high levels of reliability and availability.

Requirements

• At least one SaaS product architecture track record, including major release decisions and their costs and impacts.
• Deep expertise in domain modeling, able to distinguish between reflective and operational models and communicate effectively with non-technical stakeholders.
• Expert-level command of AWS, especially in scalability, security (PHI and HIPAA), and performance optimization.
• Hands-on experience with TypeScript, Node.js, PostgreSQL, and AWS services like Lambda, API Gateway, and ElastiCache.
• Production experience with React, modern TypeScript tooling, and real-time systems like WebSocket and EventBridge.
• Experience with Atlassian tools, AI for code and design reviews, and regulatory compliance in healthcare IT.
• Strong leadership skills, setting technical direction and mentoring engineers.

Skills

• Strong product architecture and domain modeling skills.
• Expert-level AWS proficiency, including scalability, security, and performance considerations.
• Production experience with TypeScript, Node.js, PostgreSQL, and AWS services.
• Experience with React, modern TypeScript tooling, and real-time systems.
• Regulatory compliance experience in healthcare IT, including HIPAA and PHI handling.
• Leadership and mentoring experience in a technical role.

Benefits

• Remote work within the USA.
• Occasional travel to facility partner sites for stakeholder meetings, integration testing, and on-site discovery.
• Participation in the on-call rotation for production reliability.
• Daily interaction with product, engineering, and client stakeholders.

Pay

$150,000 - $180,000 annually.

Schedule

Full-time, remote within the USA.