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A bit about us:

Y Combinator-backed healthcare SaaS startup is raising its Series B and looking for an EMR Architect SME to join the core product team. This is a high-impact, high-visibility role with a clear path to Chief Data Architect. You’ll define and lead the data strategy as the platform expands beyond home health into other outpatient specialties. Ideal candidates are high-agency, proactive problem solvers, low-ego collaborators, data-driven, and comfortable moving between operations and technical design.

Why join us?

Great Benefits, Remote Work, Growth Opportunity, Great Culture, PTO, 401K, and much more!

Job Details

Responsibilities
  • Design a specialty-agnostic clinical data model, enabling rapid expansion from home health to all outpatient verticals
  • Define and own the data architecture blueprint (patients, visits, claims, payments) and ensure consistency across services
  • Guide seamless migration from our home-health schema to a flexible multi-specialty data system without disrupting production customers
  • Develop scalable ETL pipelines to transform diverse EMR exports (HL7, FHIR, EDI) into clean, normalized tables
  • Implement data quality measures, including integrity constraints, observability tooling, and domain-focused dashboards
  • Architect around HIPAA compliance and security, embedding controls into pipelines and schemas
  • Build or maintain identity resolution services to eliminate duplicate patient/provider/payer records
  • Ensure SQL performance and relational design keep pipelines fast and scalable under large data volumes
  • Design real-time/event-streaming pipelines (e.g., Kafka) for ingest and transformation

Requirements
  • Bachelor’s degree in Computer Science, Data Engineering, or related field
  • 10-20 years of hands-on experience owning healthcare data systems (0–20, depending on seniority)
  • Proven in a chief or senior architect role with real decision-making authority
  • Experience building production-grade, multi-specialty healthcare data models (EMR, billing, claims)
  • Strong working knowledge of HL7, FHIR, EDI 837/835, ICD‑10, CPT, and translating them into normalized database schemas
  • In-house architecture experience on cross-specialty EMR platforms (e.g., Epic, Athenahealth, Abridge)
  • Expertise in relational database design and SQL tuning to maintain performance at scale
  • Demonstrated ability to build identity resolution systems for deduplication of clinical and payer entities
  • Experience working within HIPAA or similar regulatory frameworks, embedding compliance into engineering
  • Excellent written/verbal communication, with ability to align stakeholders and collaborate cross-functionally

Jobot is an Equal Opportunity Employer. We provide an inclusive work environment that celebrates diversity and all qualified candidates receive consideration for employment 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.

Sometimes Jobot is required to perform background checks with your authorization. Jobot will consider qualified candidates with criminal histories in a manner consistent with any applicable federal, state, or local law regarding criminal backgrounds, including but not limited to the Los Angeles Fair Chance Initiative for Hiring and the San Francisco Fair Chance Ordinance.
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