Outside IR35, Flexible on Location, Immediate Start, Enterprise Architect, Lead Architect, Healthcare, FHIR, AHDS, D365
Our leading digital health client is launching a major new healthcare programme and is seeking a Lead Architect / Enterprise Architect to define the target architecture and conceptual design for a next‑generation clinical platform. This initiative involves both greenfield and brownfield elements and requires a domain‑driven, clinically aligned architecture capable of supporting complex, multi‑system care pathways.
This role sits within an active 12‑week blueprint phase and needs someone who can immediately take ownership of architectural direction, challenge assumptions, and unify multiple teams around a coherent platform vision.
Scope
- New clinical programme: The organisation is expanding into a more complex area of healthcare delivery that requires a fundamentally different architectural approach.
- Domain complexity: The new programme involves multi‑step clinical workflows, prescribing, scheduling, and operational coordination that cannot be modelled through CRM extensions alone.
- FHIR-first architecture: The organisation is adopting FHIR and Azure Health Data Services for the first time - they need someone who has implemented this before.
- High-impact blueprint phase: With 9 weeks remaining, architectural leadership is urgently needed to shape the blueprint deliverables.
- Future EU expansion: The platform must be modular, compliant, and ready for multi-region deployment.
Skills
- Define the target state architecture and conceptual design for the new healthcare programme.
- Establish the domain architecture - bounded contexts, service boundaries, API contracts, event flows.
- Shape the FHIR/AHDS integration strategy, including how clinical data is surfaced to staff via D365.
- Lead the decision on D365 strategy (extend existing vs. new instance) and define clear boundaries between D365 and domain services.
- Design integration patterns for external clinical systems (e.g., prescribing systems, NHS platforms).
- Work closely with Digital Health Platform engineering teams to ensure channel consistency across mobile, portal, and staff interfaces.
- Translate business capability mapping into architectural decisions.
- Set architectural principles that ensure clinical logic lives in independently deployable, testable services.
- Support decisions around build vs buy, platform reuse, and third‑party integrations.
- Ensure the architecture is ready for EU expansion, including data residency and localisation.
Essential
- Hands‑on FHIR integration experience + AHDS - not just awareness.
- Domain‑driven design expertise applied in real, complex environments.
- Azure platform architecture experience (AKS, Functions, Service Bus, Event Grid, AHDS).
- Ability to design independently deployable services with clean boundaries.
- Experience in regulated healthcare or clinical systems.
- Strong stakeholder influence and the ability to build consensus across diverse teams.
Highly Valuable
- Working knowledge of D365 CE/FinOps - enough to make informed boundary decisions.
- Experience with multi-region or regulated architectures.
- Ability to communicate architectural trade-offs clearly to both technical and non‑technical audiences.
If this is of interest please message me ASAP
