Join a senior, collaborative team building a patient-facing research platform that helps determine eligibility in real time and supports electronic consent. This is a turnkey solution role where you will shape the architecture, guide technical discovery, and help deliver a secure, scalable experience across healthcare, identity, and e-signature systems.

Responsibilities

• Lead technical discovery sessions with research, product, security, identity, and EHR stakeholders to validate feasibility and integration needs.
• Assess whether eligibility decisions can be returned in near real time and define fallback approaches if needed.
• Design the target architecture, including solution flows, sequence diagrams, integration details, and non-functional requirements.
• Shape the eligibility service approach, including configurable rules where appropriate.
• Design consent initiation through existing APIs and support embedded e-signature workflows using an API-based identifier.
• Partner with security teams to define PHI handling, authentication, authorization, audit logging, SSO, session management, and penetration-test readiness.
• Support enterprise architecture approval and serve as the technical authority throughout discovery and build.
• Review designs and code during delivery, help resolve blockers, and protect architectural consistency.
• Contribute to the feasibility assessment, recommendation, build estimate, and fixed-bid pricing support.

Skills

• 10+ years of software engineering experience, including 5+ years in solution or enterprise architecture.
• Strong background in cloud-native web applications and API integration design.
• Hands-on experience with React, Next.js, and Node.js/TypeScript services.
• Experience with event-driven messaging, such as Google Pub/Sub.
• Healthcare integration knowledge, including HL7 FHIR, Epic APIs, or comparable EHR interfaces.
• Experience designing secure solutions for HIPAA-regulated PHI.
• Ability to translate business and clinical needs into practical, scalable technical designs.
• Strong communication and collaboration skills for working across technical and non-technical teams.

Preferred Skills

• Epic integration experience, including FHIR R4, Epic on FHIR, Interconnect, or Bridges.
• Experience with Adobe Acrobat Sign or DocuSign embedded-signing design.
• Familiarity with 21 CFR Part 11 considerations.
• Exposure to clinical trial systems, participant tracking, or rules-engine design.
• Experience working within established enterprise architecture standards and approval processes.
• Ability to support security review and build confidence in deployment readiness.

Horizontal is committed to fostering a diverse, equitable, and inclusive workplace where everyone feels valued, respected, and empowered to contribute. We welcome candidates from all backgrounds and experiences who bring thoughtful perspectives and a collaborative mindset.

By applying for this position, you acknowledge and agree that Horizontal Talent may contact you regarding your application using automated technology, including phone calls, SMS/text messages, or email, which may be delivered by our virtual AI recruiter, Alex.