S2Tech

Data/Lakehouse Architect - FHIR & Clinical Data

S2Tech • $120K — $145K *
Chesterfield, MO 63017In-Person
Healthcare
8 - 10 years of experience
Today
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Job Overview by Ladders

Qualifications

  • 8+ years of experience in mapping unstandardized clinical data to cloud-hosted databases
  • 8+ years in data engineering or architecture specifically with AWS and ingestion processes
  • Expertise in canonical and FHIR data modeling and metadata management
  • Proven track record translating healthcare data into operational-grade models and pipelines
  • Must be eligible to work in the U.S. and accommodate on-site requirements in Jefferson City, MO

Responsibilities

  • Define and implement comprehensive lakehouse data architecture across various data layers
  • Design ingestion pipelines for diverse healthcare data using AWS-native services like AWS Glue
  • Map clinical data feeds into approved transactional and analytical formats using FHIR standards
  • Establish and enforce data quality and management standards including validation and reconciliation
  • Implement effective metadata management and data lineage practices from source to reporting
  • Coordinate integration of lakehouse with FHIR platforms and analytics for state reporting
  • Produce comprehensive documentation and materials for operational support
  • Collaborate with cross-functional teams in a complex Medicaid environment

Benefits

  • Remote work flexibility with occasional travel to Jefferson City, MO
  • Opportunity to work on state-level health data initiatives
  • Engagement with advanced technologies in the healthcare field
  • Collaboration with diverse teams and stakeholders in a multi-vendor environment
Full Job Description
Data/Lakehouse Architect - FHIR & Clinical Data

Location: Remote - U.S. with travel to Jefferson City, MO (as directed)

Job Overview:

Lead the data architecture and engineering design for Missouri's Integrated Health Data Fabric (MIHDF), expanding the State's existing enterprise lakehouse into a governed, interoperable data foundation. Must combine hands-on clinical-feed normalization with AWS ingestion architecture, canonical/FHIR data modeling, and enterprise metadata and lineage practices.

Responsibilities:
  • Define and implement the lakehouse data architecture across raw/bronze, curated/silver, and reporting/gold layers while preserving source fidelity and auditability
  • Design batch, near-real-time, and event-driven ingestion pipelines for clinical, claims, eligibility, social-care, and public-health data using AWS-native services, including AWS Glue
  • Map heterogeneous clinical feeds into governed transactional and analytical structures using canonical and FHIR-aligned data models
  • Establish data-quality, validation, reconciliation, deduplication, harmonization, schema-evolution, and exception-management controls
  • Implement metadata management, lineage, data cataloging, provenance, retention, and traceability from source through downstream reports and APIs
  • Coordinate lakehouse integration with the FHIR platform, API layer, master data/patient identity capabilities, analytics, and downstream CMS/state reporting
  • Produce architecture decisions, data mappings, interface specifications, runbooks, and knowledge-transfer materials suitable for State operations
  • Collaborate with security, integration, FHIR, analytics, and delivery teams in a multi-vendor Medicaid environment

Mandatory Qualifications:
  • 8+ years mapping unstandardized clinical data feeds into cloud-hosted transactional database tables
  • 8+ years of data engineering or data architecture experience covering AWS, ingestion pipelines, canonical/FHIR data modeling, and metadata/lineage
  • Demonstrated ability to translate healthcare source data into governed, production-grade data models and pipelines
  • Ability to perform all work within the United States and support Jefferson City onsite needs as directed

Preferred Qualifications:
  • Deep FHIR R4, US Core, HL7 v2, CDA/C-CDA, healthcare terminology, or implementation-guide experience
  • AWS Glue, S3, lakehouse, catalog, orchestration, observability, and data-security experience
  • Medicaid, MMIS/MES, state health and human services, claims/eligibility, or public-health data experience
  • Experience with master patient index/master data management, consent, data governance, CMS reporting, or HIPAA/MARS-E controls

About S2Tech

S2Tech is an information technology consulting firm that provides a range of services to clients in the healthcare, government, and commercial sectors. The company was founded in 1997 and is headquartered in Scottsdale, Arizona. S2Tech's services include software development, data analytics, project management, and IT staffing. The company has a team of experienced professionals who are dedicated to delivering high-quality solutions that meet the unique needs of each client. S2Tech has been recognized for its outstanding work by several industry organizations, including the Inc. 5000 and the Phoenix Business Journal.
Learn more about S2Tech
Size
500 employees
Industry
Information Technology
Net Income
$5 million
Founded
1997
5 Year Trend
+20%
Revenue
$50 million
* Ladders Estimates

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