S2Tech

Data/Lakehouse Architect - FHIR & Clinical Data

S2Tech$110K — $130K *
Healthcare
8 - 10 years of experience
Job Overview by Ladders

Qualifications

  • 8+ years of experience mapping unstandardized clinical data feeds into cloud-hosted databases.
  • 8+ years in data engineering or architecture focusing on AWS and metadata management.
  • Proven ability to translate healthcare source data into governed data models.
  • Ability to work within the U.S. and support on-site needs in Jefferson City as required.

Responsibilities

  • Define and implement the data architecture for the enterprise lakehouse, ensuring auditability.
  • Design ingestion pipelines for diverse healthcare data using AWS services.
  • Map clinical feeds into governed data structures with FHIR-aligned models.
  • Establish data governance controls including quality and exception management.
  • Implement metadata management and data traceability from source to reports and APIs.
  • Coordinate integration with the FHIR platform and analytics for Medicaid reporting.
  • Produce detailed architectural documentation and knowledge-transfer materials.
  • Collaborate across multiple teams in a multi-vendor Medicaid environment.

Benefits

  • Remote working arrangement with flexibility to travel as needed.
  • Opportunity to work on meaningful projects impacting state healthcare.
  • Engagement with a diverse set of data and technologies.
  • Access to continuous learning and professional development in a complex field.
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
Net Income
$5 million
Founded
1997
5 Year Trend
+20%
Revenue
$50 million

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