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.
Please apply through this online posting or by visiting our Job Board at Applications will be accepted for 4 weeks. For those that join the team, we offer competitive compensation and benefits including medical, dental, vision, and retirement. Check out all we have to offer and how you can become part of the Horizontal Talent Team. The pay range for this role is $33 - $95 per hour based on qualifications and experience.
