The Clinical Enterprise Architect serves as a strategic partner to clinical, operational, and technology leadership, ensuring that clinical initiatives, systems, and capabilities align with the enterprise architecture strategy while safely enabling high-quality, efficient care delivery.
This role connects care delivery, clinical workflows, data, and technology, turning clinical intent and business priorities into architectural direction that advances patient safety, care quality, interoperability, and long-term scalability. The Clinical Enterprise Architect focuses on architectural coherence and outcomes, not delivery ownership, and operates effectively within a federated, matrixed healthcare environment.
-Clinical & Business Alignment
- Represent and apply the clinical enterprise architecture strategy within assigned clinical or operational domains, ensuring business initiatives align with enterprise principles, standards, and target state intent.
- Partner directly with clinical and operational leadership (e.g., CMIO, CNIO, physicians, nursing leaders, clinical operations) to understand care delivery objectives, constraints, and priorities.
- Translate clinical strategy, care models, and operational goals into required business capabilities, architectural implications, and sequencing considerations across the enterprise.
-Care Delivery & Workflow Enablement
- Provide architectural guidance informed by a deep understanding of inpatient, ambulatory, procedural, and ancillary clinical workflows.
- Evaluate architectural decisions through the lens of real-world care delivery, ensuring solutions support clinician efficiency, reduce friction, and are clinically viable.
- Proactively identify where technology or data changes may disrupt clinical workflows and guide mitigation strategies.
-Patient Safety, Quality & Clinical Risk
- Assess architectural impacts to patient safety, care quality, and clinical risk, proactively identifying and mitigating risk introduced by systems, integrations, or data changes.
- Ensure architectural recommendations support clinical safety, reliability, auditability, and operational resilience.
- Partner with clinical informatics, quality, and risk teams to support safe implementation of new clinical capabilities.
-Enterprise Coherence & Roadmapping
- Identify, assess, and shape clinical and business initiatives to ensure architectural coherence, appropriate sequencing, and value realization across the health system.
- Ensure domain roadmaps and capabilities remain synchronized with enterprise direction, surfacing conflicts, dependencies, risks, constraints, and opportunities early.
- Support capability-based planning, investment prioritization, and roadmap alignment across clinical and enterprise portfolios.
-Interoperability & Integration Leadership
- Provide architectural leadership for clinical interoperability, ensuring safe, standards-based data exchange across clinical systems and care settings.
- Guide integration patterns leveraging HL7, FHIR, APIs, and enterprise integration platforms, balancing innovation with stability and regulatory compliance.
- Ensure architecture supports reliable identity management, longitudinal patient records, and interoperable data flow across Epic and non- Epic environments.
-Clinical Data, Analytics & AI Readiness
- Ensure clinical architectures enable high-quality, context-aware data for operations, analytics, population health, research, and emerging AI-enabled clinical capabilities.
- Consider clinical data provenance, semantic integrity, and secondary use requirements in architectural decisions.
- Partner with data, analytics, and innovation leaders to ensure clinical systems are architected for future insight and learning.
-Collaboration & Architectural Governance
- Collaborate with domain, solution, data, security, and infrastructure architects to guide architectural decisions while ensuring solutions remain fit for clinical purpose.
- Provide architectural insight and decision support to enable informed trade-offs related to investment, risk, compliance, and execution.
- Contribute feedback, patterns, and lessons learned to continuously evolve enterprise architecture strategy, standards, and governance practices.
Required Experience:
- 10+ years of progressive experience in enterprise architecture, solution architecture, clinical informatics, or senior technical leadership roles within complex, multi domain healthcare environments.
- Demonstrated experience aligning clinical and business strategy to technology execution, including translating care delivery objectives into capabilities, roadmaps, and architectural direction.
- Proven ability to partner with senior clinical and operational leaders, influencing decisions across organizational boundaries without direct authority.
- Experience operating within federated or matrixed healthcare organizations, balancing enterprise standards with local clinical autonomy.
- Strong architectural judgment across application, integration, data, infrastructure, security, and cloud domains (without requiring deep specialization in all).
- Experience supporting large scale clinical or operational initiatives involving multiple teams, vendors, and technologies, with accountability for coherence and outcomes rather than delivery ownership.
- Ability to communicate complex architectural concepts clearly to both clinical and technical audiences.
Preferred Experience
- Experience serving as a Clinical Enterprise Architect or equivalent role within a large health system, academic medical center, or integrated delivery network.
- Demonstrated experience partnering closely with clinical leadership (CMIO, CNIO, physicians, nursing leaders) as a trusted architecture advisor.
- Experience with major clinical platforms, including but not limited to:
- EHR systems (Epic, Oracle Health/Cerner)
- PACS and imaging platforms
- Nurse call, clinical communication, and ambient/AI enabled care technologies
- Experience in regulated healthcare environments, including HIPAA/HITECH compliance and clinical documentation requirements.
- Exposure to modern healthcare architecture practices, including platform based architectures, cloud ecosystems, interoperability frameworks, data platforms, and emerging AI technologies.
- Experience in influencing vendor, product, sourcing, and integration strategies across clinical and enterprise domains.
Required Education & Training:
• Bachelor's degree in Computer Science, Information Systems, Clinical Informatics, Engineering, or related field, or equivalent practical experience.
• Formal training in enterprise architecture or related disciplines (e.g., TOGAF®, ISO/IEC 42010, or comparable frameworks).
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EXOS (formerly Sondhi Solutions)