Healthcare Integration Architect

The Integration Architect is responsible for designing, developing and governing integrations between Affidea’s clinical and business applications, with a primary focus on healthcare interoperability and the Group’s central integration platform.

A key responsibility of the role is the technical ownership, development and continuous improvement of Affidea’s Central Mirth integration platform, which provides standardized integration capabilities between country-level and Group-level clinical systems.

The Integration Architect combines solution architecture with hands-on integration development. The role is expected not only to define integration designs and standards, but also to develop, configure, test, troubleshoot and optimize interfaces and integration components.

The role works closely with Group and Country IT teams, application owners, clinical IT teams, project teams and external vendors to ensure reliable, secure and scalable exchange of healthcare information between systems such as HIS, RIS, PACS, LIS and other clinical and operational platforms.

The Integration Architect also drives the standardization of healthcare integrations across Affidea, reducing unnecessary point-to-point integrations and establishing reusable integration services and patterns.

·   Design end-to-end integrations between healthcare applications including HIS, RIS, PACS, LIS and other clinical systems.

·   Define integration architecture and data flows between local country systems and central Group platforms.

·   Design and maintain integration solutions using healthcare interoperability standards including HL7 v2, FHIR and DICOM.

·   Define standardized integration patterns for patient, appointment, order, result and other clinical information exchange.

·   Analyze existing healthcare workflows and interfaces and propose improved or standardized integration solutions.

·   Support the transition from country-specific and point-to-point interfaces towards reusable Group integration services.

·   Produce and maintain integration architecture diagrams, interface specifications, message flows and technical documentation.

·   Ensure appropriate consideration of patient safety, data integrity, availability and traceability when designing healthcare integrations.

·   Take technical ownership of Affidea’s Central Mirth integration platform and its integration architecture.

·   Design and develop Mirth channels supporting communication between Group and country-level systems.

·   Configure and maintain Mirth source and destination connectors, transformers, filters and routing logic.

·   Develop message transformations and routing rules for healthcare and application integrations.

·   Implement and maintain HL7 and other message-processing workflows within Mirth.

·   Develop custom scripts and components where required to support complex integration requirements.

·   Design reliable message processing including acknowledgement handling, retries, queues, error handling and message recovery.

·   Monitor and optimize integration performance and message processing.

·   Troubleshoot complex integration problems including connectivity, message format, transformation, routing and application-level issues.

·   Analyze failed, delayed or duplicate messages and perform root-cause analysis.

·   Define monitoring, alerting and logging requirements for the central integration platform.

·   Support high availability, scalability and business continuity requirements of the Central Mirth environment.

·   Establish development, testing and deployment standards for Mirth channels and integration components.

·   Maintain appropriate version control and release management for integration developments.

·   Perform hands-on development of integration solutions as a core part of the role.

·   Develop and maintain interfaces, APIs, integration services, scripts and message transformations.

·   Develop integration logic using technologies such as JavaScript, Java, C#, SQL or other relevant technologies.

·   Build and consume REST APIs and web services.

·   Develop data transformation and mapping logic between different source and target data structures.

·   Work with XML, JSON, HL7 and other structured message formats.

·   Develop database integration components and queries where required.

·   Implement appropriate validation, error handling, logging and reconciliation mechanisms.

·   Create reusable integration components and libraries to accelerate future integration development.

·   Perform unit and integration testing of developed interfaces.

·   Support UAT and production deployments.

·   Investigate and resolve production integration incidents where development-level expertise is required.

·   Define and maintain Affidea standards for healthcare interoperability.

·   Work extensively with HL7 v2 messages, including common ADT, ORM, ORU and SIU workflows.

·   Design and support FHIR-based integrations where appropriate.

·   Understand and support DICOM-related workflows and integration with medical imaging environments.

·   Work with clinical and technical stakeholders to understand healthcare workflows and translate them into integration requirements.

·   Ensure correct patient identification and appropriate handling of patient and clinical data across integrated systems.

·   Support integration between scheduling, patient administration, clinical reporting and medical imaging systems.

·   Work with vendors to understand and validate their healthcare integration capabilities and interface specifications.

·   Design and develop integrations using REST APIs, web services, messaging and other integration technologies.

·   Define standards for API-based communication and reusable integration services.

·   Design synchronous and asynchronous integration patterns according to business and technical requirements.

·   Support integration with cloud-based and on-premise applications.

·   Define common approaches for authentication, authorization, error handling, retry mechanisms and API versioning.

·   Work with external vendors to design and implement interfaces between vendor solutions and the Affidea environment.

·   Ensure integrations can be effectively monitored and supported in production.

·   Define end-to-end monitoring and alerting for critical healthcare interfaces.

·   Implement appropriate logging and technical traceability.

·   Establish processes for identifying failed, delayed or duplicate messages.

·   Support root-cause analysis of integration incidents.

·   Work with support teams to establish appropriate operational procedures and escalation paths.

·   Identify recurring incidents and implement permanent technical improvements rather than relying on manual operational workarounds.

·   Continuously improve integration reliability, performance and maintainability.

·   Act as the technical authority for healthcare integration solutions.

·   Define and maintain Affidea integration architecture standards and development guidelines.

·   Review integration designs proposed by internal teams and external vendors.

·   Ensure new integrations follow agreed architecture and interoperability standards.

·   Promote reusable integration components and standardized interfaces across Affidea countries.

·   Reduce unnecessary direct system-to-system integrations where centralized or reusable integration services provide a more sustainable solution.

·   Evaluate new integration technologies and healthcare interoperability approaches where relevant.

·   Maintain technical documentation and integration inventories.

·   Work closely with Group IT, Country IT, Clinical IT, Digital Solutions and project teams.

·   Participate in requirements gathering and translate business and clinical requirements into technical integration designs.

·   Lead technical integration workshops with internal stakeholders and external vendors.

·   Identify technical dependencies and integration risks early in projects.

·   Provide technical estimates and support integration planning.

·   Coordinate technical implementation activities between multiple systems and vendors.

·   Support country rollouts of centrally managed integration solutions.

·   Communicate complex integration topics clearly to both technical and non-technical stakeholders.

Provide technical guidance and mentoring to developers and other technical team members.

·        Bachelor’s or Master’s degree in Computer Science, Software Engineering, Information Technology or a related technical discipline.

·        Healthcare interoperability, integration or architecture certifications are an advantage.

·        Minimum 8 years of professional IT experience with significant experience in application and system integration.

·        Minimum 3–5 years of experience in an Integration Architect, Integration Developer, Solution Architect or comparable senior technical role.

·        Strong hands-on integration development experience.

·        Strong experience with enterprise integration engines; Mirth Connect experience is strongly preferred.

·        Experience designing and developing integrations between healthcare applications is highly desirable.

·        Strong knowledge of HL7 v2, v3 and healthcare messaging concepts.

·        Experience with common healthcare integration workflows and message types such as ADT, ORM, ORU and SIU.

·        Knowledge of FHIR and modern healthcare interoperability concepts.

·        Understanding of DICOM and medical imaging workflows is an advantage.

·        Experience with HIS, RIS, PACS, LIS or comparable clinical applications.

·        Strong knowledge of REST APIs, web services and application integration.

·        Experience working with XML and JSON and performing complex message/data transformations.

·        Strong scripting or software development skills, preferably including JavaScript and/or Java, C#/.NET.

·        Good SQL and relational database knowledge.

·        Understanding of synchronous and asynchronous integration patterns, messaging and queues.

·        Experience implementing error handling, retries, message acknowledgement, monitoring and logging.

·        Experience troubleshooting complex production integrations and performing root-cause analysis.

·        Understanding of source control, software development lifecycle and CI/CD practices.

·        Experience with cloud and hybrid integration environments.

·        Microsoft Azure integration technologies are an advantage but are not the primary focus of the role.

·        Healthcare & Integration Knowledge

·        Strong understanding of healthcare system interoperability and clinical data exchange.

·        Understanding of patient, appointment, order and clinical result workflows.

·        Experience working with healthcare vendors and their interface specifications.

·        Understanding of patient identification and data consistency challenges across multiple healthcare applications.

·        Awareness of healthcare data protection, security and regulatory requirements.

·        Experience working in a multi-country or multi-organization healthcare environment is a strong advantage.

·        Personal & Professional Skills

·        Strong analytical and problem-solving skills.

·        Strong technical troubleshooting capabilities.

·        Ability to work at both architecture and hands-on development level.

·        Ability to understand complex system landscapes and end-to-end data flows.

·        Ability to translate business and clinical requirements into technical integration solutions.

·        Strong ownership and accountability for technical solutions.

·        Ability to work independently and take responsibility for complex technical problems.

·        Strong stakeholder and vendor management skills.

·        Excellent technical documentation skills.

·        Strong oral and written communication skills.

·        Ability to work effectively in an international and multicultural organization.

·        Fluent written and spoken English.