Sr. Clinical Solutions Engineer (ITS Architect III)

Join Us in this Amazing Opportunity

The Team You’ll Join

We are a mission driven community-based organization that serves member health with excellence and dignity, respecting the value and needs of each person. If you are ready to advance your career while making a difference, we encourage you to review and apply today and help us build healthier communities for all.

More About the Opportunity 

We are hoping you will join us as a Sr. Clinical Solutions Engineer (ITS Architect III) and help shape the future of healthcare where you’ll be an integral part of our IT - Clinical Technology team, helping to strive for excellence while we serve our member health with dignity, respecting the value and needs of each of our members through collaboration with our providers, community partners and local stakeholders.  This position has been approved to be Partial Telework. 

• If telework is approved, you are required to work within the State of California only and if Partial Telework, also come in to the Main Office in Orange, CA, at least two (2) days per week minimum.  

The ITS Architect III (Clinical Technology Solutions Engineer Sr) will be responsible for leading the design, development, and implementation of clinical technology solutions that support scalable, secure, and modern healthcare operations. You will transform clinical and business needs into working applications, guide engineering best practices, and promote secure, high quality development across the clinical technology ecosystem. You will ensure clinical systems work together through effective integration patterns and support cloud native and serverless solution development. Additionally, you will contribute architectural insight, advance AI-driven automations and continuous improvement, and collaborate with internal partners to ensure aligned, reliable, and forward looking clinical technology capabilities.  Together, we are building a stronger, more equitable health system.

Your Contributions To the Team: 

• 90% - Technical Responsibilities 
  • Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability. 
  • Assists the team in carrying out departmental responsibilities and collaborates with others to support short- and long-term goals and priorities for the department.
  • Designs, develops, tests, and troubleshoots clinical technology solutions, translating clinical and business needs into working prototypes, applications, services, APIs, integrations, automation, and production-ready components.
  • Evaluates and proves technical approaches through hands-on experimentation, debugging, root-cause and performance analysis, code review and testing to validate feasibility and guide scalable implementations. 
  • Leads the design and development of secure, scalable, cloud-native and serverless solutions using the Microsoft technology ecosystem, including Azure, .NET/C#, PowerShell, Azure Functions, Logic Apps, API Management, and other appropriate Azure services and modern development technologies. 
  • Designs, develops, secures, tests, and troubleshoots reusable APIs and integration solutions connecting clinical applications, enterprise platforms, vendor solutions, data platforms, and healthcare ecosystem partners using RESTful APIs, messaging, event-driven, and other modern integration patterns. 
  • Develops healthcare interoperability solutions using standards and technologies such as HL7 FHIR, SMART on FHIR, JSON/XML/NDJSON and related healthcare data exchange patterns, including data transformation, validation, and mapping, to enable clinical workflows, data exchange and automation. 
  • Evaluates, applies and advances AI-assisted and agentic development practices and tools across the clinical software engineering lifecycle, including requirements exploration, rapid prototyping, solution design, code generation, refactoring, test generation, debugging, and documentation, to accelerate delivery while maintaining security, quality, maintainability, and appropriate human oversight. 
  • Contributes to solution architecture through working code, prototypes, technical spikes, reference implementations, diagrams and documented engineering decisions while developing reusable reference architectures and implementation patterns that can be adopted across clinical technology initiatives. 
  • Implements modern enterprise DevOps standards and practices, including CI/CD pipelines and automated build, testing, security scanning, deployment and environment management practices using Azure DevOps, GitHub, or comparable enterprise tooling.
  • Collaborates with the enterprise quality teams and vendors to develop automated unit, integration and regression test suites to improve software quality, reduce delivery timelines and increase delivery confidence. 
  • Evaluates vendor capabilities, enterprise reusable solutions and internal build options to recommend a practical implementation path following a build, buy or extend approach; uses the Microsoft technology stack for internal builds, including Azure-native services, API driven integration patterns. 

• 10% - Other 
  • Mentors team members and contributes to the strengthening of team capabilities through knowledge sharing, demonstrating and guiding the adoption of reusable engineering practice, modern development and AI-driven engineering methods. 
  • Completes other projects and duties as assigned. 
•  

Do You Have What the Role Requires?

• Bachelor’s degree in computer science, information systems, software engineering, or a related field PLUS 8 years of professional experience in technical implementation, software engineering & development required; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying.
  
• 5 years of experience working with the healthcare technology ecosystem.
  
• 5 years of hands-on experience, within the past year, with Microsoft application development technologies.
  
• 5 years of hands-on cloud native application engineering experience, including development and deployment of applications, APIs, integrations, or serverless solutions using Microsoft Azure or comparable enterprise cloud platform.
  
• Demonstrated experience with DevOps practices.
  

You’ll Stand Out More If You Possess the Following:

• Experience with ZeOmega’s Jiva Clinical Platform.
  
• Experience with healthcare interoperability technology.
  
• Experience with applied AI and agentic engineering, including structured prompt design, agentic workflows, tool-calling, MCP, and RAG patterns.
  
• Experience with AI-enabled solutions, including evaluating AI use cases, defining reusable AI-enabled architecture patterns, and prototyping agentic workflows, tool-calling, MCP-style integrations, and human-in-the-loop controls.
  
• Experience with RESTful API design and development, API security, authentication/ authorization, messaging, event-driven integration, batch job creation and other enterprise integration patterns.

What the Regulatory Agencies Need You to Possess?

• n/a

• Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds.  
• Work independently and exercise sound judgment.
• Communicate clearly and concisely, both orally and in writing.
• Work a flexible schedule; available to participate in evening and weekend events.
• Organize, be analytical, problem-solve and possess project management skills.
• Work in a fast-paced environment and in an efficient manner.
• Manage multiple projects and identify opportunities for internal and external collaboration.
• Motivate and lead multi-program teams and external committees/coalitions.
• Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment.

Your Physical Requirements (With or Without Accommodations):

• Ability to visually read information from computer screens, forms and other printed materials and information.
• Ability to speak (enunciate) clearly in conversation and general communication.
• Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions.
• Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting.
• Lifting and moving objects, patients and/or equipment 10 to 25 pounds

Ways We Are Here For You

• You’ll enjoy competitive compensation for this role.
  • Our current hiring range is: Pay Grade: 316 - $120,881 - $193,410 ($58.12 - $92.9856).
    • The final salary offered will be based on education, job-related knowledge and experience, skills relevant to the role and internal equity among other factors.
      
      
• This position is approved for Partial Telework (**If the position is Telework, it is eligible in California only**)
• A comprehensive benefits package
• CalPERS pension program and additional retirement packages.
• Additional benefits and perks including:
  • A generous PTO program
  • A quality work life balance
  • Various wellness programs
  • Tuition Reimbursement
  • Professional development opportunities
  • Career development opportunities
  • Flexible scheduling
  • And the satisfaction of knowing your work directly impacts and improves healthcare access for thousands of individuals and families.

Our Work Environment:

If located at the 500, 505 Building or a remote work location:

• Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed.
• There are no harmful environmental conditions present for this job.
• The noise level in this work environment is usually moderate.

If located at PACE:

• Work is typically indoors in a clinical setting serving the frail and elderly.
• There may be harmful or hazardous environmental conditions present for this job.
• The noise level in this work environment is usually moderate to loud.

If located in the Community:

• Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. 
• Employee will occasionally work outdoors in varied temperatures.
• There may be harmful or hazardous environmental conditions present for this job.
• The noise level in this work environment is usually moderate to loud.

All Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. Do NOT miss out.  If you want to join our team, the deadline for the first review of applications is October 28, 2026 at 9:00 PM (PST).  We are encouraging you to apply early. If you apply after the first review date, your application is not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. 

If you make it through the steps above and are selected for this exciting role, you will be required to undergo a reference and a background check (to include a conviction record) and if applicable also pass a drug screening and/or a post-offer pre-employment medical examination (for specific positions)  If you are an Internal CalOptima Health applicant, please apply through the internal portal on InfoNet.

We will make sure to keep you updated through each step of the process on your candidate portal.  Please make sure to watch for updates on your candidate portal and you emails which will be sent to the email address you listed on your application.  Please check your email, including your SPAM folder, regularly throughout the recruitment process.  

CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. 

If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability.

Advertised: 14 Oct 2026 Pacific Daylight Time
Applications close: 13 Nov 2026 Pacific Standard Time

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