Enterprise Architect/Lead Architect, FHIR, AHDS, D365 - OR35

Outside IR35, Flexible on Location, Immediate Start, Enterprise Architect, Lead Architect, Healthcare, FHIR, AHDS, D365

Our leading digital health client is launching a major new healthcare programme and is seeking a Lead Architect/Enterprise Architect to define the target architecture and conceptual design for a next-generation clinical platform. This initiative involves both greenfield and brownfield elements and requires a domain-driven, clinically aligned architecture capable of supporting complex, multi-system care pathways.

This role sits within an active 12-week blueprint phase and needs someone who can immediately take ownership of architectural direction, challenge assumptions, and unify multiple teams around a coherent platform vision.

Scope

• New clinical programme: The organisation is expanding into a more complex area of healthcare delivery that requires a fundamentally different architectural approach.
• Domain complexity: The new programme involves multi-step clinical workflows, prescribing, scheduling, and operational coordination that cannot be modelled through CRM extensions alone.
• FHIR-first architecture: The organisation is adopting FHIR and Azure Health Data Services for the first time - they need someone who has implemented this before.
• High-impact blueprint phase: With 9 weeks remaining, architectural leadership is urgently needed to shape the blueprint deliverables.
• Future EU expansion: The platform must be modular, compliant, and ready for multi-region deployment.

Skills

• Define the target state architecture and conceptual design for the new healthcare programme.
• Establish the domain architecture - bounded contexts, service boundaries, API contracts, event flows.
• Shape the FHIR/AHDS integration strategy, including how clinical data is surfaced to staff via D365.
• Lead the decision on D365 strategy (extend existing vs. new instance) and define clear boundaries between D365 and domain services.
• Design integration patterns for external clinical systems (eg, prescribing systems, NHS platforms).
• Work closely with Digital Health Platform engineering teams to ensure channel consistency across mobile, portal, and staff interfaces.
• Translate business capability mapping into architectural decisions.
• Set architectural principles that ensure clinical logic lives in independently deployable, testable services.
• Support decisions around build vs buy, platform reuse, and third-party integrations.
• Ensure the architecture is ready for EU expansion, including data residency and localisation.

Essential

• Hands-on FHIR integration experience + AHDS - not just awareness.
• Domain-driven design expertise applied in real, complex environments.
• Azure platform architecture experience (AKS, Functions, Service Bus, Event Grid, AHDS).
• Ability to design independently deployable services with clean boundaries.
• Experience in regulated healthcare or clinical systems.
• Strong stakeholder influence and the ability to build consensus across diverse teams.

Highly Valuable

• Working knowledge of D365 CE/FinOps - enough to make informed boundary decisions.
• Experience with multi-region or regulated architectures.
• Ability to communicate architectural trade-offs clearly to both technical and non-technical audiences.

If this is of interest please message me ASAP