• Location: San Carlos, California
  • Remote: Remote
  • Type: Direct Hire
  • Job #6524

Carex is partnering with a Series B Healthtech partner seeking a Director of Epic Forward Deployed Engineering to build and lead a high-performing technical team responsible for integrating AI-powered healthcare solutions into complex Epic environments. This is a hands-on technical leadership role requiring deep expertise in Epic integrations, clinical workflows, healthcare interoperability, and enterprise-level solution architecture.

The ideal candidate brings extensive experience working across multiple Epic modules, a strong understanding of health system IT and clinical informatics operations, and the ability to translate complex clinical requirements into scalable technical solutions. This individual will lead a team of Forward Deployed Engineers, serve as a trusted technical advisor to health system executives, and establish repeatable integration processes that accelerate implementation timelines and improve delivery consistency.

What You’ll Do

  • Build and Lead a Technical Team: Recruit, mentor, and manage a team of Epic Forward Deployed Engineers responsible for delivering complex integrations across multiple health system environments. Establish technical standards, team workflows, and engineering best practices.

  • Own Strategic Client Integrations: Serve as the senior technical leader for 2–3 strategic health system clients, developing trusted relationships with CIOs, CMIOs, clinical informatics leaders, Epic analysts, and enterprise IT stakeholders.

  • Architect Epic Integration Solutions: Lead technical discovery and solution design across Epic modules, including Bridges, Ambulatory, Healthy Planet, ClinDoc, MyChart, Referrals, and In Basket. Evaluate integration options based on clinical workflows, implementation complexity, and system capabilities.

  • Drive SMART on FHIR Deployments: Oversee the design, implementation, and production deployment of SMART on FHIR applications, including launch contexts, application triggers, authentication workflows, and embedded clinical experiences.

  • Guide CDS Hooks and Interoperability Strategies: Evaluate and recommend CDS Hooks, HL7 v2 interfaces, FHIR R4 APIs, In Basket messaging, and other integration mechanisms. Clearly articulate the technical and operational tradeoffs of each approach to clinical and technical stakeholders.

  • Establish Standardized Intake Processes: Develop structured internal intake procedures and client-facing discovery questionnaires to assess Epic environments, identify integration requirements, clarify dependencies, and determine the appropriate technical stakeholders for each engagement.

  • Create Scalable Integration Playbooks: Build and maintain comprehensive documentation, reusable architecture patterns, implementation frameworks, and technical standards that improve consistency and reduce deployment timelines across health systems.

  • Lead End-to-End Technical Delivery: Oversee integrations from initial workflow discovery and technical design through interface configuration, testing, troubleshooting, go-live, and production stabilization.

  • Manage Integration Dependencies: Identify Epic configuration requirements, interface development timelines, technical risks, and health system resource constraints. Proactively address potential blockers and establish realistic implementation expectations.

  • Translate Clinical Needs into Technical Requirements: Partner with clinical informatics teams, product leaders, and data engineers to convert complex healthcare workflows into actionable platform specifications and integration requirements.

  • Provide Hands-On Engineering Oversight: Review technical designs, evaluate implementation approaches, participate in code and pull request reviews, and ensure engineering quality across forward deployed integration work.

  • Partner Across Engineering Teams: Collaborate closely with Data Engineering and Product Engineering to align client-specific integration requirements with broader platform capabilities and product development priorities.

  • Represent Technical Leadership: Participate in client governance meetings, steering committees, executive briefings, and technical design discussions, communicating complex architectural decisions clearly to both technical and nontechnical audiences.

  • Drive Continuous Improvement: Establish feedback loops between client implementations and internal engineering teams, identifying opportunities to automate processes, standardize integration patterns, and improve deployment efficiency.

What You’ll Bring

  • 8+ years of experience in healthcare IT, Epic implementation, healthcare interoperability, clinical informatics, or enterprise EHR integration, including at least 2 years in a technical leadership, principal engineering, or architecture role.

  • Deep, hands-on experience integrating solutions within Epic environments, with demonstrated breadth across multiple modules such as Bridges, Ambulatory, Healthy Planet, ClinDoc, MyChart, Referrals, Orders, and In Basket.

  • Proven experience deploying SMART on FHIR applications into production Epic environments, including understanding application launch mechanisms, workflow triggers, authentication, and embedded application behavior.

  • Strong knowledge of CDS Hooks, including appropriate use cases, implementation considerations, clinical workflow integration, and the ability to explain when CDS Hooks are preferable to alternative integration methods.

  • Comprehensive understanding of healthcare interoperability standards and technologies, including HL7 v2, FHIR R4, SMART on FHIR, Epic Bridges, and relevant Epic APIs.

  • Ability to evaluate multiple technical integration approaches, explain architectural tradeoffs, and recommend solutions based on clinical workflows, system constraints, implementation effort, and scalability.

  • Demonstrated success leading complex Epic implementations, enterprise integrations, or production go-lives within health systems, healthcare technology organizations, or Epic consulting environments.

  • Experience managing and developing technical teams, establishing engineering standards, and providing architectural guidance across multiple concurrent implementations.

  • Strong technical fluency, including the ability to understand application code, review pull requests, evaluate integration logic, and collaborate effectively with software and data engineers.

  • Experience developing detailed technical documentation, integration playbooks, solution architecture diagrams, standardized intake questionnaires, and repeatable implementation processes.

  • Proven ability to manage complex client relationships, navigate competing priorities, resolve escalations, and coordinate technical stakeholders across large, matrixed healthcare organizations.

  • Exceptional executive communication skills, with the ability to present architectural recommendations to senior health system leadership while engaging directly with Epic analysts and engineers on detailed technical challenges.

  • Strong understanding of clinical workflows, health system IT governance, interface configuration processes, and the operational complexities of deploying technology into live healthcare environments.

  • Bachelor’s degree in Computer Science, Information Systems, Engineering, Healthcare Informatics, or a related technical or clinical discipline.

Preferred Qualifications:

  • Epic certification in one or more modules, such as Bridges, Ambulatory, ClinDoc, MyChart, Orders, or Healthy Planet.

  • Experience working both within a health system and for a healthcare technology vendor or consulting organization, providing perspective on both sides of enterprise EHR implementations.

  • Background in clinical informatics, clinical decision support, or healthcare workflow optimization.

  • Experience integrating AI-powered clinical applications, generative AI solutions, clinical NLP, risk stratification, autonomous coding, or prior authorization technologies into EHR workflows.

  • Familiarity with additional EHR platforms, such as Oracle Health (Cerner) or athenahealth.

  • Experience building or scaling a forward deployed engineering, solutions architecture, or technical implementation function within a growing healthcare technology organization.

  • Demonstrated success establishing standardized integration processes that improve implementation efficiency, reduce deployment timelines, and strengthen client delivery outcomes.

  • Ability to thrive in a fast-paced, evolving technical environment while balancing hands-on engineering involvement with strategic team leadership.

  • Willingness to travel approximately 10% for client engagements and attend periodic onsite team collaboration sessions in Palo Alto, California, approximately every eight weeks.

Carex Consulting Group is an equal opportunity employer. We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, marital status, disability, gender identity, or Veteran status.

#LI-EM1

Attach a Resume file. Accepted file types are DOC, DOCX, PDF, HTML, and TXT.
Review our Privacy Policy for more information.

We are uploading your application. It may take a few moments to read your resume. Please wait!