Position: Director, Solution Architecture (Hands-On)

Monogram Health is seeking a Director, Solution Architecture, who is a hands-on architecture leader and can operate as both a strategic partner and a front-line builder. This role will set architectural direction while prototyping and delivering working solutions, especially agentic systems, bots, and AI-accelerated workflows—that improve how we build and scale across teams.

You’ll bring strong engineering taste (“knows what great code looks like”), modern platform thinking (cloud, data, integration), and the EQ to influence leaders and mentor engineers. You’ll help establish best practices, reference architectures, and reusable components—while still being able to jump in and ship prototypes.

Responsibilities

• Own solution architecture across applications, integrations, data, and AI-enabled services, ensuring designs are pragmatic, scalable, and aligned with Monogram Health’s business and clinical goals.
• Act as a hands-on player/coach, building prototypes and reference implementations that de-risk initiatives and establish patterns teams can take to production.
• Lead development of agentic solutions, bots, and AI-accelerated workflows, including responsible use of AI-assisted coding tools (e.g., Claude) to improve engineering velocity and quality.
• Set and model a high bar for engineering excellence, including code quality, API design, testing strategy, security, and maintainability.
• Partner closely with product, engineering, data, and business leaders to translate strategy into executable technical designs and delivery plans.
• Define and evolve integration and platform patterns across cloud services (Azure), enterprise systems (e.g., Salesforce), and data platforms (e.g., Databricks).
• Guide data and interoperability architecture for healthcare use cases, including familiarity with FHIR, HL7, claims data, and secure handling of PHI.
• Drive modern DevOps and Infrastructure-as-Code practices, enabling reliable CI/CD, repeatable environments, and production-ready systems.
• Mentor engineers and tech lead with strong EQ, leading through influence, clear guidance, and best practices rather than centralized control.

Position Requirements

• Bachelor’s degree in information technology, Computer Science, Engineering, or related field, or equivalent combination of education and/or professional experience
• Minimum of seven (7) years in software engineering with meaningful time in solution architecture / technical leadership.
• Proven ability to be hands-on (e.g., design, code, review, and ship - especially prototypes that become production)
• Understanding of modern cloud architecture (Azure preferred) and distributed systems fundamentals
• Demonstrated experience leading cross-team technical direction using influence, clarity, and pragmatism
• Solid engineering fundamentals, including testing strategies, design patterns, API design, performance, and maintainability
• Communication and collaboration skills; ability to engage senior leaders and coach engineers

Benefits

• Comprehensive Benefits - Medical, dental, and vision insurance, employee assistance program, employer-paid and voluntary life insurance, disability insurance, plus health and flexible spending accounts
• Financial & Retirement Support – Competitive compensation, 401k with employer match, and financial wellness resources
• Time Off & Leave – Paid holidays, flexible vacation time/PSSL, and paid parental leave
• Wellness & Growth – Work life assistance resources, physical wellness perks, mental health support, employee referral program, and BenefitHub for employee discounts

About Monogram Health

Monogram Health is a leading multispecialty provider of in-home, evidence-based care for the most complex of patients who have multiple chronic conditions. Monogram health takes a comprehensive and personalized approach to a person’s health, treating not only a disease, but all of the chronic conditions that are present - such as diabetes, hypertension, chronic kidney disease, heart failure, depression, COPD, and other metabolic disorders.

Monogram Health employs a robust clinical team, leveraging specialists across multiple disciplines including nephrology, cardiology, endocrinology, pulmonology, behavioral health, and palliative care to diagnose and treat health issues; review and prescribe medication; provide guidance, education, and counselling on a patient’s healthcare options; as well as assist with daily needs such as access to food, eating healthy, transportation, financial assistance, and more. Monogram Health is available 24 hours a day, 7 days a week, and on holidays, to support and treat patients in their home.

Monogram Health’s personalized and innovative treatment model is proven to dramatically improve patient outcomes and quality of life while reducing medical costs across the health care continuum.