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Alpaca Health · 2 months ago

EHR Platform Architecture Consultant (Contract)

United States

Full-time, Contract

Remote

Senior Level

$125/hr - $200/hr

Alpaca Health is a company that empowers autism care providers to deliver high-quality ABA services by managing non-clinical administrative functions. They are seeking an experienced EHR Platform Architecture Consultant to audit their existing EHR architecture and data model, identify bottlenecks, and propose foundational improvements for scalability.

Health CareMental HealthTherapeutics

Responsibilities

Review how ABA clinics operate across scheduling, clinical documentation, data collection, billing, EVV, and claims

Understand how our platform supports these workflows today — and where breakdowns occur

Evaluate our current domain models (appointments, session notes, treatment plans, pay periods, claims, etc.) across Python + MongoDB

Analyze schema design, document relationships, indexing strategy, event flow, and consistency across modules

Assess compliance-related needs (audit logs, versioning, PHI boundaries, RBAC)

Recommend architectural changes to improve reliability, correctness, and long-term extensibility

Flag structural issues that may cause future problems (e.g., ledger consistency, document bloat, inconsistent time-zone handling, overly coupled modules)

Prioritize changes by business impact, engineering risk, and implementation complexity

Provide guidance on whether and how to incorporate FHIR resources or Medplum-style abstractions

Suggest patterns for versioning clinical documents, supporting note signing, and unifying scheduling + billing + clinical domains

Review our LLM-driven workflows and recommend safer patterns for auditability and correctness

Work directly with our CTO and engineering team

Deliver clear written recommendations, diagrams, and migration paths

Optionally advise during implementation as we execute your recommendations

Qualification

EHR architecture expertiseMongoDBPythonHealthcare data modelsSchema designAnalytical skillsCommunication skills

Required

Deep experience designing or auditing EHRs (Epic, Athena, SimplePractice, Rethink, Medplum, etc.)

Understand healthcare data models, particularly structured clinical documentation, audit trails, and insurance workflows

Strong opinions on schema design, normalization vs denormalization, event models, and domain boundaries

Comfortably evaluate systems across MongoDB, Python, cloud architectures, and LLM-driven workflows

Can translate messy real-world clinical workflows into clean, extensible domain models

Communicate clearly and produce high-quality architectural documents

Company

Alpaca Health

Alpaca Health offers tech and admin support for ABA practices, focusing on automation and insurance reimbursement.

Founded in 2024

Brooklyn, New York, USA

2-10 employees

https://alpacahealth.io

Funding

Current Stage

Early Stage

Leadership Team

Michael Gao

Founder

Company data provided by crunchbase