EHR Architecture & Technical Infrastructure Lead

EHR Architecture & Technical Infrastructure Lead

Location: Swift Square One
Job type: Specified Purpose

Overview of role:

The Architecture and Technical Infrastructure Lead will play a pivotal role in the successful implementation of the Cúram Electronic Health Record (EHR) across UPMC Ireland. Reporting to the Cúram Technical Stream Lead, this position is responsible for managing, planning and delivery across the core technical architectures (infrastructure, functional and data) that will support the deployment, performance, scalability, and security of the Cúram programme. This role provides strategic and tactical leadership for the Architecture & Technical Infrastructure Stream and ensures close alignment between architecture, infrastructure, systems/functions, data migration, interoperability, and security. The successful candidate will bring extensive experience in enterprise health IT architectures (infrastructure, functional, data), and technical infrastructure modernization in a regulated healthcare environment. This is an exciting opportunity for a seasoned technical leader to shape the f

Primary Duties and Responsibilities:

General Accountabilities

You will have responsibility for leading the Architecture and Technical Infrastructure workstream within the UPMC Ireland Cúram programme. You will implement the programme within the project scope and governance, including identification of your stream’s stakeholders. You will establish your project team and allocate responsibilities. You will collaborate with the other workstream leads where required.
For the workflows to be deployed, you will be responsible for the end-user experience and protections relating to technical infrastructure with the other Clinical and Business team leads, milestone tracking, reporting workstream status and issues, risks and benefits. You will lead the decision-making process towards the resolution of issues impacting your workstream alongside the Technical Stream Lead.

Team Leadership & Stakeholder Engagement:

• Serve as the primary liaison to the clinicians and supporting staff, ensuring architecture and infrastructure designs meet clinical and business workflow needs.
• Lead Architecture & Technical Infrastructure engagement sessions, adoption planning, and go-live readiness efforts.
• Recommend policy changes and process improvements related to infrastructure use to drive efficiencies and improve outcomes.
• Facilitate regular workgroup meetings, track milestones, document decisions, and escalate risks.
• Act as the primary liaison between architecture and infrastructure functions and the Cúram implementation team.
• Provide hands-on support during go-live and stabilisation phases, ensuring continuity of operations and rapid issue resolution relating to data migration.
• Collaborate with the training team to ensure technical and other relevant users are adequately trained on data migration processes within Meditech and associated applications.
• Support the planning and delivery of handover training to the future EHR BAU team members.
• Collaborate with governance committees (within the programme, UPMC Ireland and UPMC US) to support ongoing optimization and training needs.

Architecture and Infrastructure Design:

• Define the future-state technical architectures (infrastructure, functional and data) to support the Cúram programme, including decisions around system selection, decommissioning, integration, overall scalability, and system resilience.
• Ensure the infrastructure architecture aligns with clinical/business workflow needs and integration points across ancillary systems such as PACS, LIS, RIS, ERP and other enterprise/local applications.
• Collaborate with MEDITECH and internal IT teams to understand system specifications, infrastructure dependencies, and technical constraints.
• Design and oversee infrastructure and functional architectures to ensure secure, reliable access for all clinical and operational users.
• Working with UPMC Ireland’s Data Protection & Cybersecurity Lead (with support from UPMC US), and the programme’s MIS/RBACK Workstream Lead, ensure cybersecurity alignment by embedding secure-by-design principles and supporting capabilities.
• Ensure sufficient capabilities are in place to meet operational, business continuity, and disaster recovery requirements.
• Ensure appropriate capabilities and capacities are in place to retain and enable appropriate access to legacy data for operational and regulatory purposes.
• Coordinate with the interoperability and data migration teams to ensure the technical architecture enables seamless data flow and real-time exchange across systems.
• Co-ordinate with facilities managers to ensure all technical capabilities are designed, developed and delivered in line with programme requirements.

Implementation Support, Validation & Testing:

• Lead technical readiness activities including infrastructure provisioning and deployment of non-production environments for development, testing, and training.
• Oversee performance testing, scalability assessments, and end-to-end system monitoring configurations.
• Support the design and execution of go-live cutover plans, including rollback strategies and system validation procedures.
• Collaborate with IT operations and MEDITECH technical resources to perform system integration testing (SIT), user acceptance testing (UAT), and technical validation of all infrastructure components.
• Act as an escalation point for infrastructure-related issues during build, test, go-live, and stabilisation phases.
• Ensure system reliability through proactive monitoring, logging, and rapid resolution protocols.
• Identify and troubleshoot issues in collaboration with IT, finance, and clinical teams.
• Champion change management within the infrastructure team and the wider organisation, addressing workflow impacts, practice changes, and documentation requirements.
• Facilitate standards development processes and actively engage architecture and infrastructure stakeholders (including US colleagues) in design and optimization discussions.

Documentation & Governance:

• Maintain accurate and up-to-date project documentation, including current state/future state architectures, risk/issue logs, decision registers, benefits registers, and change logs.
• Support governance processes by preparing materials for the Technical Design Forum and senior management meetings.
• Define and track key performance indicator (KPI) readiness, adoption, and post-go-live performance.
• Assist in documenting lessons learned and continuous improvement initiatives.
• Ensure compliance with statutory and regulatory requirements related to technical capabilities for clinical safety in digital health.

Required

• Bachelor’s degree in Computer Science, Engineering, Health Informatics, or a related field (or equivalent experience).
• Minimum 5 years experience in enterprise system architecture and health IT infrastructure.
• Direct experience leading architecture and technical capabilities for deployments of HIS/CIS systems (preferably MEDITECH, but not excluding EPIC, Oracle Health et al.).
• Experience with supporting technical infrastructure requirements for EHR systems, including cybersecurity, identity management, business continuity, disaster recovery, legacy data retention and access.
• Proven experience leading technical teams in large-scale healthcare IT transformations.
• Strong project coordination, stakeholder engagement, and change management skills.
• Strong analytical thinking, problem-solving, and interpersonal skills with the ability to work across clinical and operational teams

Preferred

• Experience integrating EHR systems with ancillary systems (PACS, LIS, RIS, pharmacy, etc.).
• Knowledge of infrastructure frameworks such as TOGAF or ITIL.
• Experience working within Irish or EU healthcare systems, with understanding of regional compliance standards and data sovereignty requirements.
• Knowledge of clinical decision support, change management methodologies (e.g., Prosci, ADKAR), and regulatory requirements (e.g., documentation standards, medication safety protocols).
• Experience developing training resources and SOPs

UPMC is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

At UPMC we provide a total rewards program that is not only market competitive, but fair and provides growth opportunities for all our colleagues.

Compensation – Competitive pay for the work employees do – base pay, performance related pay and premium pay where applicable.

Benefits – Fully paid maternity and paternity leave for new parents. Competitive Pension Plan, company funded Death in Service Benefit x 3 times. Critical Illness cover for all employees up to the age of 66.

Performance and Recognition – Rewards for performance that supports the goals and mission of UPMC through our annual ACES programme.

Work-Life Balance – Enhanced annual leave up to a maximum of 27 days. Flexible working opportunities to support you to work around external family commitments.

Development and Career Opportunities – Opportunities for each employee to reach their career goals through continued learning and/or advancement.

About UPMC

UPMC is a renowned multinational academic medical centre committed to delivering people-focused care that’s close to home. Headquartered in Pittsburgh and affiliated with the University of Pittsburgh Schools of the Health Sciences, UPMC shapes the future of health through clinical and technological innovation, research and education. UPMC expands its expertise globally, bringing world-class care across continents through its UPMC International division — an owned and operated network of hospitals and ambulatory care centres in Italy, Ireland and Croatia. UPMC International brings new access to the signature specialty services of UPMC Hillman Cancer Centre, UPMC Sports Medicine and others to more people in more places around the world.

In Ireland UPMC has provided high-quality healthcare in the South East since 2006. UPMC’s operations in Ireland now include UPMC Whitfield Hospital in Waterford, UPMC Sports Surgery Clinic in Dublin, UPMC Kildare Hospital in Clane, and UPMC Aut Even Hospital in Kilkenny. Outpatient care is available at the UPMC Carlow Outreach Centre, UPMC Hillman Cancer Centre radiotherapy locations in Waterford and Cork, UPMC The 4th Practice in Mallow, and across UPMC Sports Medicine Clinics in Dublin, Waterford, Limerick, Tipperary, Cork, and Mayo. UPMC has also established a nationwide Concussion Network. UPMC's Global Technology Operation Centre is based in Kilkenny.