Principal Engineer -- Salesforce Architect (Health Cloud)

Nagarro

~$125,839 - $233,701Market Estimate

United States

Full-Time

Senior (7+ yrs)

Engineering & Development

Posted on August 11, 2026

Lead end-to-end Salesforce Health Cloud solution architecture and delivery for large, enterprise healthcare implementations.
Own overall Health Cloud technical strategy, ensuring scalability, security, and compliance with healthcare regulations (HIPAA/PHI).
Deep expertise in Health Cloud features, including Patient/Member Profiles, Care Plans, Care Programs, Care Teams, Health Timelines, Assessments, Care Gaps, and Utilization Management. Strong leadership in translating complex healthcare business requirements into scalable Salesforce Health Cloud solutions.
Act as a trusted advisor for business stakeholders, architects, and senior leadership on Health Cloud capabilities and best practices.
Drive architectural decisions covering Salesforce core, Health Cloud extensions, integrations, data models, and automation.
Hands-on leadership experience with Apex, Lightning Web Components (LWC), Flows, Triggers, Batch Apex, and Salesforce APIs.
Define and govern integration architecture using REST/SOAP APIs, middleware, and healthcare standards such as FHIR and HL7.
Strong understanding of EHR/EMR integrations, payer/provider workflows, and patient/member lifecycle management.
Lead all phases of the delivery lifecycle—requirements, solution design, development, testing, deployment, and post-go-live support.
Review and approve high-level and low-level technical designs, ensuring alignment with enterprise architecture standards.
Ensure adoption of Salesforce best practices, governor limit optimization, performance tuning, and code quality standards.
Provide technical governance, conduct design/code reviews, and manage architectural risks and technical debt.
Lead and mentor multi-shore Salesforce teams, including developers, admins, QA, and offshore delivery teams.
Guide teams on Salesforce security model, data access, sharing rules, consent management, and compliance needs.
Hands-on experience with DevOps and CI/CD tools such as Copado, Git, Azure DevOps, Jenkins.
Collaborate closely with program managers to manage scope, timelines, risks, and delivery commitments.
Drive innovation and continuous improvement, including PoCs, adoption of new Salesforce Health Cloud features, and platform enhancements.
Participate in roadmap planning, release strategy, and long-term platform evolution discussions.
Strong experience working in Agile / Scaled Agile environments, supporting sprint planning and release management.
Excellent communication, leadership, decision-making, and stakeholder management skills.