Job Description

HM Note: This hybrid contract role is three (3) days in office. Candidates' resumes must include first and last name.

Description

Background Information

Ontario Health is hiring a Health System Solutions Designer to support the design and delivery of integrated digital solutions across provincial health programs. This role sits at the intersection of system modernization and solution executionaEUR"bridging program needs, data standards, and platform capabilities into coherent, scalable designs. While this role involves architectural thinking, it's rooted in collaboration and delivery. You'll be embedded in real-time decision-makingaEUR"working closely with clinical, product, and technical teams to shape solutions that align with broader system goals. Rather than focusing solely on reference models, you'll help ensure designs are actionable, connected, and built for integration across platforms like drug, medical imaging and immunization and more. This is a hands-on, high-impact role for someone who thrives in cross-functional environments and wants to help modernize Ontario's health system from the inside out. The purpose of this procurement is to procure one Health System Solutions Designer required to form a dedicated team for the Ontario Health Digital Blueprint.

Must haves:

Minimum 7 years of experience in solution design, system integration, or platform delivery within complex digital environments (preferably public health or government). Minimum 5 years as a Solution Architect on electronic health-related projects in Canada, preferably in Ontario. Demonstrated ability to produce delivery-ready technical designs aligned with organizational and ecosystem strategy. Strong understanding of interoperability standards and integration methods (e.g., RESTful APIs, Health Level Seven - Fast Healthcare Interoperability Resources (HL7 FHIR), secure messaging). Knowledge of data flow modeling, system integration patterns, and reusable components. Proven experience working in cross-functional teams (clinical, product, policy, development). Familiarity with modern delivery practices (Agile, Continuous Integration / Continuous Deployment or Delivery (CI/CD), DevOps) in government or healthcare environments. Knowledge of Healthcare Information Systems used in Ontario. Experience in healthcare administration or healthcare IT. Experience defining governance, principles, policies, and procedures for business or IT transformation initiatives. Knowledge of PHIPA and privacy legislation as applied to healthcare IT. Experience navigating complex multi-stakeholder environments (public/private).

Responsibilities:

Lead the solution design process for high-impact health modernization projects, ensuring architectural alignment with enterprise goals and system strategy Translate policy and clinical needs into implementable technical designs that harmonize with Ontario Health's data and platform standards Collaborate with product owners, vendors, and internal delivery teams to co-design and validate integration strategies across multiple systems Act as a bridge between project delivery and long-term sustainabilityaEUR"balancing timelines with system coherence Contribute to the evolution of internal design patterns, solution review practices, and platform reuse Ensure alignment with semantic standards {(e.g., Fast Healthcare Interoperability Resources (FHIR), Systematized Nomenclature of Medicine - Clinical Terms (SNOMED CT), Logical Observation Identifiers Names and Codes (LOINC)} and support consistent application across programs

Desired Skills:

Experience designing and implementing solution architectures in multi-stakeholder environments. Proficiency in developing logical system designs, interface specifications, integration flow diagrams, and data mappings. Hands-on experience with terminology services and semantic mapping (e.g., SNOMED CT, LOINC). Familiarity with patient consent enforcement, identity frameworks, and access control mechanisms at the service layer. Ability to participate in solution design walkthroughs, architecture reviews, and delivery planning sessions. Knowledge of data flow modeling, system integration patterns, and reusable components. Experience with platform-level integration in public health, provider registry, or shared services. Ability to align vendor solutions to technical standards and delivery expectations. Familiarity with data validation, reference implementations, and conformance testing for APIs/interfaces. Ability to co-design with cross-disciplinary teams and resolve complex integration issues collaboratively.

Required Experience / Evaluation Criteria:

Minimum 5 years' experience as a solution Architect on electronic health-related projects in Canada, preferably in Ontario.: 20 Points Knowledge of Healthcare Information Systems used throughout the province of Ontario.: 20 Points Experience working in the health care industry, specifically in health care administration/health care IT.: 20 Points Experience defining governance, principals, policies and procedures and leading business and/or IT transformation initiatives.: 20Points Knowledgeable of PHIPA and privacy legislation and how it applies to healthcare IT solutions..: 10 Points Experience dealing in a complex multi private/public stakeholder environment.: 10 Points

Total evaluation criteria.: 100 Points
Deliverables

Deliverables include, but are not limited to:

Solution Design Documents (SDDs): Capture how the system will behave, integrate, and support requirements in practice. FHIR Interface Specifications & Message Structures: Define what the system exposes and consumesaEUR"ensures compliance with health data standards and integration across platforms. Integration Flow Diagrams: Illustrate how systems communicate across trust boundariesaEUR"crucial for platform alignment, consent handling, and secure data movement. Terminology Mapping Sheets: Translate clinical meaning into machine-readable codesaEUR"avoids duplication, enables analytics, and ensures semantic integrity. Vendor Design Review Feedback & Solution Alignment Notes: Ensure third-party solutions align to OH's requirements and avoid divergence from system-wide patterns. Reusable Design Pattern Templates: Promote repeatable, scalable solutionsaEUR"reduces integration rework and accelerates implementation across programs. Data Payload Examples & Validation Outputs: Enable testing and validation by showing what real-world messages look like across interfaces (e.g., JSON, XML). Delivery Risk Logs & Technical Issue Registers: Support project planning, architecture governance, and surfacing of system risks early in the design cycle. Collaboration Logs with OH Architects and Product Teams: Document co-design effortsaEUR"supports semantic integrity and avoids duplication.

Knowledge Transfer Details:

The resource will ensure full knowledge transfer is provided to the Ontario Health team before end of engagement. Some of this might occur at the end of the engagement but will also be shared as information is obtained/consolidated. Key deliverables will be shared with team. The resource must provide all related documentation as part of Knowledge transfer protocol. Documents will be reviewed by the appropriate leads and signed off by manager/director. The resource will work collaboratively with the Ontario Health team throughout the assignment and ensure key deliverables, milestones, and documentation are shared. A walkthrough of any demos, development, etc. will be required before the end of the engagement.

Must Haves:

Minimum 7 years of experience in solution design, system integration, or platform delivery within complex digital environments (preferably public health or government). Minimum 7 years of experience of interoperability standards and integration methods (e.g., RESTful APIs, Health Level Seven - Fast Healthcare Interoperability Resources (HL7 FHIR), secure messaging). Minimum 7 years of experience of data flow

modeling

, system integration patterns, and reusable components. * Minimum 7 years of experience of PHIPA and privacy legislation as applied to healthcare IT.