Top Tech Jobs & Startup Jobs in San Francisco Bay Area, CA

Lead product strategy for high-throughput data ingestion, Medallion Lakehouse analytics, and FHIR-native MDM. Drive decoupling into microservices, design Spark/Databricks streaming and batch pipelines, define identity resolution and survivorship rules, and create error remediation, DLQ handling, data steward interfaces, and idempotent replay mechanisms to maintain a Golden Patient Record at scale.

Lead strategy and delivery for cloud platform and managed services, building platform and deployment automation, ensuring reliability, security, compliance, and strong client relationships across SaaS and customer-managed environments.

Design and drive multi‑tenant multi‑cloud architecture and security for a managed services FHIR-based platform. Develop reference architectures, automation, cost tracking, compliance controls, and documentation; lead proofs of concept, stakeholder briefings, and mentor teams to ensure secure, scalable Azure/AWS/GCP deployments.

Design, develop and execute performance, load, stress and regression tests for API and web applications. Model scenarios, analyze NFRs and bottlenecks, maintain test frameworks, report metrics, and collaborate with development and infra teams to improve scalability and reliability.