Focused Futures Consultancy LTD
Senior Business Architect
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Senior Business Architect
Business Architect / Domain Architect – Healthcare Digital Transformation & Analytics
Function: Digital Transformation, Analytics Location: London, UK (hybrid—regular client-site presence required) Reporting to: Head of IT / Programme Director Engagement Type: Permanent / Fixed-term Contract / Consulting Sector: Private Healthcare — Hospitals, Clinics, Integrated Care Providers Salary: £90,000 – £120,000 (base) + bonus & benefits Compliance: Enhanced DBS Check required
About the Role
Our award-winning global systems integrator consultancy is seeking an experienced Business Architect / Domain Architect to lead domain-driven transformation programmes within UK private healthcare. This senior, client-facing role bridges the gap between clinical operations, business change, data, and technology delivery.
The ideal candidate will:
- Serve as the key liaison between clinical/operational stakeholders (Consultants, Doctors, Nurses, Schedulers, Finance teams) and IT/data engineering teams.
- Bring deep UK private healthcare expertise, exceptional stakeholder management, and hands-on experience delivering end-to-end transformation solutions (from requirements to go-live and adoption).
- Proactively shape transformation agendas while building cross-functional relationships to influence priorities without direct authority.
This role demands clinical domain authority, technical fluency, and the ability to translate complex business needs into actionable IT strategies—ensuring outcomes matter to both patients and stakeholders.
Key Responsibilities
Clinical & Business Stakeholder Engagement
- Act as the primary domain expert for healthcare operations, clinical workflows, and patient pathways, translating requirements for IT/data teams.
- Build long-term trust with Medical Consultants, Clinical Nurse Specialists, Finance Directors, Operational Managers, and C-suite executives.
- Lead structured workshops, process mapping, and discovery sessions across clinical departments and business functions.
- Bridging cultures:Communicate effectively with clinical, operational, and technology teams using language tailored to each group.
- Engage independently with executive leadership, translating strategic discussions into prioritized transformation initiatives.
- Influence decisions without direct authority, establishing credibility quickly in complex stakeholder ecosystems.
Business Analysis & Requirements
- Produce high-quality business requirements, functional specs, process maps, and data dictionaries grounded in healthcare reality.
- Define and validate clinically meaningful KPIs (e.g., theatre utilisation, patient pathway timelines, cancer care outcomes, revenue performance).
- Translate clinical data models into analytical designs that data engineers can implement confidently.
- Author user stories, acceptance criteria, and test scenarios accessible to both clinical and technical teams.
- Identify data quality issues, missing fields, and completeness gaps, proposing solutions through collaboration with clinical and IT stakeholders.
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Domain Architecture & Solution Design
- Contribute to healthcare data and analytics architecture, ensuring solutions are clinically meaningful, operationally relevant, and scalable.
- Define data domains, master data entities, and semantic models for core areas (patient, episode, clinical activity, cost, workforce).
- Guide integration patterns between systems (EPR, EHR, scheduling, finance, diagnostics) and analytics/data platforms.
- Support legacy-to-modern migrations while preserving business continuity, data lineage, and clinical relevance.
- Govern analytical products (access controls, refresh schedules, usage tracking) to drive adoption and value realization.
Delivery, Adoption & Governance
- Active in agile/hybrid delivery teams, contributing to sprint planning, backlog prioritization, demos, UAT, and retrospectives.
- Champion adoption as a core outcome, working post-go-live to ensure users understand, embed, and measure value.
- Provide transparent programme reporting, surfacing risks proactively without bias.
- Connect transformation outputs to clinical/operational outcomes to demonstrate business impact.
Skills & Experience
Essential
✅ 10+ years in technology-aligned business roles (e.g., aligning strategy with roadmaps or transformation). ✅ 5+ years as a Business Analyst/Architect/Domain Architect or equivalent in UK private healthcare environments. ✅ Deep understanding of both clinical (patient pathways, theatre ops) and non-clinical (finance, scheduling) hospital operations. ✅ Proven ability to engage with C-suite in healthcare settings, translating strategy into actionable priorities. ✅ End-to-end experience leading a full-cycle provider technology transformation programme (discovery → go-live → adoption). ✅ Strong grasp of healthcare technologies (EHR/EMR, data platforms, integration ecosystems). ✅ Data/analytics fluency to collaborate with engineers on solution design. ✅ Produces clear, accurate, and dual-purpose (clinical/technical) requirements specs, process models. ✅ Experience working in agile/hybrid models (backlog management, sprints, governance). ✅ London presence (2–3 days/week) required. ✅ Executive presence and ability to influence senior decision-makers convincingly.
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Highly Desirable
🔹 Experience with UK private healthcare clinical data standards (e.g., activity reporting, cancer data submissions, patient safety datasets). 🔹 Familiarity with UK private healthcare financial models (PMI, self-pay, Activity-Based Costing, revenue cycle management). 🔹 Background in clinical informatics, health data science, or NHS/private sector IT leadership. 🔹 Proficiency with major UK private healthcare systems (e.g., EPR, EHR, scheduling tools). 🔹 Understanding of cloud data platforms and legacy-to-modern migrations. 🔹 Awareness of AI/automation opportunities in clinical/operational settings (e.g., risk mitigation, human-in-the-loop design).
Personal Attributes
A standout candidate demonstrates:
- Curiosity about healthcare operations, driven by measurable clinical/business value, not just technology delivery.
- Exceptional relationship-building—earns trust through expertise, honesty, and consistency.
- Comfort with ambiguity, juggling multiple priorities in diverse stakeholder environments.
- Rigorous attention to detail, producing accuracy-oriented work suitable for executive-level feedback.
- Transparent, direct communication—raises risks early without sugarcoating.
- Strategic thinking, capable of navigating complex, multi-party ecosystems.
What Success Looks Like (First 6 Months)
✔ Speaks the language of Consultants and Clinicians without defaulting to jargon. ✔ Explains KPI/metric relevance clinically ("Why this matters, not just how to build it"). ✔ BUILDS STAKEHOLDER TRUST rapidly via domain expertise and active listening. ✔ Prioritizes adoption—incorporates change management from day one. ✔ SURFACES RISKS HONESTLY in programme reporting. ✔ CONTINUOUSLY BRIDGES CLINICAL, OPERATIONAL & TECHNOLOGY TEAMS proactively. ✔ INFLUENCES PRIORITIES instead of waiting for requirements. ✔ DEMONSTRATES AUTHORITY & CREDIBILITY with both frontline colleagues and executives.
Diversity, Equity & Inclusion
Our client commits to an inclusive culture where diverse perspectives drive better outcomes in healthcare. All backgrounds are welcome; no discriminatory hiring practices exist. They believe diverse teams create stronger collaboration and improved patient-organization results.
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