Senior platform migration talent and rates in Healthcare
Senior platform migration engineers serving healthcare run roughly $125–$180/hr. Stack realities for this combination: Epic / Cerner FHIR R4 + SMART-on-FHIR; HIPAA-eligible AWS/Azure/GCP; Twilio HIPAA-eligible comms; Datadog HIPAA-mode — common integrations: Epic (MyChart / FHIR R4 / App Orchard), Cerner / Oracle Health, Allscripts. HIPAA-eligible AWS/Azure/GCP services only — Lambda eligible; some preview services not BAA-covered
What platform migration actually requires in 2026
2026 migration: AWS DMS, Google Database Migration Service, Azure Database Migration for cross-cloud DB; Liquibase or Flyway for schema; Apache Kafka or Debezium for change-data-capture during cutover; feature flags (LaunchDarkly, Statsig) for gradual user migration. Senior migration engineers handle dual-write patterns, replay-and-replay-safe ETL, validation tooling, and the inevitable rollback plan. A migration without a tested rollback is not a migration — it's a hope-driven cutover and the cause of every "we lost 30 minutes of orders" disaster.