Healthcare Technology Consulting Leader - Integration Architect

Job Family:

Technology Consulting

Travel Required:

Up to 50%

Clearance Required:

None

Guidehouse’s Health IT Solutions team works with clients to measurably improve their technology outcomes through a mix of IT strategies, improvement in IT operations, and adoption of technology initiatives. By leveraging a deep understanding of health system IT operational best practices supported by data, Guidehouse propels IT operational improvement and technology adoption across departments and service lines at client organizations. 

What You Will Do:

The Integration Architect will lead end-to-end integration architecture, design governance, and delivery execution for Oracle Health Cerner Millennium (clinical) and Oracle Health revenue cycle (RevElate) hosted on Oracle Cloud Infrastructure (OCI). This role ensures a stable, secure, and scalable interoperability layer across clinical, revenue, ancillary, device, identity, and external partner systems. The architect drives standards-based exchange (HL7 v2, FHIR/SMART, APIs) and reliable operations from design through go-live and steady state, serving as the primary technical integration contact and escalation point across workstreams.

Key Responsibilities:

Integration Architecture & Strategy

• Define integration strategy spanning Millennium, RevElate, and surrounding ecosystem (PM/ADT, orders/results, scheduling, billing/claims, eligibility, remits, patient portal, HIE/public health).
• Own integration reference architecture (patterns, standards, canonical models, error handling, retries, idempotency, throughput, observability).
• Establish design governance: interface intake, prioritization, design reviews, and change control.

Interface & API Design / Build Oversight

Lead design and oversee build for:

• HL7 v2 messaging (ADT, ORM/ORU, DFT, SIU, MDM, VXU)
• FHIR / SMART on FHIR integrations and REST-based interoperability
• APIs (REST/SOAP), file-based exchange (SFTP), and event-driven patterns

• Direct or configure integration tooling (Cerner Open Engine, Cloverleaf, Rhapsody, Corepoint, Mirth/NextGen Connect).
• Coordinate device and clinical connectivity patterns (e.g., CareAware).

Revenue Cycle Integration (RevElate)

• Architect integrations supporting end-to-end revenue workflows: registration, charge capture, coding, billing/claims, clearinghouse, payer responses, payment posting, denials/AR workflows, reporting extracts.
• Align clinical-to-financial touchpoints and resolve workflow-driven interface requirements.

OCI / Cloud & Environment Coordination

• Partner with OCI and hosting teams to meet networking, security, identity, and performance requirements (VPN, subnets, firewalls, certificates, secrets management).
• Define environment promotion and configuration management (DEV/TEST/UAT/PREPROD/PROD).

Testing, Cutover, Go-Live, Hypercare

• Own integration test strategy (unit, integration, end-to-end, negative, performance).
• Lead readiness for cutover and go-live, including command-center support and stabilization.

Operations & Reliability

• Establish monitoring, alerting, error queues, reconciliation, and SLA/SLO targets.
• Serve as escalation point for high-severity integration issues; drive root cause analysis and preventative controls.

Stakeholder & Program Leadership

• Act as primary integration advisor to client leaders and cross-functional teams.
• Coordinate with application leads to ensure interfaces support real workflows.

What You Will Need:

• Bachelor’s degree
• 8+ years of healthcare integration experience, including large-scale EHR programs; 3+ years hands-on with Oracle Health/Cerner Millennium preferred.
• Expertise in interoperability standards: HL7 v2, FHIR, REST APIs, OAuth2.
• Experience with interface engines (Cloverleaf, Rhapsody, Corepoint, Mirth) and resilient routing/transformation patterns.
• Proven delivery leadership across requirements, design, build, testing, and go-live.
• Strong understanding of HIPAA and enterprise integration governance.

What Would Be Nice To Have:

• Oracle Health-specific build skills (Discern Explorer / CCL).
• Revenue cycle domain depth (patient accounting, claims, payer integration).
• Identity/EMPI integration experience.
• OCI familiarity (networking, certificates/TLS, secure connectivity).

The annual salary range for this position is $149,000.00-$248,000.00. Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs.

What We Offer:

Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.

Benefits include:

• Medical, Rx, Dental & Vision Insurance

• Personal and Family Sick Time & Company Paid Holidays

• Position may be eligible for a discretionary variable incentive bonus

• Parental Leave and Adoption Assistance

• 401(k) Retirement Plan

• Basic Life & Supplemental Life

• Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts

• Short-Term & Long-Term Disability

• Student Loan PayDown

• Tuition Reimbursement, Personal Development & Learning Opportunities

• Skills Development & Certifications

• Employee Referral Program

• Corporate Sponsored Events & Community Outreach

• Emergency Back-Up Childcare Program

• Mobility Stipend

About Guidehouse

Guidehouse is an Equal Opportunity Employer–Protected Veterans, Individuals with Disabilities or any other basis protected by law, ordinance, or regulation.

Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.

If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at RecruitingAccommodation@guidehouse.com. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.

All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @guidehouse.com or guidehouse@myworkday.com.  Correspondence received by an applicant from any other domain should be considered unauthorized and will not be honored by Guidehouse.  Note that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event. Never provide your banking information to a third party purporting to need that information to proceed in the hiring process.

If any person or organization demands money related to a job opportunity with Guidehouse, please report the matter to Guidehouse’s Ethics Hotline. If you want to check the validity of correspondence you have received, please contact recruiting@guidehouse.com. Guidehouse is not responsible for losses incurred (monetary or otherwise) from an applicant’s dealings with unauthorized third parties.

Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.