Healthcare Technology Consulting Technical Architect

Job Family:

Travel Required:

Clearance Required:

Guidehouses 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.

Key Responsibilities:

Platform Architecture & Technical Design

• Lead the technical architecture for Oracle Health Millennium RevElate device integrations and enterprise interoperability.
• Establish architectural standards guardrails and alignment across clinical rev cycle and ancillary build teams.
• Translate operational workflows into technical models that support performance reliability and regulatory compliance.

Build Governance & Configuration Oversight

• Oversee configuration strategy across Millennium and RevElate ensuring alignment with clinical and rev cycle workflows.
• Review build for performance maintainability technical accuracy and adherence to governance.
• Serve as design authority across multiple domains and workstreams.

Data Migration Architecture

• Lead data migration planning and oversight for:
  • Millennium clinical and documentation datasets
  • RevElate financial account and encounter structures
  • Legacy system extractions mapping transformation logic and validation
• Establish rulesets reconciliation frameworks and dry-run success criteria.

Cutover & Go-Live Strategy

• Lead the technical components of cutover planning:
  • Conversion sequencing timing freeze windows
  • Dress rehearsals dry runs downtime workflows
  • Clinical and financial continuity plans
• Ensure readiness across infrastructure application device and workflow layers.

Integrations Interfaces & EDI

• Architect integration needs including:
  • HL7 and FHIR clinical interfaces
  • X12/EDI (837/835 270/271 278 etc.)
  • Payer connectivity clearinghouse strategy and revenue cycle edits
• Design interface engine routing error handling monitoring and recovery logic.

Biomedical Device Integration (BMDI)

• Lead the integration strategy for biomedical devices within the Oracle ecosystem including:
  • IV pump interoperability medication programming data ingestion
  • Physiologic monitors and telemetry feeds
  • Blood Product Administration (BPAM) workflows and safety checks
  • Device drivers vendor gateways and middleware
  • Data-flow design from device to interface engine to clinical documentation
• Ensure device connectivity supports safe clinical workflows and regulatory requirements.

What You Will Need:

• Bachelors degree

• 7 years of Oracle Health Millennium experience with architecture/configuration leadership.
• Experience with RevElate (build design workflows or architecture).
• Expertise in:
  • Data migration and conversion architecture
  • Cutover and go-live technical planning
  • Integrations/EDI frameworks
  • Biomedical Device Integration (BPAM IV pumps monitors gateways)
• Understanding of how OCI supports and impacts the Oracle Health application stack.
• Experience leading teams and multi-workstream initiatives.
• Strong understanding of clinical and revenue cycle operational workflows.

What Would Be Nice To Have:

• Experience with large-scale EHR modernization.
• Experience with AMCs IDNs state/federal programs or multi-hospital networks.
• Familiarity with device middleware (Capsule vendor-specific gateways).
• Previous consulting experience.
• Knowledge of DevOps automation or monitoring concepts (not required).

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 EmployerProtected 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- or via email at . 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 @ or . 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 Guidehouses Ethics Hotline. If you want to check the validity of correspondence you have received please contact . Guidehouse is not responsible for losses incurred (monetary or otherwise) from an applicants 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.