Healthcare Technology Consulting Enterprise ArchitectIntegration 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.

The Architect provides cross-cutting design leadership establishes architectural standards for all technical teams and ensures that the statewide solution meets long-term operational clinical revenue cycle and regulatory needs. This position does not manage build teams or execute data migrationit governs the architecture that all domain technical leads and engineering teams must follow.

Key Responsibilities:

1. Enterprise Architecture Ownership

• Define and maintain the statewide Oracle Health architecture blueprint covering application data integration security and infrastructure layers.
• Establish architecture principles patterns guardrails and decision frameworks for all technical domains.
• Approve solution designs that span multiple systems vendors or agencies.
• Provide architectural oversight and ensure alignment across technical leads integrators and state IT stakeholders.
• Serve as final escalation point for architectural conflicts or cross-system design challenges.

2. Integration & Interoperability Architecture

• Design the integration reference architecture for Oracle Health and all connected systems including HIE public health reporting labs pharmacy behavioral health platforms and payer systems.
• Define interface standards for HL7v2 FHIR REST CCD/CDA X12/EDI SFTP and batch exchange.
• Establish message governance error handling retry patterns monitoring and audit expectations.
• Ensure interoperability across agencies with differing operational models while maintaining statewide cohesion.
• Provide oversight for biomedical device integration (BMDI) BPAM pump interoperability vitals capture and related device workflows.

3. Cloud Infrastructure & Performance Architecture

• Define architectural requirements related to OCI hosting including networking tenancy identity performance resiliency and DR/BCP.
• Govern environment strategy at the architectural level including environment tiers refresh patterns and performance engineering criteria.
• Establish standards for observability logging monitoring and event correlation across the enterprise.
• Ensure all infrastructure and cloud decisions align with Commonwealth security and operational mandates.

4. Data Architecture & Quality Oversight

• Define the data architecture needed for Oracle Health RevElate HealtheIntent statewide reporting and analytics.
• Establish data governance models semantic standards and quality expectations required for safe statewide operations.
• Provide architectural oversight of the data migration strategyensuring alignment with clinical safety reporting standards and future-state data needs.
• Ensure agency-level variation does not compromise enterprise data consistency or integrity.

5. Security & Identity Architecture

• Define enterprise security and identity architecture across all agencies ensuring alignment with HIPAA NIST state cybersecurity policy and PHI/PII protections.
• Govern IAM SSO/SAML OAuth and user provisioning frameworks across multi-agency user populations.
• Ensure consistent application of security architecture across all integrations endpoints devices and cloud components.
• Drive architectural decisions for audit logging encryption segmentation and threat detection.

6. Architecture Governance & Vendor Coordination

• Lead or co-lead statewide architecture governance forums and enforce compliance with architectural standards.
• Maintain architecture decision records (ADRs) and ensure transparent traceable design rationale.
• Evaluate vendor proposals and design artifacts for architectural completeness sustainability and operational feasibility.
• Collaborate with system integrators Oracle state technology teams and agency stakeholders to ensure architectural consistency across all phases of the program.

What You Will Need:

• Bachelors degree

• 7 years enterprise healthcare architecture experience across complex multi-entity environments.
• 7 years experience with Oracle Health Millennium architecture across clinical ancillary and interoperability domains.
• Experience with RevElate architecture including claims flows charge services and EDI integration models.
• Strong understanding of OCI hosting models and their architectural implications for Millennium and RevElate.
• Expert knowledge of HL7v2 FHIR REST CCD/CDA and X12/EDI (270/271 276/).
• Demonstrated experience architecting large-scale interoperability frameworks across public sector or multi-agency health environments.
• Deep familiarity with BMDI integrations pharmacy systems and public health reporting.
• Strong command of cybersecurity architecture IAM and regulatory frameworks governing health data.

What Would Be Nice To Have:

• Prior experience in state government Medicaid environments state hospitals or multi-agency health systems.
• Experience with HealtheIntent or large-scale clinical data warehouse design.
• Experience evaluating and governing the work of multiple vendors or integrators.
• Prior leadership of architecture boards design councils or enterprise review committees.

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.

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