Healthcare Technology Consulting Leader Integration 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.

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:

• Bachelors 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).

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.