[Hiring] Healthcare Technology Consulting - Technical Architect @Guidehouse

Role Description

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.

The Oracle Technical Architect provides deep expertise across Oracle Health Millennium, RevElate, data migrations, device integrations (BMDI), EDI/interoperability, and cross-system workflow design. This role is accountable for the architecture and governance of complex Oracle Health implementations, ensuring alignment across clinical operations, revenue cycle performance, and long-term system reliability. This role is not a cloud architect, but it must understand how Oracle Cloud Infrastructure (OCI) supports and impacts the Oracle Health ecosystem — specifically availability, performance, integration patterns, and environment design.

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.

Qualifications

• Bachelor’s degree
• 5+ 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.

Requirements

• 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).

Benefits

• 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