Guidehouse

Healthcare Technology Consulting – Enterprise Architect, Integration Architect

Guidehouse

full-time

Posted on:

Location Type: Remote

Location: Remote • 🇺🇸 United States

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Salary

💰 $149,000 - $248,000 per year

Job Level

SeniorLead

Tech Stack

CloudCyber SecurityOracle

About the role

  • 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.
  • 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.
  • 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.

Requirements

  • Bachelor’s 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, 276/277, 278, 835, 837).
  • 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.
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

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard skills
Oracle Health architectureHL7v2FHIRRESTCCD/CDAX12/EDIOCI hostinginteroperability frameworkscybersecurity architectureBMDI integrations
Soft skills
architectural oversightconflict resolutionstakeholder alignmentdecision makinggovernance