Healthcare Technology Consulting Leader – Integration Architect
Guidehouse
full-time
Posted on:
Location Type: Remote
Location: Remote • 🇺🇸 United States
Visit company websiteSalary
💰 $149,000 - $248,000 per year
Job Level
Senior
Tech Stack
FirewallsOracleSOAP
About the role
- 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.
- 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.
- Coordinate device and clinical connectivity patterns (e.g., CareAware).
- 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.
- 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).
- Own integration test strategy (unit, integration, end-to-end, negative, performance).
- Lead readiness for cutover and go-live, including command-center support and stabilization.
- 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.
- Act as primary integration advisor to client leaders and cross-functional teams.
- Coordinate with application leads to ensure interfaces support real workflows.
Requirements
- Bachelor’s 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.
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
HL7 v2FHIRREST APIsOAuth2integration architectureinterface enginesCloverleafRhapsodyCorepointMirth
Soft skills
leadershipcommunicationproblem-solvingcollaborationgovernancedesign reviewschange controlroot cause analysisescalation managementclient advisory