Healthcare Technology Consulting – Technical Architect

Guidehouse

Oracle Technical Architect providing expertise in Oracle Health solutions for healthcare clients. Leading technical architecture and integration strategies in a remote capacity at Guidehouse.

Posted 5/17/2026full-timeRemote • 🇺🇸 United StatesMid-LevelSenior💰 $118,000 - $196,000 per yearWebsite

Tech Stack

Tools & technologies

Oracle

About the role

Key responsibilities & impact

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.
Oversee configuration strategy across Millennium and RevElate, ensuring alignment with clinical and rev cycle workflows.
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.
Lead the technical components of cutover planning: Conversion sequencing, timing, freeze windows, Dress rehearsals, dry runs, downtime workflows, Clinical and financial continuity plans.
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.
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.

Requirements

What you’ll need

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.

Benefits

Comp & perks

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

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

Oracle Health MillenniumRevElatedata migrationconversion architecturecutover planningHL7FHIRX12EDIbiomedical device integration

Soft Skills

leadershipteam managementmulti-workstream initiative managementcommunicationorganizational skills

Certifications

Bachelor's degree