Job Description

Job Family: Technology Consulting
Travel Required: Up to 50%
Clearance Required: None
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.
What You Will Do:
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.

What You Will Need:
Bachelor's degree * 7+ 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.

What Would Be Nice To Have:

• 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).

The annual salary range for this position is $149,000.00-$248,000.00. Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs.
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 Employer-Protected 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 1-571-633-1711 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 @guidehouse.com 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 Guidehouse's 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 applicant's 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.

Skills Required