Guidehouse · 3 weeks ago
Technical Executive Lead/Enterprise Architect
United States
Full-time
Remote
Senior Level, Lead/Staff
$226K/yr - $376K/yr
8+ years expGuidehouse is a consulting firm specializing in technology solutions for health systems. The Technical Executive Lead will serve as the senior technical authority for Oracle Health EHR implementations, overseeing technical workstreams and ensuring successful deployment across various health facilities.
AdviceConsultingManagement Consulting
Responsibilities
Lead the technical workstream for the full lifecycle of Oracle Health Millennium and RevElate implementations
Architect and deploy a robust Enterprise Master Patient Index (EMPI), including vendor integration, match criteria design, and data migration strategy
Design and validate hybrid hosting models using Oracle Cloud Infrastructure (OCI) alongside on-premises data centers
Ensure compliance with Commonwealth cybersecurity policies, including endpoint patching, VPN/Citrix access, and MFA/SSO integration
Coordinate with Oracle Health Cloud Operations to validate OCI configurations, performance benchmarks, and disaster recovery protocols
Oversee integration of HL7 v2, HL7 FHIR, SMART on FHIR, and TEFCA-compliant interfaces
Manage interface development using Corepoint, Cloverleaf, Rhapsody, and Oracle Integration Services
Lead interface governance, including lifecycle management, vendor coordination, and version control
Develop and maintain a centralized interface registry with structured logging, monitoring dashboards, and alerting mechanisms
Ensure seamless integration with state-wide HIEs, including MIIS, regional exchanges, and external labs
Direct end-user device selection, deployment, and testing across diverse facility types
Conduct physical device walkthroughs and network evaluations using tools such as SCCM, Lansweeper, Ekahau, and SolarWinds
Validate bedside medical device integration (BMDI) using HL7 and CareAware iBus
Manage wireless topology redesign, RF scans, and VLAN segregation to support WOWs and mobile clinical apps
Ensure ergonomic and security compliance for all deployed devices
Lead structured cutover planning, including mock cutovers, dress rehearsals, and go-live command center operations
Oversee demographic and clinical data migration from multiple MEDITECH instances and ancillary systems
Develop catch-up file schedules, validation protocols, and rollback procedures
Coordinate MPI backloading, data harmonization, and legacy system reconciliation
Validate data accuracy through targeted queries, application-level reviews, and clinical acceptance testing
Serve as the primary technical liaison to Oracle Health, client leadership, and third-party vendors
Participate in Change Control Committee (CCC) and Steering Committee meetings to evaluate technical impacts of scope changes
Provide executive-level reporting on technical readiness, risk posture, and milestone progress
Support structured governance models for interface ownership, device lifecycle, and infrastructure sustainment
Qualification
Required
Bachelors degree
8+ years of experience in large-scale EHR implementations, including at least 3 Oracle Health (Cerner) projects
Proven experience with Oracle Health Millennium and RevElate platforms
Demonstrated success in EMPI design and deployment, including external vendor coordination and internal match queue strategies
Deep expertise in HL7/FHIR standards, interface engines (e.g., Cloverleaf, Rhapsody), and device integration (e.g., CareAware iBus)
Experience integrating and transitioning from MEDITECH environments, including interface reconciliation and data harmonization
Strong understanding of pharmacy operations, including centralized distribution centers and PharmNet workflows
Familiarity with behavioral health and long-term care workflows and regulatory requirements
Experience with hybrid cloud environments (preferably Oracle Cloud Infrastructure) and enterprise architecture
Excellent communication and stakeholder engagement skills
Preferred
Deep experience with Oracle Health (Cerner), MEDITECH, and other EHR platforms across complex, multi-entity implementations
Proven success in leading cutover planning, mock go-lives, and dress rehearsals in heterogeneous environments
Experience with device walkthroughs, network readiness assessments, and clinical validation of bedside medical devices
Familiarity with state-operated pharmacy services, correctional health, and behavioral health workflows
Certifications in PMP, HIMSS, or relevant technical domains
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
Company
Guidehouse
Guidehouse offers consulting services for public and commercial markets with expertise in management, technology, and risk consulting.
10001+ employees
H1B Sponsorship
Guidehouse has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (25)
2024 (20)
2023 (29)
2022 (49)
2021 (50)
2020 (59)
Funding
Current Stage
Late StageTotal Funding
$0.75MKey Investors
Mission Daybreak
2023-11-06Acquired
2023-02-16Grant· $0.75M
Leadership Team
Scott McIntyre
Chairman and CEO
Alicia Harkness
Partner
Recent News
Washington Technology
2025-11-20
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2025-11-19
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