Guidehouse · 22 hours ago
Healthcare Technology Consulting Leader - Integration Architect
District of Columbia, United States
Full-time
Hybrid
Senior Level, Lead/Staff
$149K/yr - $248K/yr
8+ years expGuidehouse is a consulting firm specializing in technology solutions for healthcare. The Integration Architect will lead the integration architecture and design governance for Oracle Health systems, ensuring a stable and secure interoperability layer across various healthcare systems and driving operational improvement and technology adoption.
AdviceConsultingManagement Consulting
Responsibilities
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
Direct or configure integration tooling (Cerner Open Engine, Cloverleaf, Rhapsody, Corepoint, Mirth/NextGen Connect)
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
Qualification
Required
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
Preferred
Oracle Health-specific build skills (Discern Explorer / CCL)
Revenue cycle domain depth (patient accounting, claims, payer integration)
Identity/EMPI integration experience
OCI familiarity (networking, certificates/TLS, secure connectivity)
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 (23)
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
Washington Technology
2025-11-19
Company data provided by crunchbase