Healthcare Technology Consulting – Enterprise Architect/Integration Architect

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 Enterprise Architect / Integration Architect serves as the enterprise-level architecture authority for the client’s multi-agency Oracle Health environment.

This role defines the end-to-end technical architecture, ensuring that Millennium, RevElate, OCI components, statewide integrations, clinical devices, public health reporting systems, identity services, and legacy systems all operate together in a cohesive, scalable, secure, and sustainable manner. The Architect provides cross-cutting design leadership, establishes architectural standards for all technical teams, and ensures that the statewide solution meets long-term operational, clinical, revenue cycle, and regulatory needs. This position does not manage build teams or execute data migration—it governs the architecture that all domain technical leads and engineering teams must follow. Key Responsibilities:

Enterprise Architecture Ownership Define and maintain the statewide Oracle Health architecture blueprint, covering application, data, integration, security, and infrastructure layers. Establish architecture principles, patterns, guardrails, and decision frameworks for all technical domains.

Approve solution designs that span multiple systems, vendors, or agencies. Provide architectural oversight and ensure alignment across technical leads, integrators, and state IT stakeholders. Serve as final escalation point for architectural conflicts or cross-system design challenges.

Integration & Interoperability Architecture Design the integration reference architecture for Oracle Health and all connected systems, including HIE, public health reporting, labs, pharmacy, behavioral health platforms, and payer systems. Define interface standards for HL7v2, FHIR, REST, CCD/CDA, X12/EDI, SFTP, and batch exchange.

Establish message governance, error handling, retry patterns, monitoring, and audit expectations. Ensure interoperability across agencies with differing operational models while maintaining statewide cohesion.

Provide oversight for biomedical device integration (BMDI), BPAM, pump interoperability, vitals capture, and related device workflows. Cloud, Infrastructure & Performance Architecture Define architectural requirements related to OCI hosting, including networking, tenancy, identity, performance, resiliency, and DR/BCP.

Govern environment strategy at the architectural level, including environment tiers, refresh patterns, and performance engineering criteria. Establish standards for observability, logging, monitoring, and event correlation across the enterprise. Ensure all infrastructure and cloud decisions align with Commonwealth security and operational mandates.

Data Architecture & Quality Oversight Define the data architecture needed for Oracle Health, RevElate, HealtheIntent, statewide reporting, and analytics. Establish data governance models, semantic standards, and quality expectations required for safe statewide operations.

Provide architectural oversight of the data migration strategy—ensuring alignment with clinical safety, reporting standards, and future-state data needs. Ensure agency-level variation does not compromise enterprise data consistency or integrity.

EWJD3