Technical Executive Lead/Enterprise Architect

Company: Guidehouse
Location: Boston
Posted on: January 19, 2026

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 Technical Lead will serve as the senior technical authority for the client's Oracle Health (Cerner) Electronic Health Record (EHR) implementation. This role will oversee all technical workstreams including system architecture, interoperability, interface development, device integration, infrastructure readiness, and cutover planning. The Technical Lead will collaborate closely with clinical, operational, and vendor teams to ensure the successful deployment of Oracle Health Millennium and RevElate platforms across state/federal health systems, correctional health facilities, and affiliated sites. Key Responsibilities: Architecture and Infrastructure - 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. Interoperability and Integration - 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. Device and Network Readiness - 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. Cutover and Data Migration - 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. Governance and Stakeholder Engagement - 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. What You Will Need: - Bachelors degree - 6 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. What Would Be Nice To Have: - 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. 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 RecruitingAccommodation@guidehouse.com. 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 guidehouse@myworkday.com. 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 recruiting@guidehouse.com. 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.

Keywords: Guidehouse, Boston , Technical Executive Lead/Enterprise Architect, IT / Software / Systems , Boston, Massachusetts