Integration Architect

Lead Integration Architect

Summary

Core Responsibilities

• Design and govern the enterprise integration architecture for Cerner Millennium, including Health Information Exchange (HIE), third-party integrations, patient portals, and device interfaces.
• Define and enforce standards for data exchange protocols (HL7 v2.x, FHIR R4, IHE profiles), message transformation, routing, and security (OAuth2, TLS, SAML).
• Lead the development of integration strategies for Cerner modules (e.g., PharmNet, PathNet, RadNet, Revenue Cycle) with external systems such as PACS, LIMS, clearinghouses, and biomedical devices.
• Oversee the creation and maintenance of Discern CCL scripts, DA2 extracts, and custom rules for data aggregation, clinical decision support, and population health reporting.
• Collaborate with offshore teams to produce detailed design artifacts, including low-level designs, API specifications, data mapping guides, and interface documentation.
• Conduct impact analyses for system upgrades, new integrations, and regulatory changes (e.g., TEFCA, 21st Century Cures Act), ensuring scalability, performance, and compliance.
• Serve as the primary escalation point for complex integration issues, leading root-cause analysis, remediation planning, and stakeholder communication.
• Mentor Solution Architects, Solution Consultants, and integration engineers on Cerner integration best practices, API management, and interoperability standards.
• Engage clinical leadership, IT governance, and external vendors to validate integration designs, secure stakeholder buy-in, and manage vendor relationships.
• Facilitate domain, issue, and change management strategies, ensuring alignment with Adventist Health’s enterprise architecture and security policies.
• Support go-live and post-go-live phases, including cutover events, regression testing, and performance optimization of integration workflows.
  

Technical Skills:

• Expert knowledge of Cerner Millennium’s integration engine, including Cerner Open Engine, Ignite APIs, and FSI (Foreign System Interface).
• Experience with middleware platforms (e.g., Mirth, Rhapsody, Cloverleaf) and API management tools (e.g., Apigee, MuleSoft).
• Advanced skills in DA2, Cerner Command Language (CCL), and Oracle/SQL for data transformation and validation.
• Familiarity with cloud-based integration architectures, including Cerner Millennium+ and Oracle Cloud Infrastructure (OCI).
  

Experience

• 10–15 years of experience in healthcare IT integration, with at least 8 years focused on Cerner Millennium implementations and integrations.
• Proven track record of leading large-scale integration projects across multi-facility health systems, including HIE, EHR-to-EHR, and third-party system integrations.
• Extensive experience with Cerner modules (e.g., PowerChart, PharmNet, PathNet, RadNet, Revenue Cycle) and their integration with external systems (PACS, LIMS, Pyxis, Clairvia).
• Demonstrated success in managing complex integration workflows, including real-time data exchange, batch processing, and high-availability environments.
• Prior experience in client-facing roles, facilitating stakeholder workshops, and presenting to executive leadership.
  

Soft Skills:

• Strategic thinker with the ability to align integration solutions with clinical, financial, and operational goals.
• Exceptional leadership and mentorship skills to guide cross-functional teams and foster a culture of innovation.
• Outstanding communication and facilitation skills, capable of translating complex technical concepts to non-technical stakeholders.
• Strong stakeholder management and negotiation skills to navigate relationships with clinical leaders, IT teams, and external vendors.
• Proven ability to manage high-pressure situations, resolve conflicts, and drive consensus in complex, multidisciplinary settings.
• Agile and adaptable to evolving healthcare technologies and regulatory requirements.
  

Qualifications