Healthcare Technology Consulting - IT Security Lead

Guidehouse•Boston, MA

10d

About The Position

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. The IT Security Lead will oversee the design, implementation, validation, and sustainment of cybersecurity and data protection strategies for an expansive Public Health System’s Oracle Health EHR implementation. This role is responsible for ensuring that all infrastructure, applications, integrations, and data flows meet or exceed state and federal security standards, including HIPAA, NIST 800-53, and State-specific cybersecurity policies. The IT Security Lead will work closely with technical partners, stakeholders, and third-party vendors to ensure secure, compliant, and resilient operations across state and correctional health environments.

Requirements

Bachelors degree
Minimum 5 years of experience in IT security leadership in healthcare or public sector environments.
Proven success in securing large-scale EHR implementations, preferably Oracle Health Millennium and RevElate.
Deep understanding of HIPAA, NIST, FISMA, and state-specific cybersecurity frameworks.
Experience with IAM, SOC operations, vulnerability management, and DR planning.
Familiarity with HL7/FHIR, OCI, and secure data integration practices
Excellent communication, stakeholder engagement, and documentation skills.

Nice To Haves

Certifications in CISSP, CISM, CISA, or equivalent.
Experience with federal/state EHR implementations.
Familiarity with Oracle Health’s security architecture and OCI observability tools.
Experience managing security in multi-entity, multi-specialty environments.

Responsibilities

Security Architecture and Governance Lead the development of a hybrid cloud security architecture leveraging Oracle Cloud Infrastructure (OCI) and State-managed data centers.
Implement zero-trust architecture with least-privilege access, multi-factor authentication (MFA), and role-based access controls (RBAC).
Align all security controls with service agreements, NIST 800-53, and CIS benchmarks.
Establish governance models for change control, incident response, and disaster recovery (DR) planning.
Serve as the primary liaison to the Executive Steering Committee and state cybersecurity teams.
Risk Management and Compliance Conduct structured risk assessments across technical, contractual, staffing, and hosting domains.
Develop and maintain a risk register with mitigation strategies anchored in governance, monitoring, and contract safeguards.
Lead vulnerability scanning, penetration testing, and firewall reviews across all environments.
Ensure compliance with HIPAA, 42 CFR Part 2, FISMA, and other applicable regulations.
Oversee the implementation of continuous monitoring, patching, and SOC (Security Operations Center) coordination.
Identity and Access Management (IAM) Design and implement IAM protocols across Oracle Health Millennium, RevElate, and integrated systems.
Manage user provisioning, de-provisioning, and access audits across all care settings.
Validate integration with Oracle IAM and state identity providers for seamless SSO and MFA.
Disaster Recovery and Business Continuity Define and validate SLAs for uptime, performance, RTO/RPO, and incident response.
Coordinate DR testing with Oracle Health and state infrastructure teams.
Develop and maintain playbooks for failover, downtime procedures, and recovery operations.
Ensure that DR protocols are embedded in training and operational handoffs.
Data Protection and Integration Security Oversee secure ingestion and normalization of multi-source data (clinical, claims, operational) using Oracle Health Data Intelligence (HDI).
Validate HL7/FHIR interface security, including encryption, authentication, and audit logging.
Implement secure APIs and data exchange frameworks for interoperability with federal and state systems.
Operational Support and Sustainment Provide 24/7 monitoring, quarterly health checks, and proactive performance tuning.
Lead continuous modernization efforts leveraging OCI’s roadmap (AI, automation, new security services).
Ensure alignment with ITIL service management practices and state governance.

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