Lead Terminologist

Big challenges need bold thinkers.

If you’re someone who sees problems as opportunities, you’ll thrive here. RESPEC is 100% employee-owned, which means we take ownership of every challenge. Here, your ideas drive real solutions. Since 1969, we’ve tackled complex challenges in energy transition, infrastructure resilience, digital transformation, and sustainability.

At RESPEC, you’ll work alongside clients to take on critical problems. Depending on your expertise, you might design infrastructure in remote locations, develop renewable energy solutions for global projects, or apply data-driven technology to improve mining and water systems.

We bring deep technical knowledge, real-world experience, and a commitment to work that matters. If you're looking for a place where your contributions have real impact, you’ll fit right in.

We do not accept unsolicited resumes from third-party recruiters.

The Lead Terminologist is the guardian of data interoperability. This role ensures that clinical data remains "semantic" and usable as it moves between systems, which is critical for patient safety, clinical decision support, and national reporting.

Detailed Scope of Work & PWS Alignment:

• Terminology Development & Implementation: Provide terminology analysis, design, validation, and maintenance for the VA-DoD Federated Interagency Terminology Service (FITS) and VA SNOMED Extension.
• Event Set Hierarchy (ESH) Remediation: Resolve defects in the Oracle Health Millennium ESH. Implement terminology best practices to ensure data integrity across the enterprise.
• Standards Development Organization (SDO) Engagement: Facilitate engagement with HL7 FHIR, LOINC, and SNOMED CT. Manage submissions to ensure VA requirements are integrated into national standards.
• New Term Rapid Turn-around (NTRT): Manage the NTRT process for Allergy Reactants and Adverse Reactions, ensuring terms are adjudicated and deployed to production on a continuous basis.

Advanced Technical Proficiencies:

• Standards: Expert knowledge of SNOMED CT, LOINC, ICD-10-CM, and FHIR.
• Tools: Proficiency in Symedical, MED-RT, and terminology mapping tools.
• Policy: Deep understanding of ONC and CMS regulations regarding clinical terminology.

• Education: Master’s Degree in Nursing or equivalent clinical specialty.
• Experience: 10 years in terminology development and implementation.

Work Arrangement

• Remote 

Compensation: Salary depends on experience and expertise. Compensation includes a comprehensive fringe-benefits package. RESPEC is a 100% employee-owned company and employees are eligible for participation in the Employee Stock Ownership Plan (ESOP) after a qualifying period.

Featured benefits include:

• Flexible Work Schedules
• Paid Parental Leave
• 401(k) & ESOP (with company match up to 4%)
• Professional Development and Training
• Tuition Reimbursement
• Employee Assistance Program
• Medical/Dental/Vision Insurance Plans

Equal Opportunity Employer, including veterans and individuals with disabilities. All your information will be kept confidential according to EEO guidelines. 

All your information will be kept confidential according to EEO guidelines.

All your information will be kept confidential according to EEO guidelines.