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.
Job DescriptionThe 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.
Additional InformationWork 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.
Skills Required
- Expert knowledge of SNOMED CT, LOINC, ICD-10-CM, and FHIR
- Proficiency in Symedical, MED-RT, and terminology mapping tools
- Master's Degree in Nursing or equivalent clinical specialty
- 10 years in terminology development and implementation
RESPEC Compensation & Benefits Highlights
The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about RESPEC and has not been reviewed or approved by RESPEC.
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Retirement Support — - Retirement Support: Retirement benefits are positioned as a meaningful part of total rewards through the combination of an ESOP and a 401(k). Long-term wealth-building potential is emphasized as a differentiator versus base-salary-only comparisons.
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Healthcare Strength — - Healthcare Strength: Core medical, dental, and vision coverage is presented as a standard, comprehensive foundation. Additional protection coverage (life and disability) is also included, strengthening the overall benefits stack.
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Fair & Transparent Compensation — - Fair & Transparent Compensation: Pay is characterized as generally fair-to-good when viewed across roles and in combination with total rewards. Clear salary ranges appearing in some job postings further support expectations-setting for certain positions.
RESPEC Insights
What We Do
In a world where one superhero can handle almost any problem, our entire team of award-winning technology experts is on a mission to make your business better. With extra vision to see solutions that others can’t and vast knowledge to bridge the gaps that others don’t, we’re transformers with the know-how to solve the world’s hardest problems. At RESPEC, we thrive on technology and making our clients successful. This is why we do what we do. From the depths of a cavern to the heights of a volcano, from an antiquated computer system to a business in dire need of re-engineering, our technical and business experts find solutions for extreme situations... like the time we cleansed and migrated 100 million rows of legacy data or the time we protected Mt. Rushmore. Know-How is Everything. We use our resourcefulness and vast experience to solve problems. It’s called know-how. And when you have it, problems aren’t problems at all. Know-how defines the core of who we are. It is how our clients see us. Know-how speaks to ingenuity, aptitude, and skill—it is not merely knowledge; it is knowledge on how to get things done. Imagine having access to a think tank with hundreds of diversely talented engineers, scientists, programmers, and developers under one roof—that’s RESPEC. Each team member is highly trained and skilled in understanding and applying the laws of a specific universe to solve any kind of problem. That’s why we have to talk about our team in terms of superheroes.
