Clinical Terminologist

Core4ce • Reston, OR

3h • $120,000 - $130,000

About The Position

Core4ce is seeking an experienced Clinical Terminologist to support the Integrated Healthcare Transformation (IHT) initiative within the Veterans Health Administration (VHA). The Clinical Terminologist will serve as a subject matter expert in healthcare terminology, semantic interoperability, and clinical informatics, supporting the development and maintenance of standardized clinical data models and terminology mappings. This role requires a strong clinical background combined with deep expertise in terminology standards, ontology development, metadata management, and healthcare interoperability frameworks. The successful candidate will help ensure that clinical and benefits-related information is accurately represented, exchanged, and utilized across enterprise healthcare systems. This position is designed to be flexible, with responsibilities evolving to meet business needs and enable individual growth.

Requirements

• Must be able to obtain and maintain a Public Trust clearance.
• Master's degree in Informatics, Computer Science, Health Informatics, Clinical Informatics, or a related field.
• Certification in Informatics is required.
• Minimum of 5 years of experience in clinical terminology management, semantic interoperability, healthcare informatics, or related disciplines.
• Clinical background as a physician, nurse, pharmacist, or other allied health or healthcare-related professional.
• Demonstrated expertise in healthcare terminology standards, including SNOMED CT, LOINC, RxNorm, FHIR, and other applicable interoperability standards.
• Experience developing terminology mappings, semantic models, ontologies, metadata structures, and value sets.
• Proficiency with terminology management tools and terminology services platforms.
• Experience maintaining terminology content and implementing updates based on new or revised industry standards.
• Strong understanding of healthcare data standards, interoperability frameworks, and clinical information systems.
• Experience supporting semantic interoperability initiatives across complex healthcare environments.
• Excellent analytical, problem-solving, communication, and stakeholder engagement skills.
• Ability to translate complex clinical and technical concepts into standardized terminology models and data structures.

Nice To Haves

• Experience supporting Veterans Health Administration (VHA), Department of Veterans Affairs (VA), or other federal healthcare organizations.
• Experience with disability-related terminology and benefits data standards.
• Knowledge of healthcare data governance, master data management, and enterprise information architecture.
• Experience supporting electronic health record (EHR) modernization initiatives.
• Familiarity with HL7 standards, FHIR implementation guides, and healthcare information exchange frameworks.
• Experience participating in terminology governance boards, standards organizations, or interoperability initiatives.

Responsibilities

• Develop, maintain, and optimize clinical terminology mappings and information models that support interoperability across healthcare systems and applications.
• Map clinical and benefits-related concepts to industry-standard terminologies, including SNOMED CT, LOINC, RxNorm, FHIR, and other standards based on specific use cases and business requirements.
• Design and maintain semantic infrastructure components, including metadata repositories, ontology models, controlled vocabularies, and terminology services.
• Develop and manage domain-specific value sets, ensuring alignment with evolving clinical terminology standards and organizational requirements.
• Monitor, evaluate, and implement updates to terminology standards and ensure appropriate incorporation into enterprise terminology management processes.
• Collaborate with clinicians, informaticians, business stakeholders, and technical teams to define, model, and standardize healthcare data elements.
• Support healthcare interoperability initiatives by ensuring consistent semantic representation across clinical systems, applications, and data exchanges.
• Utilize terminology management tools to perform concept mapping, value set management, terminology maintenance, and semantic analysis.
• Analyze clinical workflows, business processes, and use cases to identify terminology requirements and develop appropriate semantic solutions.
• Participate in data governance and terminology governance activities to ensure compliance with enterprise standards and best practices.
• Provide expertise in ontology development, metadata management, and semantic modeling to support healthcare modernization efforts.
• Develop documentation, standards, procedures, and implementation guidance related to terminology management and interoperability.
• Support quality assurance activities by validating terminology mappings, data definitions, and semantic models.
• Collaborate with interdisciplinary teams, including physicians, nurses, pharmacists, disability specialists, allied health professionals, and benefits personnel, to ensure accurate representation of clinical and business concepts.

Benefits

• 401(k) with 100% company match on the first 6% deferred, with immediate vesting
• Comprehensive medical, dental, and vision coverage—employee portion paid 100% by Core4ce
• Unlimited access to training and certifications, with no pre-set cap on eligible professional development
• Tuition assistance for job-related degrees and courses
• Paid parental leave, PTO that grows with tenure, and generous holiday schedules
• The Forge program for employee innovation proposals

What This Job Offers

• Job Type: Full-time
• Career Level: Senior