IT Consultant V, Solutions - SNOMED CT, Clinical Coding, EHR

Job Summary:

The Concergent Data Modeler within the Convergent Medical Terminology team (CMT) is responsible for designing, maintaining, and optimizing clinical terminology models using SNOMED CT (Systematized Nomenclature of Medicine - Clinical Terms). This role supports interoperability, data normalization, and semantic precision in electronic health records (EHRs), clinical research, and healthcare analytics. The ideal candidate has a strong understanding of clinical terminology systems, ontologies, and data modeling concepts within healthcare environments.

• Fulfillment of terminology request for Procedures, diagnosis records coming from different KP markets.
• Ability to data model, map terminology concepts to industry terminology standards such as, SNOMED, LOINC, ICD, CPT, HCPCs
• Ability and/or having the capacity to learn "knowledge representation" logic to create, maintain subsets of clinical records to support reporting, business intelligence in the areas of best practice alerts, population and healthcare management, quality measurements, and health information exchanges.
• Interface with a variety of business units and collaborate on request clarification, coding review, completion, and maintenance for production use.
• The ability to translate business requirements to "technical speak" and interface with our technical team for tooling enhancements, quality assurance, business rules building, and use case and test case building of technical to business requirement enhancements.
• Oversee (track, maintain, communicate, oversee ) SOX requirements with our release management process.

In addition to the responsibilities listed below, this position is responsible for providing support for customers (users), and assigned applications and/or information systems, including software implementation, cross-functional integration, complex configuration, and testing. Additional responsibilities also include leading solution design support efforts and research initiatives for translating requirements into workable technical solutions, and supporting the evaluation of third-party vendors as directed.

Essential Responsibilities:

• Conducts or oversees business-specific projects by applying deep expertise in subject area; promoting adherence to all procedures and policies; developing work plans to meet business priorities and deadlines; determining and carrying out processes and methodologies; coordinating and delegating resources to accomplish organizational goals; partnering internally and externally to make effective business decisions; solving complex problems; escalating issues or risks, as appropriate; monitoring progress and results; recognizing and capitalizing on improvement opportunities; evaluating recommendations made; and influencing the completion of project tasks by others.
• Practices self-leadership and promotes learning in others by building relationships with cross-functional stakeholders; communicating information and providing advice to drive projects forward; influencing team members within assigned unit; listening and responding to, seeking, and addressing performance feedback; adapting to competing demands and new responsibilities; providing feedback to others, including upward feedback to leadership and mentoring junior team members; creating and executing plans to capitalize on strengths and improve opportunity areas; and adapting to and learning from change, difficulties, and feedback.
• Develops requirements, or leads a team of IT consultants in the development of requirements for complex or specialized process or system solutions which may span multiple business domains by partnering with stakeholders and appropriate IT teams (for example, Solutions Delivery, Infrastructure, Enterprise Architecture).
• Leverages multiple business requirements gathering methodologies to identify business, functional, and non-functional requirements (for example, SMART) across the enterprise.
• Leads and oversees the development and documentation of comprehensive business cases to assess the costs, benefits, ROI, and Total Cost of Ownership (TCO) of complex solution proposals.
• Provides insight, guidance, and recommendations throughout the evolution of applications, systems, and/or processes to a desired future state by maintaining and leveraging a comprehensive understanding of how current processes impact business operations across the enterprise.
• Maps current state against future state processes.
• Defines the impact of requirements on upstream and downstream solution components.
• Provides insight and influence to senior management and business leaders on how to integrate requirements with current systems and business processes across the enterprise.
• Reviews, evaluates, and prioritizes value gaps and opportunities for process enhancements or efficiencies.
• Influences solution design by providing insight and consultation at design sessions with IT teams to help translate requirements into workable business solutions.
• Recommends and advocates for additional data and/or services needed to address key business issues related to process or solutions design.
• Participates in evaluating third-party vendors as directed.
• Drives continuous process improvement by leading the development, implementation, and maintenance of standardized tools, templates, and processes across the enterprise.
• Recommends and advocates for regional and national process improvements which align with sustainable best practices, and the strategic and tactical goals of the business.

Minimum Qualifications:

• Minimum two (2) years experience in software or system testing across multiple IT environments.
• Minimum one (1) year software or application development experience.
• Bachelors degree in Business Administration, Computer Science, CIS or related field and Minimum eight (8) years experience in IT consulting, business analysis, or a related field. Additional equivalent work experience may be substituted for the degree requirement.

Additional Requirements:

Preferred Qualifications:

• Certified Business Analyst Professional (CBAP) or other comparable business analyst or IT consulting certification
• Three (3) years experience in large scale software implementations
• Master's degree in Health Informatics or a related field.
• Experience with tools such as SNOMED CT Browser, SNOMED CT Authoring Platform, or terminology servers.
• Certification in health informatics (e.g., AHIMA CHDA, AMIA, SNOMED CT Foundation Course).
• Knowledge of ontology editing tools (e.g., Pr)
• 2-5 years of experience in clinical terminology modeling or health informatics.
• Proficiency in SNOMED CT structure, use cases, and modeling principles.
• Familiarity with clinical coding systems like ICD-10, LOINC, CPT, and RxNorm.
• Experience with electronic health records (EHR) and data standards (e.g., FHIR, HL7).
• Strong analytical and problem-solving skills.

Primary Location: California,Pleasanton,Pleasanton Tech Cntr Building B
Scheduled Weekly Hours: 40
Shift: Day
Workdays: Mon, Tue, Wed, Thu, Fri
Working Hours Start: 09:00 AM
Working Hours End: 05:00 PM
Job Schedule: Full-time
Job Type: Standard
Worker Location: Remote
Employee Status: Regular
Employee Group/Union Affiliation: NUE-IT-01|NUE|Non Union Employee
Job Level: Individual Contributor
Department: KPIT ADMIN - HC IP ADMIN - 9601
Pay Range: $147200 - $190410 / year
Travel: No Kaiser Permanente is an equal opportunity employer committed to fair, respectful, and inclusive workplaces. Applicants will be considered for employment without regard to race, religion, sex, age, national origin, disability, veteran status, or any other protected characteristic or status.