• Health Informatics Director - Physician

    Wolters Kluwer (Philadelphia, PA)


    Health Informatics Director – Physician

     

    As the Health Informatics Director – Physician, you will lead initiatives that leverage clinical terminology and informatics to enhance Health Language solutions. This role focuses on developing and managing Health Language content—including value sets and clinical decision support (CDS) rules—to enable risk adjustment suspect identification, recapture workflows, and prior authorization logic. You will collaborate with product, engineering, and payer stakeholders to deliver standards-compliant solutions that optimize clinical and financial workflows. The position reports to the VP/GM of Health Language.

    Key Responsibilities

    Design and maintain clinical terminology assets (value sets, mappings, hierarchies) for risk adjustment workflows.

     

    + Develop CDS and documentation rules to guide providers toward accurate coding and documentation for HCCs and other risk-adjusted conditions.

    + Incorporate Wolters Kluwer assets (UpToDate, Medi-Span, Health Language) into integrated solutions for competitive advantage.

    + Build features such as suspected diagnosis identification, actionable alerts, medication guidance, and documentation prompts for provider workflows.

    + Collaborate with engineering to ensure standards compliance (HL7 FHIR, SNOMED CT, ICD-10-CM, RxNorm) and interoperability.

    + Explore AI-driven approaches for suspect detection and workflow optimization.

    + Lead the Health Language Content Team, establishing systematic processes for terminology governance and decision-making.

    + Apply clinical informatics principles to terminology management and CDS design.

    + Serve as a subject matter expert for clinical terminology and informatics to Product and Engineering teams.

    + Represent Wolters Kluwer in standards and policy forums (HL7, AMIA, HIMSS, CHAI) to influence industry direction.

    + Oversee user acceptance testing and validation of terminology-driven features.

    + Conduct strategic data analysis to measure impact on risk adjustment accuracy and provider adoption.

    Skills & Expertise

    + Clinical Terminology Management: Deep knowledge of SNOMED CT, ICD-10-CM, RxNorm, LOINC, and value set development.

    + Clinical Informatics: Ability to design CDS rules and workflows aligned with provider behavior and regulatory requirements.

    + Data Analysis: Proficiency in evaluating clinical and claims data to inform suspect logic and measure outcomes.

    + Standards & Compliance: Familiarity with HL7 FHIR, interoperability frameworks, and payer-provider data exchange requirements.

    + Leadership & Communication: Strong ability to lead cross-functional teams and communicate complex informatics concepts to executives.

    + Medical degree (MD/DO) plus graduate degree in Health Informatics or related field.

    + Experience in clinical informatics, terminology management, and risk adjustment programs.

    + Proven ability to lead content development and integration projects in healthcare technology.

     

    Our Interview Practices

     

    _To maintain a fair and genuine hiring process, we kindly ask that all candidates participate in interviews without the assistance of AI tools or external prompts. Our interview process is designed to assess your individual skills, experiences, and communication style. We value authenticity and want to ensure we’re getting to know you—not a digital assistant. To help maintain this integrity, we ask to remove virtual backgrounds and include in-person interviews in our hiring process. Please note that use of AI-generated responses or third-party support during interviews will be grounds for disqualification from the recruitment process._

     

    _Applicants may be required to appear onsite at a Wolters Kluwer office as part of the recruitment process._

    Compensation:

    165,400.00 - 295,550.00 USD

     

    Compensation range listed is based on primary location of the position. Actual base salary offer is influenced by a wide array of factors including but not limited to skills, experience and actual hiring location. Your recruiter can share more information about the specific offer for the job location during the hiring process.

     

    **Additional Information** :

     

    Wolters Kluwer offers a wide variety of competitive benefits and programs to help meet your needs and balance your work and personal life, including but not limited to: Medical, Dental, & Vision Plans, 401(k), FSA/HSA, Commuter Benefits, Tuition Assistance Plan, Vacation and Sick Time, and Paid Parental Leave. Full details of our benefits are available upon request.

     

    EQUAL EMPLOYMENT OPPORTUNITY Wolters Kluwer U. S. Corporation and all of its subsidiaries, divisions and customer/business units is an Equal Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.