Solution Architect- Epic STARS
CVS Health2 days ago
Base Salary
$107k - $284k/yr
Responsibilities
- Architect and design Epic Healthy Planet, Reporting Workbench, Clarity/Caboodle, and SlicerDicer solutions for Star Ratings, HEDIS, and NCQA measure tracking.
- Translate quality measure specifications into functional and technical Epic build requirements.
- Own the technical roadmap for registries, care gap alerts, best practice advisories, and health maintenance topics tied to Star measures.
- Partner with quality, population health, ACO, clinical, analytics, and reporting stakeholders.
- Lead or oversee Epic build, workflow optimization, testing, validation, troubleshooting, and quality dashboard delivery.
- Ensure interoperability with external quality-reporting platforms and vendor tools using FHIR/HL7 standards where applicable.
- Maintain architecture and data-flow documentation, support audit readiness, and participate in governance, change control, and release management.
- Monitor changes to CMS Star Ratings, HEDIS, NCQA, and Epic functionality, and mentor junior analysts and build staff.
Requirements
- Bachelor's degree in Health Informatics, Information Systems, Computer Science, or a related field, or equivalent experience.
- At least 5 years of experience with Epic, including hands-on work in Healthy Planet, Clarity/Caboodle, Reporting Workbench, or SlicerDicer.
- Experience supporting Medicare Star Ratings, HEDIS, and/or NCQA quality measure programs.
- Strong understanding of value-based care and ACO population health operations.
- Experience translating clinical and quality specifications into technical build requirements.
- Familiarity with FHIR and HL7 interoperability standards.
- Epic certification in Healthy Planet, Reporting Cadence, ClinDoc, or related modules is strongly preferred.
- Experience with Rally for build backlogs and release planning, health plan, ACO, or integrated delivery network environments, risk adjustment and quality-reporting vendor platforms, and senior-leadership presentations is preferred.
Benefits
- Full-time position with medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other eligible resources.
- Eligible for CVS Health bonus, commission, or short-term incentive programs and an equity award target in addition to base pay.
Categories
Solutions Engineering
About CVS Health
CVS Health is a U.S. health care company that operates thousands of retail pharmacies, runs the CVS Caremark pharmacy benefits manager, and owns the Aetna health insurance business. It sells prescriptions, retail health goods, and insurance plans, and provides primary and urgent care through MinuteClinic and other services for consumers, employers, and government programs. Founded in 1963 and headquartered in Woonsocket, Rhode Island, it is a public company traded on the NYSE.