Lead Director – Solutions Architect, Epic Applications

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🕒 5 dias atrás

🏈 Alabama, Arizona, +42 estados a mais – Remoto

🏈 Alabama – Remote 🌵 Arizona – Remote 🏄 California – Remote ⛰️ Colorado – Remote 🦌 Connecticut – Remote 🐊 Florida – Remote 🥔 Idaho – Remote 🌽 Illinois – Remote 🌾 Iowa – Remote 🌪️ Kansas – Remote 🐎 Kentucky – Remote ⚜️ Louisiana – Remote 🦞 Maine – Remote 🦬 Montana – Remote 🌾 Nebraska – Remote 🎰 Nevada – Remote 🗻 New Hampshire – Remote 🏖️ New Jersey – Remote 🌶️ New Mexico – Remote 🗽 New York – Remote 🌲 North Carolina – Remote 🌾 North Dakota – Remote 🏈 Ohio – Remote 🌪️ Oklahoma – Remote 🌲 Oregon – Remote 🦀 Maryland – Remote 🍂 Massachusetts – Remote 🚗 Michigan – Remote ❄️ Minnesota – Remote 🎸 Mississippi – Remote 🏰 Missouri – Remote 🔔 Pennsylvania – Remote ⚓ Rhode Island – Remote 🌴 South Carolina – Remote 🗿 South Dakota – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote ⛷️ Utah – Remote 🍁 Vermont – Remote ⚔️ Virginia – Remote ☕ Washington – Remote ⛰️ West Virginia – Remote 🧀 Wisconsin – Remote 🦬 Wyoming – Remote

💵 $100.000 - $231.540 / ano

⏰ Tempo Integral

🟠 Sênior

💻 Engenheiro de Soluções

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CVS Health

SiteLinkedInTodas as Vagas

10.000+ funcionários

Fundada em 1963

🏥 Saúde

⚕️ Seguro de Saúde

🛒 Varejo

Healthcare • Healthcare Insurance • Retail

CVS Health é uma empresa líder de saúde nos Estados Unidos, dedicada a ampliar o acesso e a acessibilidade ao cuidado. A empresa adota uma abordagem abrangente que inclui serviços de saúde, seguro saúde e gestão de benefícios farmacêuticos (PBM). Por meio de suas subsidiárias, como Aetna e CVS Caremark, a CVS Health oferece uma variedade de serviços que promovem o bem-estar, a gestão de condições de saúde e a cobertura acessível de medicamentos prescritos. A CVS Health opera farmácias de bairro, oferece serviços de farmácia por correspondência e gerencia programas de medicamentos de especialidade, com o objetivo de tornar o cuidado com a saúde conveniente e acessível para todos. Movida pela missão de conectar pessoas a serviços essenciais de cuidado, a CVS Health está comprometida em fomentar comunidades mais saudáveis e apoiar o bem-estar de todas as pessoas.

Descrição

• Own end-to-end solutions architecture for Epic Healthy Planet, care coordination workflows, and STARS/HEDIS/quality measure reporting • Design scalable data models and workflows connecting Epic Clarity/Caboodle, Healthy Planet registries, care management, and risk stratification tools • Serve as technical authority on Epic’s population health suite and integrations with clinical, claims, and payer data sources • Partner with enterprise architecture and data teams on data governance, FHIR/HL7 interoperability, and analytics strategy • Evaluate and recommend build-versus-buy decisions for third-party STARS/quality vendors • Lead design and optimization of Epic workflows supporting CMS Star Ratings, HEDIS measures, and quality gap closure • Ensure Epic build supports care gap identification, outreach workflows, and measure-specific documentation • Translate NCQA and CMS regulatory measure specifications into Epic build requirements • Oversee Reporting Workbench, SlicerDicer, and Clarity/Caboodle-based reporting architecture • Architect and oversee care management workflows, including registries, care plans, risk stratification, transitions of care, and care team communication • Ensure Healthy Planet configuration supports ACO, Medicare Advantage, and population health programs • Drive integration between Healthy Planet and external care coordination platforms, HIEs, and payer systems • Lead and mentor Epic analysts, architects, and/or engineers • Partner with clinical, quality, compliance, and network/ACO leadership on the technical roadmap • Present architecture decisions, risks, and roadmap to senior IT and business leadership • Participate in Epic governance, upgrade planning, and enterprise architecture review boards • Manage vendors related to STARS/quality reporting tools and population health platforms

🎯 Requisitos

• Bachelor's degree in Computer Science, Health Informatics, Information Systems, or related field • 10+ years of healthcare IT experience • 5+ years focused on Epic applications • Deep hands-on or architectural experience with Epic Healthy Planet, Care Everywhere, and/or population health modules • Strong understanding of CMS STARS methodology, HEDIS measures, and quality/risk adjustment reporting requirements • Experience architecting solutions involving Clarity, Caboodle, and/or Epic reporting tools • Proven track record leading enterprise-scale Epic initiatives and managing technical teams • Strong understanding of value-based care, ACO operations, and payer-provider data exchange • Master's degree preferred • Epic certification(s) in Healthy Planet, Ambulatory, or related modules preferred • Experience with FHIR/HL7 interoperability standards and payer data integration preferred • Background working within an integrated payer-provider organization or ACO preferred • Experience with Medicare Advantage plan operations preferred • Advanced degree or certifications in health informatics, data architecture, or population health preferred • Ability to translate complex regulatory/quality requirements into practical technical architecture • Strong executive presence and ability to communicate technical trade-offs to non-technical leadership • Ability to balance long-term architectural vision with near-term delivery pressures • Skilled at leading cross-functional teams spanning clinical, quality, compliance, and IT

🏖️ Benefícios

• CVS Health bonus, commission or short-term incentive program • Award target in the company’s equity award program • Medical coverage • Dental coverage • Vision coverage • Paid time off • Retirement savings options • Wellness programs • Other resources supporting physical, emotional, and financial well-being