Solution Architect – Epic STARS

Vaga não está no LinkedIn

🕒 3 dias atrás

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

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💵 $106.605 - $284.280 / ano

⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

💻 Engenheiro de Soluções

👻 Score fantasma 0%

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🗣️🇺🇸🇬🇧 Inglês obrigatório

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CVS Health

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

• Architect and design Epic Healthy Planet, Reporting Workbench, Clarity/Caboodle, and SlicerDicer solutions supporting Medicare Star Ratings, HEDIS, and NCQA measure tracking and gap closure • Translate quality measure specifications into functional and technical Epic build requirements • Design scalable data models and reporting frameworks for quality measure calculation and Star Ratings monitoring • Own the technical roadmap for Epic STARS-related builds, including registries, care gap alerts, BPAs, and health maintenance topics • Partner with Quality, Population Health, ACO, and clinical leadership to translate business needs into Epic solutions • Serve as technical liaison between clinical quality teams and Epic build/development teams • Collaborate with analytics and reporting teams on accurate, timely quality measure data feeds aligned with CMS requirements • Present architectural recommendations, risk assessments, and solution options to senior leadership and governance committees • Lead or oversee Epic builds involving registries, health maintenance plans, documentation flowsheets, and quality dashboards • Evaluate workflows and recommend optimizations to improve Star performance • Ensure interoperability between Epic and external quality reporting platforms using FHIR/HL7 where applicable • Conduct testing, validation, and troubleshooting of quality measure logic • Maintain documentation of architecture, data flows, and build decisions for audit readiness and knowledge continuity • Ensure compliance with CMS, NCQA, and internal data governance standards • Participate in change control and release management • Track CMS Star Ratings, HEDIS, and Epic Healthy Planet updates • Identify opportunities to use new Epic functionality to improve Star Ratings outcomes • Mentor junior analysts and build staff on Epic quality measure architecture best practices

🎯 Requisitos

• Bachelor's degree in Health Informatics, Information Systems, Computer Science, or related field (or equivalent experience) • 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/quality specifications into technical build requirements • Familiarity with FHIR/HL7 interoperability standards • Epic certification(s) in Healthy Planet or Reporting Cadence, ClinDoc, or related modules strongly preferred • Experience with agile delivery tools such as Rally preferred • Prior experience in a health plan, ACO, or integrated delivery network environment preferred • Knowledge of risk adjustment and quality reporting vendor platforms preferred • Strong presentation and stakeholder management skills, with experience briefing senior leadership • Analytical rigor and attention to detail in measure logic and data validation • Clear written and verbal communication of complex technical concepts to non-technical stakeholders

🏖️ Benefícios

• CVS Health bonus, commission or short-term incentive program • 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

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