Solution Architect – Epic STARS

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🕒 vor 1 Monat

🏈 Alabama, Arizona, +42 weitere Bundesländer – Remote

infoinfo

💵 $106.605 - $284.280 / Jahr

⏰ Vollzeit

🟡 Mittelstufe

🟠 Senior

💻 Lösungsingenieur

🗣️🇺🇸🇬🇧 Englisch erforderlich

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Logo of CVS Health

CVS Health

10.000+ Mitarbeiter

Gegründet 1963

🏥 Gesundheitswesen

⚕️ Krankenversicherung

🛒 Einzelhandel

Healthcare • Healthcare Insurance • Retail

CVS Health ist ein führendes amerikanisches Gesundheitsunternehmen, das sich der Verbesserung des Zugangs zu Gesundheitsdiensten und deren Erschwinglichkeit verschrieben hat. Das Unternehmen verfolgt einen umfassenden Ansatz, der Gesundheitsdienstleistungen, Krankenversicherungen und das Management von Apothekenleistungen umfasst. Durch seine Tochtergesellschaften, wie Aetna und CVS Caremark, bietet CVS Health eine Vielzahl von Dienstleistungen an, die Wohlbefinden, Krankheitsmanagement und erschwinglichen Versicherungsschutz für verschreibungspflichtige Medikamente erleichtern. CVS Health betreibt Apotheken in der Nachbarschaft, bietet Versandapothekendienste an und verwaltet Programme für Spezialmedikamente, um Gesundheitsversorgung für jeden bequem und zugänglich zu machen. Angetrieben von der Mission, Menschen mit wesentlichen Pflegediensten zu verbinden, ist CVS Health bestrebt, gesündere Gemeinschaften zu fördern und das Wohlbefinden aller Menschen zu unterstützen.

Beschreibung

• 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

🎯 Anforderungen

• 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

🏖️ Vorteile

• 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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