Solution Architect – Epic STARS

Job not on LinkedIn

🔥 37 minutes ago

⚓ Rhode Island – Remote

⚓ Rhode Island – Remote

💵 $106.6k - $284.3k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

💻 Solutions Engineer

👻 Ghost score 0%

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CVS Health Careers

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

🛒 Retail

📦 Logistics

Healthcare • Retail • Logistics

CVS Health Careers is the recruitment and employer branding arm of CVS Health, showcasing job opportunities across the company's broad operations—pharmacy retail stores, pharmacy services, health care clinics, distribution warehouses, corporate functions and transportation. The careers site emphasizes purpose-driven work focused on improving access, affordability and quality of health care, and highlights a large workforce (300,000+ employees), inclusive culture, benefits, and hiring resources for applicants.

📋 Description

• 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 auditable quality measure calculation and Star Ratings monitoring • Own the technical roadmap for Epic STARS 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 to ensure accurate, timely quality measure data feeds aligned with CMS submission requirements • Present architecture recommendations, risk assessments, and solution options to senior leadership and governance committees • Lead or oversee Epic build activities involving registries, health maintenance plans, documentation flowsheets, and quality dashboards • Evaluate workflows for quality measure capture gaps and recommend optimizations • Ensure interoperability between Epic and external quality reporting platforms using FHIR/HL7 standards 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 • Monitor CMS Star Ratings methodology, HEDIS specifications, and Epic Healthy Planet roadmap updates • Identify opportunities to use new Epic functionality to improve Star Ratings outcomes • Mentor junior analysts and build staff

🎯 Requirements

• 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 • Demonstrated experience supporting Medicare Star Ratings, HEDIS, and/or NCQA quality measure programs • Strong understanding of value-based care and ACO population health operations • Epic certification(s) in Healthy Planet or Reporting Cadence, ClinDoc, or related modules strongly preferred • Experience translating clinical/quality specifications into technical build requirements • Familiarity with FHIR/HL7 interoperability standards • Experience with agile delivery tools such as Rally for managing build backlogs and release planning • Prior experience in a health plan, ACO, or integrated delivery network environment • Knowledge of risk adjustment and quality reporting vendor platforms • Strong presentation and stakeholder management skills, with experience briefing senior leadership • Technical depth balanced with strategic, big-picture thinking • Strong cross-functional collaboration across IT, clinical, and quality teams • 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

🏖️ Benefits

• Medical coverage • Dental coverage • Vision coverage • Paid time off • Retirement savings options • Wellness programs • Other resources supporting physical, emotional, and financial well-being • CVS Health bonus, commission or short-term incentive program • Equity award program

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