Lead Director – Solutions Architect, Epic Applications

Job not on LinkedIn

🔥 17 hours ago

🏈 Alabama, Arizona, +42 more states – Remote

🏈 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

💵 $100k - $231.5k / year

⏰ Full Time

🟠 Senior

💻 Solutions Engineer

👻 Ghost score 0%

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CVS Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1963

🏥 Healthcare

⚕️ Healthcare Insurance

🛒 Retail

Healthcare • Healthcare Insurance • Retail

CVS Health is a leading American healthcare company dedicated to improving health access and affordability. The company focuses on a comprehensive approach that includes health services, health insurance, and pharmacy benefits management. Through its subsidiaries, such as Aetna and CVS Caremark, CVS Health offers a range of services that facilitate wellness, condition management, and affordable prescription drug coverage. CVS Health operates neighborhood pharmacies, provides mail-order pharmacy services, and manages specialty medication programs, aiming to make healthcare convenient and accessible for everyone. Driven by a mission to connect people with essential care services, CVS Health is committed to fostering healthier communities and supporting the wellbeing of all individuals.

📋 Description

• 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

🎯 Requirements

• 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

🏖️ Benefits

• 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