Solution Architect – Epic STARS

Job not on LinkedIn

🔥 1 minute 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

💵 $106.6k - $284.3k / year

⏰ Full Time

🟡 Mid-level

🟠 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

• 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

🎯 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 • 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

🏖️ Benefits

• 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