Epic Solutions Architect Lead for STARS & Healthy Planet

CVS Health; Illinois; Hybrid; USD 100,000 - 232,000; Full time

Job summary

CVS Health is seeking a Lead Director, Solutions Architect for Epic Applications (STARS & Healthy Planet) to guide architecture, design, and delivery of Epic solutions across STARS reporting, care coordination, and population health. The role requires deep Epic expertise, strategic vision, and leadership of cross-functional teams.

The successful candidate will translate regulatory and business needs into scalable Epic architectures, drive governance, and partner with quality, risk, and IT

Qualifications

• Bachelor's degree in Computer Science, Health Informatics, Information Systems, or related field (Master's preferred)
• 10+ years of healthcare IT experience, with 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
• Epic certification(s) in Healthy Planet, Ambulatory, or related modules
• Experience with FHIR/HL7 interoperability standards and payer data integration

Responsibilities

• Own the 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 to STARS and quality reporting needs
• Serve as the technical authority on Epic's population health suite (Healthy Planet, Care Everywhere, Home Health, ACO-specific tools) and its integration with clinical, claims, and payer data sources
• Partner with enterprise architecture and data teams to ensure Epic solutions align with broader data governance, interoperability (FHIR/HL7), and analytics strategy
• Evaluate and recommend build vs. buy decisions for third-party STARS/quality vendors integrating with Epic
• Lead the design and optimization of Epic-based workflows supporting CMS Star Ratings, HEDIS measures, and quality gap closure
• Ensure Epic build accurately supports care gap identification, outreach workflows, and measure-specific documentation requirements
• Oversee reporting architecture (Reporting Workbench, SlicerDicer, Clarity/Caboodle-based reporting) to support STARS performance tracking and executive dashboards
• Architect and oversee build for care management workflows: registries, care plans, risk stratification, transitions of care, and care team communication
• Ensure Healthy Planet configuration supports ACO, MA, and population health program requirements

Skills

Epic Architecture

Healthcare IT leadership

Population health concepts

Value-based care

Interoperability know-how

Education

Bachelor's degree in Computer Science/Health Informatics/Information Systems

Master's degree preferred

Tools

Clarity

Caboodle

Epic Reporting Tools

Reporting Workbench

SlicerDicer

Care Everywhere

Job description

CVS Health is seeking a Lead Director, Solutions Architect for Epic Applications (STARS & Healthy Planet) to guide architecture, design, and delivery of Epic solutions across STARS reporting, care coordination, and population health. The role requires deep Epic expertise, strategic vision, and leadership of cross-functional teams.

The successful candidate will translate regulatory and business needs into scalable Epic architectures, drive governance, and partner with quality, risk, and IT