Epic Solutions Architect Lead — STARS & Healthy Planet

CVS Health; Washington (District of Columbia); Hybrid; USD 100,000 - 232,000; Full time

Benefits offered by this job

Medical, dental, vision coverage

Paid time off

Retirement benefits

Job summary

CVS Health is seeking a senior Lead Director, Solutions Architect - Epic Applications to drive architecture and delivery of Epic Healthy Planet solutions supporting STARS reporting and care coordination. You will shape data models, governance, and integration across Epic modules and payer data sources.

The role requires 10+ years in healthcare IT with Epic focus, strong leadership, and experience translating regulatory requirements into scalable Epic architectures.

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.

Responsibilities

• Own end-to-end solutions architecture for Epic Healthy Planet, care coordination workflows, and STARS/HEDIS/quality reporting.
• Design scalable data models and workflows connecting Epic Clarity/Caboodle, Healthy Planet registries, care management, and risk stratification tools.
• Serve as the technical authority on Epic population health suite and its data integrations.
• Partner with enterprise architecture and data teams to align with governance, interoperability, and analytics strategy.
• Evaluate 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, and quality reporting.
• Ensure Epic build supports care gap identification, outreach workflows, and measure-specific documentation.
• Oversee reporting architecture (Reporting Workbench, SlicerDicer, Clarity/Caboodle) for executive dashboards.
• Architect care management workflows: registries, care plans, risk stratification, transitions of care.
• Drive Healthy Planet configurations for ACO/MA population health programs.
• Coordinate integration between Healthy Planet and external care coordination platforms and payers.
• Lead and mentor a team of Epic analysts/architects/engineers.
• Present architecture decisions and roadmap to senior IT and business leadership.
• Participate in Epic governance, upgrade planning, and enterprise architecture reviews.
• Manage vendor relationships related to STARS/quality reporting tools.

Skills

Epic Health Planet

Care Everywhere

Population health

Solution architecture

Data integration

Education

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

Master's degree preferred

Tools

Clarity

Caboodle

Reporting Workbench

SlicerDicer

Job description

CVS Health is seeking a senior Lead Director, Solutions Architect - Epic Applications to drive architecture and delivery of Epic Healthy Planet solutions supporting STARS reporting and care coordination. You will shape data models, governance, and integration across Epic modules and payer data sources.

The role requires 10+ years in healthcare IT with Epic focus, strong leadership, and experience translating regulatory requirements into scalable Epic architectures.