Epic STARS Architect for Quality & Star Measures
Rhode Island Bar Assn.
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Benefits offered by this job
Job summary
CVS Health is seeking a Solution Architect for Epic STARS to drive design, optimization, and strategic direction of Epic-based solutions supporting Medicare Star Ratings, HEDIS, and NCQA quality measures. You will bridge clinical quality strategy with technical Epic build and ensure data capture and reporting support Star initiatives.
The role partners with Quality, Population Health, ACO and clinical leadership, leads Epic build activities, ensures CMS submission readiness, and mentors staff
Qualifications
- 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.
Responsibilities
- Architect and design Epic Healthy Planet, Reporting Workbench, Clarity/Caboodle, and SlicerDicer solutions to support 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 that support auditable quality measure calculation and Star Ratings monitoring.
- Own end-to-end technical roadmap for Epic STARS builds, including registries, care gap alerts, BPAs, and health maintenance topics tied to Star measures.
- Partner with Quality, Population Health, ACO, and clinical leadership to translate business needs into Epic solutions.
- Serve as the primary technical liaison between clinical quality teams and Epic build/development teams.
- Collaborate with data analytics and reporting teams to ensure data feeds are accurate and CMS-compliant.
- Present architectural recommendations, risk assessments, and solution options to senior leadership.
Education
Tools
Job description
CVS Health is seeking a Solution Architect for Epic STARS to drive design, optimization, and strategic direction of Epic-based solutions supporting Medicare Star Ratings, HEDIS, and NCQA quality measures. You will bridge clinical quality strategy with technical Epic build and ensure data capture and reporting support Star initiatives.
The role partners with Quality, Population Health, ACO and clinical leadership, leads Epic build activities, ensures CMS submission readiness, and mentors staff
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