Epic STARS Solution Architect for Medicare & HEDIS

CVS Health; Town of Florida (NY); Hybrid; USD 107,000 - 284,000; Full time

Benefits offered by this job

Comprehensive benefits

Bonus and equity eligibility

Job summary

CVS Health is seeking a Solution Architect, Epic STARS, to lead the design and optimization of Epic-based solutions for Medicare Star Ratings, HEDIS, and NCQA quality measures. You will bridge clinical quality strategy with Epic build, ensuring accurate workflows, data capture, and reporting within Epic Healthy Planet and related modules.

The role requires deep Epic expertise, knowledge of value-based care, and collaboration with Quality, Population Health, and clinical leadership to drive Star

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-related builds, including registries and BPAs.

Skills

Epic expertise

Stakeholder collaboration

Analytical rigor

Communication

Value-based care knowledge

Education

Bachelor's degree in Health Informatics, Information Systems, Computer Science, or related field

Tools

Healthy Planet

Clarity

Caboodle

Reporting Workbench

SlicerDicer

FHIR/HL7

Job description

CVS Health is seeking a Solution Architect, Epic STARS, to lead the design and optimization of Epic-based solutions for Medicare Star Ratings, HEDIS, and NCQA quality measures. You will bridge clinical quality strategy with Epic build, ensuring accurate workflows, data capture, and reporting within Epic Healthy Planet and related modules.

The role requires deep Epic expertise, knowledge of value-based care, and collaboration with Quality, Population Health, and clinical leadership to drive Star