Epic STARS Solution Architect for Medicare Quality and Data

CVS Health Corporation

Washington (District of Columbia)

Hybrid

USD 107,000 - 284,000

Full time

9 days ago

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Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

Paid time off

Retirement options

Wellness programs

Job summary

CVS Health is seeking a Solution Architect, Epic STARS to lead the design, build, and optimization of Epic-based quality measures and Star Ratings initiatives across Healthy Planet, Clarity, Caboodle, and Reporting Workbench. You will translate CMS and NCQA specifications into scalable Epic configurations and ensure accurate data capture, reporting, and performance monitoring.

You will collaborate with Quality, Population Health, ACOs, and clinical leadership to align measure priorities with

Qualifications

Bachelor’s degree or equivalent experience in a related field.
Experience with Epic Healthy Planet, Clarity/Caboodle, Reporting Workbench, or SlicerDicer (5+ years).
Experience supporting Medicare Star Ratings, HEDIS, NCQA quality measures.
Strong understanding of value-based care and population health operations.
Epic certifications (Healthy Planet/Reporting Cadence, ClinDoc, etc.) preferred.
Experience translating clinical 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 for Star Ratings, HEDIS, and NCQA tracking.
Translate quality measure specifications into Epic build requirements.
Design scalable data models and reporting frameworks for auditable star measures.
Own end-to-end technical roadmap for Epic STARS builds.