Epic STARS Solution Architect - Quality & Star Ratings

CVS Health Corporation

Utah

Hybrid

USD 107,000 - 284,000

Full time

14 days+

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Job summary

CVS Health Corporation seeks a Solution Architect for Epic STARS to drive design and optimization of Epic Healthy Planet, Clarity/Caboodle, Reporting Workbench, and SlicerDicer solutions focused on Medicare Star Ratings, HEDIS, and NCQA measures.

The role bridges clinical quality strategy with technical Epic builds, ensuring accurate data capture, audits, and reporting. Requires 5+ years with Epic and strong knowledge of value-based care and interoperability.

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 performance monitoring.
Own the end-to-end technical roadmap for Epic STARS-related 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 understand measure priorities and translate business needs into Epic solutions.
Serve as the primary technical liaison between clinical quality teams and Epic build/development teams for all Star Ratings initiatives.
Collaborate with data analytics and reporting teams to ensure quality measure data feeds are accurate and CMS-aligned.
Present architectural recommendations, risk assessments, and solution options to senior leadership and governance committees.
Lead or oversee Epic build activities related to Star Ratings measures, including registries, health maintenance plans, documentation flowsheets, and quality dashboards.
Evaluate existing Epic workflows for gaps in quality measure capture and optimize workflows to improve Star performance.
Ensure interoperability between Epic and external quality reporting platforms using FHIR/HL7 standards where applicable.
Conduct testing, validation, and troubleshooting of quality measure logic to ensure accuracy of Star Ratings-related reporting.
Maintain thorough documentation of Epic STARS architecture, data flows, and build decisions for audit readiness.