Lead Director-Solutions Architect – Epic Applications

9025 CVS Shared Services Resources LLC; Wisconsin; Hybrid; USD 100,000 - 232,000; Full time

Benefits offered by this job

Comprehensive benefits

Job summary

CVS Health is seeking a Lead Director, Solutions Architect specializing in Epic Applications to drive the architecture and delivery of Epic Healthy Planet, STARS reporting, and care coordination workflows. You will bridge clinical data with payer requirements, guiding enterprise-scale implementations and vendor partnerships.

The role demands deep Epic expertise, strategic leadership, and a track record of delivering population health solutions that align with CMS and NCQA measures.

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 the end-to-end solutions architecture for Epic Healthy Planet, care coordination workflows, and STARS/HEDIS/quality measure reporting
• Design scalable data models and workflows connecting Epic Clarity/Caboodle, Healthy Planet registries, care management, and risk stratification tools to STARS and quality reporting needs
• Serve as the technical authority on Epic's population health suite and its integration with clinical, claims, and payer data sources
• Partner with enterprise architecture and data teams to ensure Epic solutions align with data governance, interoperability, and analytics strategy
• Evaluate and recommend build vs. buy decisions for third-party STARS/quality vendors integrating with Epic STARS & Quality Reporting
• Lead the design and optimization of Epic-based workflows supporting CMS Star Ratings, HEDIS measures, and quality gap closure
• Ensure Epic build accurately supports care gap identification, outreach workflows, and measure-specific documentation requirements
• Partner with quality, risk adjustment, and compliance teams to translate regulatory measure specifications into Epic build requirements
• Oversee reporting architecture to support STARS performance tracking and executive dashboards
• Care Coordination / Healthy Planet: Architect and oversee build for care management workflows: registries, care plans, risk stratification, transitions of care, and care team communication
• Ensure Healthy Planet configuration supports ACO, MA, and population health program requirements
• Drive integration between Healthy Planet and external care coordination platforms, HIEs, and payer systems

Skills

Healthcare IT leadership

Epic Architecture

Stakeholder communication

Team leadership

Regulatory reporting

Education

Bachelor's degree in Computer Science or related

Master's preferred

Tools

Epic Healthy Planet

Clarity/Caboodle

Care Everywhere

FHIR/HL7

Job description

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time.

Job Title: Lead Director, Solutions Architect - Epic Applications (STARS Reporting & Care Coordination/Healthy Planet)

Position Summary

The Lead Director, Solutions Architect - Epic Applications is a senior technical and strategic leader responsible for the architecture, design, and delivery of Epic solutions supporting Medicare Star Ratings (STARS) reporting, care coordination, and population health management via Epic Healthy Planet. This role bridges deep Epic technical expertise with a strong understanding of value-based care, quality measures, and risk adjustment, translating regulatory and business requirements into scalable Epic architecture. The ideal candidate has led enterprise-level Epic initiatives, understands the data and workflow demands of STARS/HEDIS/quality reporting, and can architect solutions that span Healthy Planet, Care Everywhere, Reporting Workbench, and related population health tools.

Key Responsibilities

• Own the end-to-end solutions architecture for Epic Healthy Planet, care coordination workflows, and STARS/HEDIS/quality measure reporting
• Design scalable data models and workflows connecting Epic Clarity/Caboodle, Healthy Planet registries, care management, and risk stratification tools to STARS and quality reporting needs
• Serve as the technical authority on Epic's population health suite (Healthy Planet, Care Everywhere, Home Health, ACO-specific tools) and its integration with clinical, claims, and payer data sources
• Partner with enterprise architecture and data teams to ensure Epic solutions align with broader data governance, interoperability (FHIR/HL7), and analytics strategy
• Evaluate and recommend build vs. buy decisions for third-party STARS/quality vendors integrating with Epic STARS & Quality Reporting
• Lead the design and optimization of Epic-based workflows supporting CMS Star Ratings, HEDIS measures, and quality gap closure
• Ensure Epic build accurately supports care gap identification, outreach workflows, and measure-specific documentation requirements
• Partner with quality, risk adjustment, and compliance teams to translate regulatory measure specifications (NCQA, CMS) into Epic build requirements
• Oversee reporting architecture (Reporting Workbench, SlicerDicer, Clarity/Caboodle-based reporting) to support STARS performance tracking and executive dashboards
• Care Coordination / Healthy Planet: Architect and oversee build for care management workflows: registries, care plans, risk stratification, transitions of care, and care team communication
• Ensure Healthy Planet configuration supports ACO, MA, and population health program requirements
• Drive integration between Healthy Planet and external care coordination platforms, HIEs, and payer systems

Leadership & Governance

• Lead and mentor a team of Epic analysts, architects, and/or engineers focused on population health applications
• Partner with clinical, quality, compliance, and network/ACO leadership to align technical roadmap with business strategy
• Present architecture decisions, risks, and roadmap to senior IT and business leadership
• Participate in Epic governance, upgrade planning, and enterprise architecture review boards
• Manage vendor relationships related to STARS/quality reporting tools and population health platforms

Required 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

Preferred Qualifications

• Epic certification(s) in Healthy Planet, Ambulatory, or related modules
• Experience with FHIR/HL7 interoperability standards and payer data integration
• Background working within an integrated payer-provider organization or ACO
• Experience with Medicare Advantage plan operations
• Advanced degree or certifications in health informatics, data architecture, or population health

Key Competencies

• Translates complex regulatory/quality requirements into practical technical architecture
• Strong executive presence; able to communicate technical trade-offs to non-technical leadership
• Balances long-term architectural vision with near-term delivery pressures
• Skilled at leading cross-functional teams spanning clinical, quality, compliance, and IT

Pay Range

The typical pay range for this role is: $100,000.00 - $231,540.00 This pay range represents the base hourly rate or base annual full time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the company's equity award program.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 10/28/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Our Work Experience is the combination of everything that's unique about us: our culture, our core values, our company meetings, our commitment to sustainability, our recognition programs, but most importantly, it's our people. Our employees are self-disciplined, hard working, curious, trustworthy, humble, and truthful. They make choices according to what is best for the team, they live for opportunities to collaborate and make a difference, and they make us the #1 Top Workplace in the area.