Lead Epic Solutions Architect: Health Planet & STARS

CVS Health; Utah; Hybrid; USD 100,000 - 232,000; Full time

Benefits offered by this job

Bonus program

Equity awards

Comprehensive benefits

Job summary

CVS Health is seeking a Lead Director, Solutions Architect to drive the Epic Healthy Planet ecosystem, with emphasis on STARS/HEDIS reporting, care coordination workflows, and advanced population health analytics. You will shape enterprise-wide architecture across Clarity, Caboodle, and reporting tools while guiding a team of Epic professionals.

This senior role requires deep Epic expertise, strategic vision for value-based care, and the ability to align technical roadmaps with regulatory

Qualifications

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

Job description

CVS Health is seeking a Lead Director, Solutions Architect to drive the Epic Healthy Planet ecosystem, with emphasis on STARS/HEDIS reporting, care coordination workflows, and advanced population health analytics. You will shape enterprise-wide architecture across Clarity, Caboodle, and reporting tools while guiding a team of Epic professionals.

This senior role requires deep Epic expertise, strategic vision for value-based care, and the ability to align technical roadmaps with regulatory