Lead Epic Solutions Architect – STARS & Healthy Planet

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

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

Retirement Savings Options

Wellness Programs

Job summary

CVS Health in Georgia seeks a Lead Director, Solutions Architect for Epic Applications to lead architecture for Healthy Planet and STARS reporting. You will own end-to-end Epic solutions and align with data governance, interoperability, and analytics strategy.

The role requires 10+ years healthcare IT, 5+ years Epic, strong leadership, and ability to translate regulatory requirements into scalable architecture.

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 (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

Skills

Epic Expertise

Healthcare IT

Technical Leadership

Architecture Design

Education

Bachelor's degree in Computer Science

Master's preferred

Healthcare informatics

Tools

Clarity

Caboodle

Reporting Workbench

SlicerDicer

Job description

CVS Health in Georgia seeks a Lead Director, Solutions Architect for Epic Applications to lead architecture for Healthy Planet and STARS reporting. You will own end-to-end Epic solutions and align with data governance, interoperability, and analytics strategy.

The role requires 10+ years healthcare IT, 5+ years Epic, strong leadership, and ability to translate regulatory requirements into scalable architecture.