Senior Epic Solutions Architect - STARS & Healthy Planet

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

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.