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Lead Director – Solutions Architect, Epic Applications
Job Description:
- Own 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
- Serve as technical authority on Epic’s population health suite and integrations with clinical, claims, and payer data sources
- Partner with enterprise architecture and data teams on data governance, FHIR/HL7 interoperability, and analytics strategy
- Evaluate and recommend build-versus-buy decisions for third-party STARS/quality vendors
- Lead design and optimization of Epic workflows supporting CMS Star Ratings, HEDIS measures, and quality gap closure
- Ensure Epic build supports care gap identification, outreach workflows, and measure-specific documentation
- Translate NCQA and CMS regulatory measure specifications into Epic build requirements
- Oversee Reporting Workbench, SlicerDicer, and Clarity/Caboodle-based reporting architecture
- Architect and oversee care management workflows, including registries, care plans, risk stratification, transitions of care, and care team communication
- Ensure Healthy Planet configuration supports ACO, Medicare Advantage, and population health programs
- Drive integration between Healthy Planet and external care coordination platforms, HIEs, and payer systems
- Lead and mentor Epic analysts, architects, and/or engineers
- Partner with clinical, quality, compliance, and network/ACO leadership on the technical roadmap
- Present architecture decisions, risks, and roadmap to senior IT and business leadership
- Participate in Epic governance, upgrade planning, and enterprise architecture review boards
- Manage vendors related to STARS/quality reporting tools and population health platforms
Requirements:
- Bachelor's degree in Computer Science, Health Informatics, Information Systems, or related field
- 10+ years of healthcare IT experience
- 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
- Master's degree preferred
- Epic certification(s) in Healthy Planet, Ambulatory, or related modules preferred
- Experience with FHIR/HL7 interoperability standards and payer data integration preferred
- Background working within an integrated payer-provider organization or ACO preferred
- Experience with Medicare Advantage plan operations preferred
- Advanced degree or certifications in health informatics, data architecture, or population health preferred
- Ability to translate complex regulatory/quality requirements into practical technical architecture
- Strong executive presence and ability to communicate technical trade-offs to non-technical leadership
- Ability to balance long-term architectural vision with near-term delivery pressures
- Skilled at leading cross-functional teams spanning clinical, quality, compliance, and IT
Benefits:
- CVS Health bonus, commission or short-term incentive program
- Award target in the company’s equity award program
- Medical coverage
- Dental coverage
- Vision coverage
- Paid time off
- Retirement savings options
- Wellness programs
- Other resources supporting physical, emotional, and financial well-being