Solution Architect – Epic STARS

CVS Health

. Architect and design Epic Healthy Planet, Reporting Workbench, Clarity/Caboodle, and SlicerDicer solutions supporting Medicare Star Ratings, HEDIS, and NCQA measure tracking and gap closure .

Posted 9/18/2026full-timeRemote • Alabama • United StatesMid-LevelSenior💰 $106,605 - $284,280 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in Epic solutions architecture, particularly in Healthy Planet, Clarity/Caboodle, and Reporting Workbench, with a strong focus on Medicare Star Ratings and quality measure tracking. Proficient in translating clinical specifications into technical requirements while ensuring compliance with CMS and NCQA standards.

Highest-signal resume keywords

Epic Solutions ArchitectureMedicare Star RatingsQuality Measure TrackingFHIR/HL7 InteroperabilityStakeholder Management

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Epic Healthy PlanetClarity/CaboodleReporting WorkbenchSlicerDicerQuality Measure SpecificationsData Model DesignAgile Delivery ToolsRisk AdjustmentData ValidationQuality Reporting

Soft Skills

Presentation SkillsAnalytical RigorAttention to DetailClear CommunicationMentoring

Tools & Technologies

EpicRallyData Governance StandardsChange ControlRelease Management

Certifications & Qualifications

Epic Certification in Healthy PlanetEpic Certification in Reporting CadenceClinDoc Certification

Industry Keywords

HEDISNCQAValue-Based CareACO Population HealthIntegrated Delivery Network

About the role

Key responsibilities & impact

Architect and design Epic Healthy Planet, Reporting Workbench, Clarity/Caboodle, and SlicerDicer solutions supporting Medicare Star Ratings, HEDIS, and NCQA measure tracking and gap closure
Translate quality measure specifications into functional and technical Epic build requirements
Design scalable data models and reporting frameworks for quality measure calculation and Star Ratings monitoring
Own the technical roadmap for Epic STARS-related builds, including registries, care gap alerts, BPAs, and health maintenance topics
Partner with Quality, Population Health, ACO, and clinical leadership to translate business needs into Epic solutions
Serve as technical liaison between clinical quality teams and Epic build/development teams
Collaborate with analytics and reporting teams on accurate, timely quality measure data feeds aligned with CMS requirements
Present architectural recommendations, risk assessments, and solution options to senior leadership and governance committees
Lead or oversee Epic builds involving registries, health maintenance plans, documentation flowsheets, and quality dashboards
Evaluate workflows and recommend optimizations to improve Star performance
Ensure interoperability between Epic and external quality reporting platforms using FHIR/HL7 where applicable
Conduct testing, validation, and troubleshooting of quality measure logic
Maintain documentation of architecture, data flows, and build decisions for audit readiness and knowledge continuity
Ensure compliance with CMS, NCQA, and internal data governance standards
Participate in change control and release management
Track CMS Star Ratings, HEDIS, and Epic Healthy Planet updates
Identify opportunities to use new Epic functionality to improve Star Ratings outcomes
Mentor junior analysts and build staff on Epic quality measure architecture best practices

Requirements

What you’ll need

Bachelor's degree in Health Informatics, Information Systems, Computer Science, or related field (or equivalent experience)
5+ years of experience with Epic, including hands-on work in Healthy Planet, Clarity/Caboodle, Reporting Workbench, or SlicerDicer
Experience supporting Medicare Star Ratings, HEDIS, and/or NCQA quality measure programs
Strong understanding of value-based care and ACO population health operations
Experience translating clinical/quality specifications into technical build requirements
Familiarity with FHIR/HL7 interoperability standards
Epic certification(s) in Healthy Planet or Reporting Cadence, ClinDoc, or related modules strongly preferred
Experience with agile delivery tools such as Rally preferred
Prior experience in a health plan, ACO, or integrated delivery network environment preferred
Knowledge of risk adjustment and quality reporting vendor platforms preferred
Strong presentation and stakeholder management skills, with experience briefing senior leadership
Analytical rigor and attention to detail in measure logic and data validation
Clear written and verbal communication of complex technical concepts to non-technical stakeholders

Benefits

Comp & perks

CVS Health bonus, commission or short-term incentive program
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