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