Description
We're building a world of health around every individual , shaping a more connected, convenient and compassionate health experience.
The Solution Architect, Epic STARS is responsible for the design, optimization, and strategic direction of Epic-based solutions supporting Medicare Star Ratings, HEDIS, and NCQA quality measure performance.
Solution Architecture & Design
- Architect and design Epic Healthy Planet, Reporting Workbench, Clarity/Caboodle, and SlicerDicer solutions to support 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 that support accurate, auditable quality measure calculation and Star Ratings performance monitoring.
- Own the end-to-end technical roadmap for Epic STARS-related builds.
Stakeholder Partnership & Strategy
- Partner with Quality, Population Health, ACO, and clinical leadership to understand measure priorities and translate business needs into Epic solutions.
- Serve as the primary technical liaison between clinical quality teams and Epic build/development teams.
- Collaborate with data analytics and reporting teams to ensure quality measure data feeds are accurate and timely.
- Present architectural recommendations, risk assessments, and solution options to senior leadership and governance committees.
Build, Delivery & Optimization
- Lead or oversee Epic build activities related to Star Ratings measures.
- Evaluate existing Epic workflows for gaps in quality measure capture and recommend workflow or build optimizations.
- Ensure interoperability between Epic and external quality reporting platforms or vendor tools.
- Conduct testing, validation, and troubleshooting of quality measure logic.
Governance, Compliance & Documentation
- Maintain thorough documentation of Epic STARS architecture, data flows, and build decisions.
- Ensure solutions comply with CMS, NCQA, and internal data governance standards.
- Participate in change control and release management processes.
Innovation & Continuous Improvement
- Stay current on CMS Star Ratings methodology changes, HEDIS specification updates, and Epic Healthy Planet roadmap enhancements.
- Identify opportunities to leverage new Epic functionality to improve Star Ratings outcomes.
- Mentor junior analysts and build staff on Epic quality measure architecture best practices.
Required Qualifications
- Bachelor's degree in Health Informatics, Information Systems, Computer Science, or related field.
- 5+ years of experience with Epic, including hands-on work in Healthy Planet, Clarity/Caboodle, Reporting Workbench, or SlicerDicer.
- Demonstrated experience supporting Medicare Star Ratings, HEDIS, and/or NCQA quality measure programs.
- Strong understanding of value-based care and ACO population health operations.
- Epic certification(s) in Healthy Planet or Reporting Cadence, ClinDoc, or related modules strongly preferred.
Benefits
- Medical, dental, and vision coverage
- Paid time off
- Retirement savings options
- Wellness programs
- Other resources, based on eligibility