Epic STARS Senior Analyst-Healthy Planet-Reporting or Other

Summary

CVS Health is working to create a more connected, convenient, and compassionate health care experience. The Epic STARS Senior Analyst supports the build, maintenance, testing, optimization, and reporting of Epic Healthy Planet tools used for Medicare Star Ratings, HEDIS, and NCQA quality measures, while partnering with clinical, quality, and population health stakeholders.

Responsibilities

• Support the build and maintenance of Epic Healthy Planet registries, health maintenance topics, care gap alerts, and best practice advisories (BPAs) tied to Star Ratings measures
• Translate HEDIS technical specifications and CMS Star Ratings measure criteria into Epic build requirements alongside senior analysts and architects
• Assist in configuring and testing quality measure logic within Epic to ensure accurate gap identification and closure tracking
• Troubleshoot and resolve day-to-day issues related to Star measure workflows, registries, and reporting discrepancies
• Build and maintain reports using Reporting Workbench, Clarity/Caboodle, and SlicerDicer to track Star Ratings performance and care gap closure rates
• Validate quality measure data for accuracy, identifying and resolving discrepancies between Epic data and quality reporting outputs
• Support monthly/quarterly Star Ratings reporting cycles, ensuring timely and accurate data delivery to Quality and Population Health teams
• Serve as a point of contact for clinical and quality staff with questions about Star measure workflows or documentation within Epic
• Partner with Quality, Population Health, and ACO teams to gather requirements and communicate build updates or limitations
• Participate in testing and validation sessions with end users prior to release of new builds or measure updates
• Maintain clear documentation of build configurations, workflows, and measure logic for audit and knowledge-continuity purposes
• Support change control processes, including testing and validating updates tied to annual HEDIS/CMS specification changes
• Track and manage assigned work items using agile tools (e.g., Rally), ensuring user stories are current and accurately reflect status for release planning

Skills

• Bachelor's degree in Health Informatics, Information Systems, or related field (or equivalent experience)
• Epic Certified in Healthy Planet, Reporting or related modules
• 2+ years of experience working with Epic, ideally within Healthy Planet, Reporting Workbench, Clarity/Caboodle, or SlicerDicer
• Familiarity with Medicare Star Ratings, HEDIS, and/or NCQA quality measure concepts
• Strong analytical skills with attention to detail in data validation and measure logic testing
• Ability to communicate effectively with both technical and clinical stakeholders
• Experience in a health plan, ACO, or population health environment
• Familiarity with agile delivery tools (e.g., Rally) for tracking build and release work
• Basic understanding of FHIR/HL7 interoperability concepts
• Strong attention to detail and data accuracy
• Solid understanding of quality measure workflows and healthcare data
• Effective collaborator across IT, clinical, and quality functions
• Comfortable managing multiple work items and deadlines in a fast-paced environment

Qualifications

Must Haves

• Bachelor's degree in Health Informatics, Information Systems, or related field (or equivalent experience)
• Epic Certified in Healthy Planet, Reporting or related modules
• 2+ years of experience working with Epic, ideally within Healthy Planet, Reporting Workbench, Clarity/Caboodle, or SlicerDicer
• Familiarity with Medicare Star Ratings, HEDIS, and/or NCQA quality measure concepts
• Strong analytical skills with attention to detail in data validation and measure logic testing
• Ability to communicate effectively with both technical and clinical stakeholders

Nice to Haves

• Experience in a health plan, ACO, or population health environment
• Familiarity with agile delivery tools (e.g., Rally) for tracking build and release work
• Basic understanding of FHIR/HL7 interoperability concepts
• Strong attention to detail and data accuracy
• Solid understanding of quality measure workflows and healthcare data
• Effective collaborator across IT, clinical, and quality functions
• Comfortable managing multiple work items and deadlines in a fast-paced environment

Benefits

• This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.
• This full-time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families.
• Medical coverage, based on eligibility.
• Dental coverage, based on eligibility.
• Vision coverage, based on eligibility.
• Paid time off, based on eligibility.
• Retirement savings options, based on eligibility.
• Wellness programs, based on eligibility.
• Other resources, based on eligibility.
• Remote work