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Epic STARS Senior Analyst-Healthy Planet-Reporting or Other

CVS Health
  • Rhode Island
    2 days ago

    Job Description

    We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

    Job Description: Epic STARS Analyst

    Position Summary

    The Epic STARS Analyst supports the build, maintenance, and optimization of Epic-based tools that drive Medicare Star Ratings, HEDIS, and NCQA quality measure performance. Working within Epic Healthy Planet and related modules, this role focuses on day-to-day analysis, build support, testing, and reporting to help close care gaps and improve quality measure outcomes. This is a hands-on technical and analytical role, ideal for someone with strong Epic experience who wants to specialize in quality/population health measure work.

    Key Responsibilities

    Analysis & Build Support

    • 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.

    Reporting & Data Validation

    • 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.

    Stakeholder Support

    • 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.

    Documentation & Change Management

    • 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.

    Required Qualifications

    • 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.

    Preferred Qualifications

    • 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.

    Key Competencies

    • 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

    Anticipated Weekly Hours

    40

    Time Type

    Full time

    Pay Range

    The typical pay range for this role is:

    $101,970.00 - $203,940.00

    This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls.  The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.  This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. 
     

    Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

    Great benefits for great people

    We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

    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. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.


    Additional details about available benefits are provided during the application process and on Benefits Moments.

    We anticipate the application window for this opening will close on: 11/30/2026

    Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

    Numbers & Facts

    LocationRhode Island
    IndustryBiotechnology/Pharmaceuticals
    Company Size10,000 employees or more
    Websitehttps://cvshealth.com/

    About Company

    CVS Health offers a world of promising job opportunities across a diverse range of careers in everything from corporate and pharmacy roles to retails positions. No matter where you work at CVS Health, your unique skills, talents and abilities are welcome and valued. We recognize and reward greatness and want our employees to know their work is making a difference in the lives of millions. Join us today. Together we can continue making innovative, high-quality health and pharmacy services safe, affordable and accessible – for all.

    Skills

    • Analysis Skillsunmatched
    • Best Practicesunmatched
    • Change Controlunmatched
    • Communication Skillsunmatched
    • Content Management Systems (CMS)unmatched
    • Data Qualityunmatched
    • Detail Orientedunmatched
    • Documentationunmatched
    • Epic Caboodleunmatched
    • Epic Certificationunmatched
    • Epic Healthy Planetunmatched
    • Epic Systemsunmatched
    • Establish Prioritiesunmatched
    • Gap Closureunmatched
    • Geographyunmatched
    • HL7 (Health Level 7)unmatched
    • Health Informaticsunmatched
    • Health Maintenanceunmatched
    • Health Planunmatched
    • Healthcareunmatched
    • Healthcare Effectiveness Data and Information Set (HEDIS)unmatched
    • Healthcare Qualityunmatched
    • Identify Issuesunmatched
    • Incentive Programsunmatched
    • Information Technology & Information Systemsunmatched
    • Interoperabilityunmatched
    • Logic Testingunmatched
    • Medicareunmatched
    • National Committee for Quality Assurance (NCQA)unmatched
    • Performance Analysisunmatched
    • Performance Metricsunmatched
    • Quality Managementunmatched
    • Quality Metricsunmatched
    • Requirements Managementunmatched
    • Safety/Work Safetyunmatched
    • Testingunmatched
    • Time Managementunmatched
    • Validation Testingunmatched

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