Epic STARS Senior Analyst at CVS Health in RI - Work from home

Job description

• 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.

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.

Requirements

• 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.

Skills

Required

• Epic Healthy Planet
• Reporting Workbench
• Clarity/Caboodle
• SlicerDicer
• HEDIS
• CMS Star Ratings
• NCQA
• FHIR/HL7
• Rally

Benefits

• 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.
• $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.