[Remote] Principal, Epic Payer Platform Director

Note: The job is a remote job and is open to candidates in USA. Exact Sciences is dedicated to changing how the world prevents, detects, and guides treatment for cancer. The Principal Epic Payer Platform Director will lead initiatives to enhance services for health plan and government customers, focusing on interoperability and population health strategies.

Responsibilities

• Lead enterprise core team(s) responsible for implementing Epic Payer Platform solutions and strategies with Exact Sciences’ health plan and system customers
• Maintain the enterprise’s strategic roadmap for using Epic’s Payer Platform and other Epic modules to support interoperability and data exchange with health plan and system customers
• Research and stay up to date on health care IT industry trends, use cases, and benchmarks to inform enterprise priorities. Present to and educate cross-functional groups on these trends
• Support business case proposals and opportunity assessments for the Market Access team to leverage in planning and health plan negotiations
• Serve as a decision-maker on which internal or external technologies should be adopted or developed to drive population health initiatives
• Partner with Epic and other external technology vendors to shape integration models that scale care coordination, digital result delivery, and data exchange
• Participate in a cross-functional strategic core team(s) focused on identifying long-term market growth and technology investment opportunities
• Represent Market Access in collaborations with IT, Compliance, Product, and external partners to ensure alignment and strategic execution
• Uphold company mission and values through accountability, innovation, integrity, quality, and teamwork
• Support and comply with the company’s Quality Management System policies and procedures
• Maintain regular and reliable attendance
• Ability to act with an inclusion mindset and model these behaviors for the organization
• Ability to work designated schedule
• Ability to work on a mobile device, tablet, or in front of a computer screen and/or perform typing for approximately 90% of a typical working day
• Ability to work on a computer and phone simultaneously
• Ability to use near vision to view samples at close range
• Ability and means to travel 10% between Madison locations
• Ability to travel 5% of working time away from work location

Skills

• Bachelor's Degree or equivalent in a relevant field that aligns with the essential duties
• 8+ years of U.S. health care industry experience
• 3+ years of experience working on Epic Payer Platform related initiatives for health care providers or health plans
• Advanced understanding of Epic's Care Everywhere and interoperability modules and tools
• Working knowledge of FHIR, HL7, X12, and/or CDA standards, and familiarity with Epic data structures, including Clarity and Caboodle
• Strong understanding of HIPAA, HITECH, and data privacy/security requirements
• Strong negotiation and influence skills for driving adoption of interoperability solutions
• Proficiency in Microsoft Office programs, such as Word, Excel, PowerPoint, Outlook, OneNote, and SharePoint
• Demonstrated ability to perform the essential duties of the position with or without accommodation
• Legal authorization to work in the country of employment without current or future sponsorship
• Experience with other health plan IT systems, including claims processing, HEDIS engines, and risk adjustment platforms
• Experience developing roadmaps for value-based care enablement
• Knowledge of health plan quality reporting (HEDIS, Stars, NCQA) and value-based care programs

Benefits

• Paid time off (including days for vacation, holidays, volunteering, and personal time)
• Paid leave for parents and caregivers
• A retirement savings plan
• Wellness support
• Health benefits including medical, prescription drug, dental, and vision coverage

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