Principal, Epic Payer Platform Director

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At Exact Sciences were helpingchange how the world prevents detects and guides treatment for cancer. We give patients and clinicians the clarity needed to make confident decisions when they matter most. Join our team to find a purpose-driven career an inclusive culture and robust benefits to support your life while youre working to help others.

Position Overview

The Principal Epic Payer Platform Director serves as a subject-matter expert who will lead and support enterprise initiatives to better serve our health plan system and government customers in the areas of population health interoperability value-based contracting and relationship management. This role requires significant expertise in health care business strategy and the health care IT ecosystem in the United States as well technical know-how with Epics Payer Platform and Epic capabilities generallyto ensure Exact Sciences can scale and expand its national solutions.

This position can be remote but in-person in Madison WI is preferred.

Essential Duties

Include but are not limited to the following:

• Lead enterprise core team(s) responsible for implementing Epic Payer Platform solutions and strategies with Exact Sciences health plan and system customers.
• Maintain the enterprises strategic roadmap for using Epics 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 companys 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.

Minimum Qualifications

• Bachelors 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 Epics 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.

Preferred Qualifications

• 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.

Salary Range:

$153000 - $259000 (National salary range)

$189000 - $284400 (California salary range)

Exact Sciences is proud to offer an employee experience that includes paid time off (including days for vacation holidays volunteering and personal time) paid leave for parents and caregivers a retirement savings plan wellness support and health benefits including medical prescription drug dental and vision coverage. Learn more about our benefits.

Our success relies on the experiences and perspectives of a diverse team and Exact Sciences fosters a culture where all employees can develop personally and professionally with a sense of respect and belonging. If you require an accommodation please contact us here.

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We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to disability protected veteran status and any other status protected by applicable local state or federal law.

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