Principal, Epic Payer Platform Director

Exact Sciences • Madison, WI

1d • $153,000 - $259,000 • Remote

About The Position

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 Epic’s Payer Platform and Epic capabilities, generally—to ensure Exact Sciences can scale and expand its national solutions. This position can be remote, but in-person in Madison, WI is preferred.

Requirements

• 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.
• 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.

Nice To Haves

• 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.

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.

Benefits

• 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Principal