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Principal Epic Payer Platform Director

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Exact Sciences

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Location:
United States , Madison

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Category:
IT - Administration

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Contract Type:
Not provided

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Salary:

153000.00 - 259000.00 USD / Year
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Job Description:

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.

Job Responsibility:

  • 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

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

Nice to have:

  • 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
What we offer:
  • 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
  • bonus eligible

Additional Information:

Job Posted:
February 20, 2026

Employment Type:
Fulltime
Work Type:
Remote work
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