Director Medical Economics Forecasting-SWHR

Director Medical Economics Forecasting-Southwestern Health Resources-Clinically Integrated Network (SWHR-CIN) Leading the Medical Economics department for Southwestern Health Resources by designing and overseeing integration of data analytics and modelling necessary for supporting the overall executive objectives and strategies.

Responsible for all financial modeling and forecasting of all value-based care contracts.

• Work location: Southwestern Health Resources Headquarters, Farmers Branch, TX .

Southwestern Health Resources (SWHR) is a patient-centered clinically integrated network of 29 hospital locations and more than 5,500 physicians and other clinicians.

Formed by Texas Health and UT Southwestern, two of the region's leading healthcare systems, SWHR delivers nationally preeminent, highest-quality care in 16 counties across North Texas.

SWHR is also the parent organization of Care N' Care Insurance Co., a regional Medicare Advantage Plan serving more than 13,500 members in the region.

The SWHR network includes physicians from UT Southwestern and Texas Health, and independent community primary care and specialty physicians.

In partnership, our team implements physician-driven, value-based care strategies to coordinate care for more than 700,000 patients, resulting in lower costs and high-quality care.

In 2020, the Centers for Medicare & Medicaid Services released the annual financial and quality results and, based on the report, SWHR is one of the nation's leading Next Generation Accountable Care Organizations, having saved nearly $120 million since joining the program in 2017.

At the heart of SWHR are people who help people.

We care about those we serve and each other.

To be the national leader in providing population-based healthcare, our more than 850 employees use their knowledge, data insights and clinical experience to deliver care to the right patient, at the right time and in the right setting.

By connecting physicians to patients and clinical insights to better outcomes, SWHR lowers costs, optimizes value, and builds a better healthcare system for all.

Position Duties Responsible for the strategic design and development of tools to measure the leading cost drivers to support the integrated decisions needed for operations, clinical, and financial executive leadership teams

Oversees advanced analytics to enable rich insight from multiple external data sets, scenario modelling and simulations to drive the strategic vision to improve financial performance tied to medical and pharmacy cost trends.

Monitors SWHR and market cost data and trends to determine potential external impacts or opportunities for SWHR in its full risk arrangements and other gainshare arrangements.

Supporting the continuum of analytics needed for senior leadership from financial, operations and clinical areas.

Oversight and monitoring the key contractual payor levers by the continual monitoring of SWHR subset of key leading cost drivers continues to sup...