Director Government Payment Programs-SWHR

Director Government Payment Programs-Southwestern Health Resources-Clinically Integrated Network (SWHR-CIN)

At Southwestern Health Resources (SWHR), we believe healthcare can be more integrated, accessible, and affordable for all.

Our purpose is simple yet powerful: to build a better way to care, together.

SWHR is a patient-centered, clinically integrated network that brings together academic and community clinicians, researchers, hospitals, and ambulatory facilities.

We partner with physicians to drive a new model of value-based, high-quality, data-driven healthcare-serving everyone in the communities we touch.

By combining the strengths of UT Southwestern Medical Center and Texas Health Resources, we've built the largest provider network in North Texas, giving our team members the opportunity to make a meaningful impact at scale.

Healthcare in the U.S.

is evolving rapidly, and SWHR is committed to leading that change-moving healthcare forward, together.

Position Summary

The Director of Government Payment Programs provides strategic, operational, and analytic leadership for Southwestern Health Resources (SWHR) Clinically Integrated Network's (CIN) participation in government-sponsored healthcare programs.

This includes oversight of all voluntary and mandatory programs, and government sponsored managed care.

This position serves as a bridge between regulatory agencies, payer partners, and network providers, implementing complex government program requirements and actionable strategies that drive value, efficiency, and clinical integration.

· Work location: Hybrid-remote and in the home office: Southwestern Health Resources Headquarters, Farmers Branch, TX .

Position Duties

Lead the execution of SWHR CIN's multi-years strategies for successful government program participation and performance, driving over $4 billion in annual claims expenditures and nation-leading program outcomes.

Lead the comprehensive evaluation of emerging federal and state payment models.

Make participation recommendations to executive leadership.

Anticipates implications of decisions and navigates politics diplomatically.

Lead senior leaders through complex decisions, accounting for multiple stakeholder perspectives and ensuring alignment with broader strategies for the Clinically Integrated Network.

Reviews outcomes and adjusts decision frameworks to improve future choices.

Lead the planning and execution of new programs and major program changes to meet stringent regulatory timelines and requirements.

Balances interests and negotiates agreements that enable join execution.

Drives others to take timely action.

Lead corrective actions to correct performance or compliance deficiencies, and to maximize program performance.

Holds others accountable for making sound decisions that comply with policies and standards.

Lead the integration of government program objectives into network development strategy, care model design and delivery, and value-based care contrac...