Program Director Jobs

About The Position

Requirements

• Doctor of Medicine (MD) or Doctor of Osteopathy (DO) required.
• Current, unrestricted Texas medical license (or eligibility to obtain).
• Board certification in Internal Medicine, Family Medicine, Geriatrics, or another relevant specialty.
• 8–10 years of clinical practice experience with progressive leadership responsibilities.
• Strong understanding of healthcare economics, CMS payment models, and ACO operations.
• Data-driven mindset with the ability to translate analytics into clinical actions.
• Excellent communication, collaboration, and physician engagement skills.
• Strategic thinker with the ability to operationalize complex initiatives.
• Commitment to health equity, patient-centered care, and Methodist Health System’s mission of compassionate service.

Nice To Haves

• Advanced degree in Healthcare Administration, Public Health, or related field (preferred).
• Prior experience in value-based care, ACOs, population health, or clinical integration initiatives strongly preferred.
• Proven track record of success in quality improvement, physician engagement, and cost containment programs.
• Experience with CMS MSSP quality reporting, risk adjustment, and performance improvement preferred.

Responsibilities

• Provide strategic clinical leadership for Methodist Health System’s MSSP ACO program, ensuring compliance with CMS requirements and advancing ACO goals.
• Lead clinical strategy to improve quality metrics, patient outcomes, and total cost of care performance under the MSSP and other shared-savings programs.
• Serve as the liaison between clinical staff, administration, and the VBC leadership team to align operations with ACO performance objectives.
• Identify and develop care models and interventions to improve chronic disease management, reduce readmissions, and address social determinants of health (SDOH).
• Oversee the measurement, reporting, and improvement of CMS quality metrics under the MSSP, including preventive health, chronic condition management, patient experience, and utilization measures.
• Work with data analytics teams to interpret performance dashboards and identify actionable insights for physician and care team improvement.
• Lead or participate in root cause analyses, care variation reduction projects, and performance improvement initiatives.
• Ensure timely and accurate completion of documentation, coding, and risk adjustment activities to optimize accuracy in CMS reporting and attribution.
• Build strong relationships with employed and independent physicians participating in the ACO to promote engagement and accountability for value-based care goals.
• Educate providers on MSSP and other VBC requirements, performance measures, documentation best practices, and strategies to enhance clinical and financial results.
• Facilitate regular provider meetings, clinical education sessions, and performance feedback forums.
• Serve as a trusted clinical advisor and advocate for physician partners across Methodist Health System’s network.
• Partner with care management, transitional care, and post-acute leadership to develop and optimize workflows that improve patient transitions, reduce readmissions, and close care gaps.
• Lead development of patient-centered strategies for high-risk, high-cost populations, including initiatives for chronic disease management, telehealth integration, and home-based care models.
• Promote effective use of care coordination resources, data tools, and clinical decision support systems.
• Collaborate with community organizations and external partners to address SDOH and enhance care access for Medicare beneficiaries.
• Partner with analytics and finance teams to monitor cost and quality outcomes and identify opportunities for shared savings.
• Translate data insights into clinical and operational improvement plans.
• Participate in quarterly performance reviews with CMS and provide leadership input for ACO governance and reporting.
• Support the creation of annual MSSP strategic and operational plans, including goal setting and key performance indicators.
• Serve as a key member of the ACO Board, providing updates on clinical performance, opportunities, and risk areas.
• Collaborate with Methodist Health System executives, hospital leaders, and physician governance bodies to advance system-wide value-based care objectives.
• Represent Methodist Health System’s ACO at local, regional, and national MSSP forums and conferences.
• Completes other duties as assigned.