Manager Physician Pricing and Analytics-SWHR

Manager Physician Pricing and Analytics-Southwestern Health Resources-Clinically Integrated Network (SWHR-CIN)

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 Summary

The Manager of Pricing Analytics is a strategic and analytical leader within the healthcare system, responsible for interpreting and managing complex payer contract data to support financial performance and operational alignment. This role plays a key part in negotiations, offering data-driven insights and recommendations that influence reimbursement structures and forecast modeling. The manager collaborates across departments to ensure accurate financial planning, clear performance reporting, and impactful decision support. By bridging technical data expertise with high-level business strategy, the Manager of Pricing Analytics helps drive sustainable growth and accountability throughout the organization.

·  Work location: This position will be Monday through Friday: remote and onsite. Onsite will be at Southwestern Health Resources Headquarters, Farmers Branch, TX.

Position Duties

Strategy:

Analyze and compare contract proposals, highlighting financial and structural differences for leadership and operational stakeholders.
- Create clear, compelling documentation and presentations that communicate the impact of contractual variations across departments.
- Participate actively in negotiations with payer representatives, focusing on pricing analytics, reimbursement methodologies, and data-driven insights.
- Advise leadership on contract performance outcomes, especially when results differ from expectations or planned strategies.
- Apply advanced knowledge of SQL, Access, Excel, and other Microsoft Office tools to extract claims data and support strategic negotiations.
- Develop and maintain a comprehensive database of contract performance results for internal use and future modeling.
- Simplify complex contract terms into digestible visual and written formats to support stakeholder comprehension and alignment.
- Align contract structures with operational capabilities and emerging strategic goals across departments.


Serve as a bridge between the analytics team and payers to provide support on contract interpretations and performance evaluations.
- Conduct in-depth research to support internal departments, offering analytical explanations and insights tied to contract and performance data.
- Assist leadership and operational teams with strategic decision-making based on detailed analysis and payer communications.