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Position: Executive Vice President Patient Services & Operations     

Reports To: Chief Executive Officer

Direct Reports:

TBD (Note: the successful candidate will have the flexibility to determine his/her staff of up to five direct reports at a Vice President level position)

Location: Dallas, TX

Client Organization Overview

Prism Health North Texas (PHNTX) is the largest non-profit community health center in North Texas specializing in HIV prevention, treatment, and primary care for the LGBTQ+ community. Current operations include four health centers, two co-located pharmacies, and several case management/client services sites all located in the Dallas area. The CEO is a public health physician and the organization directly employs 20 clinical providers (physicians and mid-levels), as well as five subspecialty providers in behavioral health and dermatology under professional services agreements. The organization operates one health center as a large private practice/primary care office under the name Uptown Physicians Group. Two other health center sites are located in high-need, medically underserved communities. Finally, the fourth health center site, newly opened in 2019, hopes to expand available HIV prevention services, transgender primary care, and sexually transmitted infection treatment. Additional expansion opportunities are planned in the next business plan currently under development.

The current operating budget is $47 MM and the full-time staff size is 163. Government grants provide $7.7 MM in operating revenue. The total number of patients in the census for 2019 is 12,759 with 36,847 visits projected. The market consists of a 12-county area referred to as the Dallas Eligible Metropolitan Area (EMA). The Dallas EMA is one of the fastest growing regions in the USA, with nearly 300 people moving to Dallas a day. Despite high concentrations of wealth and a strong economy, significant socioeconomic disparities exist, resulting in area ZIP codes with extremely low household income, high crime, and high rates of uninsured.

PHNTX has a long history that is grounded in the North Texas community. In 1986, in the midst of the HIV/AIDS crisis in Dallas, three people came together under the support of the Community Council of Greater Dallas, to form AIDS Arms Network. This new organization reached and received the first ever national funding for HIV/AIDS by the Robert Wood Johnson Foundation, solidifying the role as the principle nonprofit organization addressing the HIV/AIDS epidemic in North Texas. In 2017, the organization changed its name to Prism Health North Texas to better reflect its mission and vision, as well as limit the stigma and privacy issues experienced by patients when accessing services for HIV/AIDS treatment.

Continued community support through the LifeWalk event, foundations, and individual contributions enabled growth into an ever growing and diverse set of programs and health services for people living with or at risk for HIV/AIDS as well as the LGBTQ+ community. PHNTX has a proven track record with governmental grants, being funded by over 12 different government funding sources, highlights of which include being awarded two HRSA Special Projects of National Significance, being the North Texas site for the AIDS Education and Training Center (AETC) grant, receiving the Centers for Disease Control and Prevention’s High Impact HIV Prevention and Treatment (TI-17-011) grant, strong history of SAMSHA awards, and several prevention and treatment grands funded by the Texas Department of State Health Services. PHNTX’s major funding for uncompensated care is through the Ryan White program. PHNTX also bills all third party insurance, including commercial, individual, and governmental payer sources. PHNTX is in the process of applying for accreditation as a Patient-Centered Medical Home.

PHNTX maintains a large portfolio of clinical research studies and funding, being one of only a few community-based healthcare centers in the U.S. participating in the National Institute of Health AIDS Clinical Trials Group. Various studies have enabled patient access to the latest HIV medications, sometimes years before being available on the market. Participation in industry sponsored studies also enables patient access to the latest medications, as well as puts PHNTX on the map as a leading center for the latest in HIV treatment innovations and care.

Position Summary

This position is a key leader for the future of PHNTX, working with the CEO, the Board of Directors, and Senior Leadership on a team to navigate through the climate of uncertainty in healthcare and ensure the organization remains a leader in North Texas for the prevention and treatment of HIV. The end of AIDS, the greatest public health crisis of our generation, remains possible during the EVP Patient Services & Operations’ tenure. The mission of PHNTX will grow, expanding further into the health equity space such that health of the LGBTO+ and other marginalized communities can be addressed through the organization’s highly proven and unique service model.

Specific Responsibilities of the Role

  • Leads the integration of the various multispecialty staff and diverse teams to achieve the Triple AIM (improving patient experience, improving the health of populations, reducing the per capita cost).
    • Engenders a collaborative culture that promotes data-driven processes to constantly innovate organizational design and workflows.
    • Develops and implements novel compensation models that equally promote high quality and productivity for providers, including physicians and mid-level practitioners.
    • Endeavors to remain at the forefront of novel primary care office and business operations which ensure achievement of clinical outcomes, despite having high percentage of patients with significant adverse social determinants of health.

  • Ensures longitudinal organizational success through business planning, strategic plan implementation, and ensuring that PHNTX remains at the forefront of novel payment methods for healthcare services.
    • In conjunction with various team leaders, the CEO, and CFO, develops the necessary metrics, outcome measures, and justification to gain leverage in value-based contracting with Texas Medicaid Managed Care Organizations, the Medicare Shared Shavings Program, and commercial insurance plans. 
    • Synthesizes the necessary financial, coding, and productivity data elements to ensure optimal visualization of the organization’s revenue cycle, from credentialing to contracting to claim reimbursement to payment.
    • Enhances operational efficiencies where possible and facilitates efforts to reduce costs and promote high-value services.

  • Implements the CEO’s vision for the community’s health by unifying organizational efforts empowered and inspired by the mission which seeks to improve the health of those living with HIV, the LGBTQ+ community’s health, and other disenfranchised individuals in the greater Dallas area.
    • Maintains constant curiosity for how to improve and collaboratively promotes organizational change.
    • Rises above the day-to-day by establishing priorities yet remains acutely aware of experiences of all staff as they work to improve the health of patients and clients.
    • With the EVP of Human Capital, facilitates the People and Operations Committee of the Board of Directors to ensure transparency of business operations and management.

  • Facilitates a highly talented and dedicated team of leaders and managers that have very unique skills which enable incredibly successful patient outcomes, grant awards, and research development.
    • Coaches and mentors self-managed teams that oversee clinical operations; research and evaluation; compliance; information technology; grants; prevention; and care coordination services.
    • Ensures successful outcomes for government grants by supporting the experienced program directors, data analysts, and evaluators.
    • Emphasizes succession and mentorship at all levels, especially direct reports, and fosters a non-silo ’ed approach to all management and leadership decisions.

Required Knowledge, Skills and Abilities

  • Proven leadership experience in complex healthcare environments which require nuanced approaches and thinking.
  • Revenue cycle management experience, ideally for primary care practices with high volumes and /or high rates of Medicare/Medicaid plans.
  • Value-base contracting experience, ideally working with medically underserved communities or high-risk populations.
  • Experience with government grants.
  • Extreme motivation to make a difference with a passion to understand other people’s perspectives and differences.
  • Must be very analytical with strong quantitative and critical thinking abilities.
  • Master’s degree in public health, health administration, or business administration is preferred.
  • Minimum of 10 plus years of experience in healthcare leadership, preferably with larger healthcare organizations that employ physicians and general practitioners.

The Client organization provides a competitive compensation structure (including base salary, and incentive bonus plan). In addition, the Client organization provides an attractive employee benefits program.

Robert Elam

Managing Director
Executive Search

Career Management Partners (CMP)


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