UT Health San Antonio logo
UT Health San Antonio
San Antonio, Texas

Nurse Practitioner - Director, Practice Operations

Nurse PractitionerFull-Time Physician-Supervised State

Compensation

Pay not listed

The week · per this posting · weekdays assumed

Ask the employer about the pay range, the work setting, call expectations and time off.

Posted 7mo ago

Job Description

Directs the overall operation of clinical practices by setting objectives, planning, staffing and directing activities. Ensures efficient, economic and quality performance to support ambulatory care in a clinical environment.

Benefits Overview

UT Health San Antonio offers an excellent benefits package for its employees.

Employees who work at least 20 hours a week, with an appointment of at least 4.5 months, are eligible for benefits.

Medical - UT SELECT Medical insurance is offered free for employees and administered by Blue Cross and Blue Shield of Texas. Family members can be added to the plan through payroll deduction.

Employees and their dependents can also receive discounted copays and coinsurance when using UT Health Physicians, a network of 800 premier physicians including more than 100 specialists.

Employees receive $50,000 of group term life insurance and $50,000 of basic accidental death and dismemberment insurance for free, with options to purchase additional employee and dependent coverage for both at group rates.

Dental - Three dental insurance plan options are available for employees and their families through Delta Dental Insurance Company, two PPOs and one dental HMO plan. Both PPO plans allow employees to choose any licensed dentist.

Vision - Fully insured Vision Care benefits are offered by Superior Vision Services. Two vision plan options that offer either standard or enhanced vision benefits.

Disability - Employees can enroll in the Disability Insurance which provides income if a non-work related illness or injury prevents you from working.

FSAs - Employees can enroll in flexible spending accounts (FSAs) to set aside money from earnings before taxes for qualifying dependent day care expenses or out-of-pocket health care expenses.

Retirement - Employees are eligible for either the Teacher Retirement System (TRS) or the Optional Retirement Plan (ORP). TRS is a defined benefit retirement plan which UT Health matches employee contributions. ORP is for eligible faculty staff employees. Voluntary retirement programs are also available to invest before- or after-tax dollars with the choice of five quality retirement plan providers.

Time Off - A generous leave program offers multiple paid leave options:

  • Front-loaded Paid Time Off: 128 to 208 hours (16 to 26 days) of Paid Time Off based on years of service, given at the start of each fiscal year. PTO may be prorated in year one based on date of hire.
  • Extended Illness Bank: 8 hours (1 day) accrued per month which can be used for illness or injury after one day of Paid Time Off is taken.
  • Paid Family Leave: Up to 240 hours (6 weeks) to care for a spouse, child, or parent after 6 months of consecutive employment.
  • Holidays: 12 set paid holidays each year.

Discounts - Employees enjoy a range of discounts on services, tickets, and gym membership.

EEO Statement

UT Health San Antonio is an equal employment opportunity and affirmative action employer. It is our policy to promote and ensure equal employment opportunity for all individuals without regard to race, color, religion, sex, gender identity, national origin, age, sexual orientation, disability, or veteran status.

Key Responsibilities

This role directs the overall operation of clinical practices by establishing objectives, planning, staffing, and directing activities within the practice. The primary goal is to ensure efficient, economic, and high-quality performance to support ambulatory care in a clinical setting.

Requirements

Candidates must possess an active Nurse Practitioner license and required experience and knowledge of managed care. Essential abilities include building stakeholder relationships, leading operational initiatives to meet service standards, and demonstrating experience with strategic planning and data-driven improvement.

Qualifications

Experience
5+ years of experience

Key Skills

Relationship BuildingOperational LeadershipAssessmentData UtilizationEvaluation MethodologiesStatisticsData AnalysisOrganizational SkillsAnalytical SkillsCommunication Skills

Administration — Nurse Practitioner Career Context

Of the 50 active Nurse Practitioner listings this role was benchmarked against, 22% are remote, 58% have no call, 66% require no weekends.

The cost-of-living index for Texas is 97.1 (US average = 100; BEA Regional Price Parities (2024)). 57.7% of Texas clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Nurse Practitioner pay on WeekdayDoc is up 1.7% vs. the prior quarter (through Sep 2026).

Location & Logistics

Texas has no state income tax, which can significantly increase take-home pay compared to high-tax states.

Top Nurse Practitioner Jobs

50 matches · ranked by pay

Salary Distribution50 jobs · 46 employers

19
<$155k
16
$155k-170k
10
$170k-185k
3
$185k-200k
2
$206k

Annual compensation range

Benefits & Perks41 jobs

401k / retirement match
85% this job
CME allowance
56%
Sign-on bonus
34%
Loan repayment
7%
Relocation assistance
7%

Share of similar jobs offering each benefit

#1

PRN Nurse PractitionerPer Diem

Center Well · Fort Worth, Texas

$150k-$206k
#2

VSP Nurse Practitioner

Center Well · Arlington, Texas

$150k-$206k
#3

Psychiatric Nurse Practitioner - Stay in the know about openings as we grow!

$62-$96/hr
#4

Psychiatric Mental Health Nurse Practitioner (PMHNP)

$70-$95/hr
+ 48 more · ranked by pay

Work-life snapshot

median 6.1this job 1.5
Below most Nurse Practitioner roles listings for work-life

Listing-based score, 0–10, across 14,253 comparable listings. Shaded area = the share scoring below this one.

Living in San Antonio

Typical 3-bedroom home value
$226k
Typical market rent
$1,386/mo
Residents’ average commute
25 min
Metro price indexU.S. average = 100
94.7
State income tax
None
Sources & methodology

Sources: Zillow home values (Aug 2026), Zillow market rents (Aug 2026), U.S. Census ACS 2024 five-year.

BEA 2024 · San Antonio-New Braunfels, TX metro prices. Housing figures are city-level.

City-level figures. Not a cost-of-living guarantee.

UT Health San Antonio logo

About UT Health San Antonio

Research Services
San Antonio, Texas
11-50 employees

Benefits & Perks

Medical Insurance
Dental Insurance
Vision Care
Disability Insurance
Flexible Spending Accounts
Retirement Plan
Paid Time Off
Extended Illness Bank