Clinical Program and Population Health Strategist – Commercial

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🌶️ New Mexico – Remote

🌶️ New Mexico – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

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Presbyterian Healthcare Services

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1908

⚕️ Healthcare Insurance

🤝 Non-profit

Healthcare Insurance • Non-profit

Presbyterian Healthcare Services is an integrated, nonprofit healthcare system based in New Mexico that operates hospitals, urgent care clinics, specialty and primary care practices, virtual care (VirtualPRES), and health insurance plans. The organization provides a broad range of clinical services—including neuroscience, transplant, cancer care, surgery, behavioral health, and home health—while also running community health and charitable programs (financial assistance, community support, and partnerships with medical education). It offers individual, Medicaid, Medicare Advantage, and employer health plans, plus patient tools (MyChart/myPRES), billing support, and commitment to access and quality across the state.

📋 Description

• Build your Career. Make a Difference. • advance population health strategy for Commercial populations. • align with Presbyterian’s integrated delivery system (IDS) model and Health Value strategy. • partner across the health plan, medical group, and care delivery system. • translate enterprise population health priorities into product-specific strategies, clinical program designs, and a prioritized Clinical Initiative Portfolio. • influence execution through cross-functional partnerships but does not directly manage program operations or vendor performance. • develop population health strategies for Commercial populations aligned with enterprise priorities. • identify high-impact opportunities to improve outcomes across preventive care, chronic disease, and rising-risk populations. • ensure alignment with product-specific goals, market competitiveness, contractual requirements, and employer expectations. • support the development and refinement of the Clinical Initiative Portfolio. • partner with product owners and leadership to prioritize initiatives based on impact and ROI. • define success metrics aligned with HEDIS, affordability, and utilization goals. • design evidence-based clinical programs and interventions. • define target populations, program goals, and success measures. • partner with program and operational leaders to support implementation and scaling. • inform digital, virtual, and in-person care model integration. • translate clinical strategies into provider-facing approaches. • enable development of provider tools, workflows, and reporting. • provide input into value-based care models and provider performance strategies. • serve as liaison to Commercial product teams. • ensure alignment between benefit design, clinical programs, and population health outcomes. • collaborate with analytics, network, sales, and operational teams. • partner with analytics teams to define measurement frameworks. • use data to identify trends, gaps, and opportunities. • translate insights into actionable recommendations. • embed health equity into all strategies and program designs. • identify disparities and recommend targeted interventions.

🎯 Requirements

• Bachelor’s degree required; Master’s degree (MPH, MHA, MBA, or related) preferred • 5–10+ years of experience in population health, healthcare strategy, or clinical program design • Experience with Commercial populations • Strong understanding of HEDIS, cost drivers, and utilization • Experience working in a matrixed organization • Strategic thinking and portfolio prioritization • Clinical program design and innovation • Data-driven decision making • Cross-functional collaboration and influence • Strong communication and executive presence • Market and employer awareness.

🏖️ Benefits

• medical, dental, vision, short-term and long-term disability, group term life insurance and other optional voluntary benefits • Employee Wellness rewards program • engaging opportunities to enhance your health and activate your well-being. • participating in wellness activities like wellness challenges, webinar, preventive screening and more.