Clinical Program and Population Health Strategist – Commercial

🕒 July 18

🌶️ New Mexico – Remote

🌶️ New Mexico – Remote

💵 $108.7k - $190.7k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 47%

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Presbyterian Healthcare Services

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1908

🏥 Healthcare

⚕️ Healthcare Insurance

🤝 Non-profit

Healthcare • 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

• Develop population health strategies for Commercial populations aligned with enterprise priorities • Identify high-impact opportunities across preventive care, chronic disease, and rising-risk populations • Align strategies with product-specific goals, market competitiveness, contractual requirements, and employer expectations • Support development and refinement of the Clinical Initiative Portfolio • 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 • Support implementation and scaling with program and operational leaders • Inform digital, virtual, and in-person care model integration • Translate clinical strategies into provider-facing approaches • Support provider tools, workflows, and reporting • Provide input into value-based care models and provider performance strategies • Liaise with Commercial product teams • Align benefit design, clinical programs, and population health outcomes • Collaborate with analytics, network, sales, and operational teams • Define measurement frameworks with analytics teams • Use data to identify trends, gaps, and opportunities • Translate insights into actionable recommendations • Incorporate market trends, employer expectations, and competitive benchmarks into strategy • Advance digital health, virtual care, and innovative engagement models • Embed health equity into strategies and program designs • Identify disparities and recommend targeted interventions • Report to the Vice President, Population Health, Provider Strategy and Performance • Collaborate across Presbyterian Health Plan and Medical Group

🎯 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 insurance • Dental insurance • Vision insurance • Short-term disability • Long-term disability • Group term life insurance • Optional voluntary benefits • Employee Wellness rewards program • Gift cards through wellness participation • Wellness challenges • Wellness webinars • Preventive screening opportunities