Location Address:

Remote Office Santa Fe, NM 87501

Compensation Pay Range:

Minimum Offer $0.00 Maximum Offer $0.00 Now Hiring: Remote Clinical Program and Population Health Strategist-Commercial

Summary:

Build your Career. Make a Difference. Presbyterian is hiring a skilled Clinical Program and Population Health Strategist-Commercial to join our team. Type of Opportunity: Full time Job Exempt: Yes Job is based: Remote Workers New Mexico Work Shift: Days (United States of America)

Responsibilities:

The Clinical Program & Population Health Strategist – Commercial is responsible for advancing population health strategy for Commercial populations. This role aligns with Presbyterian’s integrated delivery system (IDS) model and Health Value strategy, partnering across the health plan, medical group, and care delivery system.
The Strategist translates enterprise population health priorities into product-specific strategies, clinical program designs, and a prioritized Clinical Initiative Portfolio. This role influences execution through cross-functional partnerships but does not directly manage program operations or vendor performance.

Some key responsibilities include:

Commercial Population Health Strategy

• 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

• Clinical Initiative Portfolio Strategy & Prioritization
• Support 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

• Clinical Program Design & Strategic Guidance
• 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

• Provider Strategy & Performance Enablement
• Translate clinical strategies into provider-facing approaches
• Support development of provider tools, workflows, and reporting
• Provide input into value-based care models and provider performance strategies

• Product & Cross-Functional Alignment
• 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

• Analytics & Insights
• Partner with analytics teams to define measurement frameworks
• Use data to identify trends, gaps, and opportunities
• Translate insights into actionable recommendations

• Market Competitiveness & Innovation
• Incorporate market trends, employer expectations, and competitive benchmarks into strategy
• Advance digital health, virtual care, and innovative engagement models

• Health Equity
• Embed health equity into all strategies and program designs
• Identify disparities and recommend targeted interventions
• Commercial quality performance (HEDIS and employer-prioritized measures)
• Preventive care and screening utilization
• Total cost of care and utilization trends
• Avoidable utilization (ED visits and admissions)
• Clinical Initiative Portfolio performance and ROI
• Member engagement and experience measures
• Reports to: Vice President, Population Health, Provider Strategy and Performance
• Key partnerships: Commercial Product Owners, Provider Strategy, Analytics, Network Management, Sales, Care Management, Digital Health
• Collaborates across Presbyterian Health Plan and Medical Group

Qualifications:

• 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

All benefits-eligible Presbyterian employees receive a comprehensive benefits package that includes medical, dental, vision, short-term and long-term disability, group term life insurance and other optional voluntary benefits.

Wellness
Presbyterian's Employee Wellness rewards program is designed to provide you with engaging opportunities to enhance your health and activate your well-being. Earn gift cards and more by taking an active role in our personal well-being by participating in wellness activities like wellness challenges, webinar, preventive screening and more.

Why work at Presbyterian?
As an organization, we are committed to improving the health of our communities. From hosting growers' markets to partnering with local communities, Presbyterian is taking active steps to improve the health of New Mexicans.

About Presbyterian Healthcare Services
Presbyterian exists to improve the health of patients, members, and the communities we serve. We are locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, we are the state's largest private employer with nearly 14,000 employees - including more than 1600 providers and nearly 4,700 nurses.

Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans.

AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.

We're Determined to Support New Mexico's Well-Being | Presbyterian Healthcare Services