Remote Clinical Program and Population Health Strategist-Commercial

Location Address:
Remote Office
Santa Fe, NM 87501

Compensation Pay Range:
Minimum Offer $108,680.00
Maximum Offer $190,694.40
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