Remote Clinical Program and Population Health Strategist-Commercial

Location Address:
Remote OfficeSanta Fe, NM 87501Compensation Pay Range:
Minimum Offer $108,680.00Maximum Offer $190,694.40Now Hiring: Remote Clinical Program and Population Health Strategist-CommercialSummary:
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 timeJob Exempt: YesJob is based: Remote Workers New MexicoWork 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
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