Presbyterian exists to improve the health of the patients, members and communities we serve. Since 1908.
Clinical Program and Population Health Strategist – Commercial
Location
New Mexico
Posted
2 days ago
Salary
0
Seniority
Senior
Job Description
Clinical Program and Population Health Strategist – Commercial
Presbyterian Healthcare Services
• 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.
Job 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.
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