Clinical Program and Population Health Strategist-Government Programs
About The Position
Build your Career. Make a Difference. Presbyterian is hiring a skilled Clinical Program and Population Health Strategist-Government Programs to join our team. The Clinical Program & Population Health Strategist – Government Programs is responsible for advancing population health strategy for ACA, Medicaid, and Dual Eligible Special Needs Plan (D-SNP) 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.
Requirements
- Bachelor’s degree required
- 5–10+ years of experience in population health, healthcare strategy, or clinical program design
- Experience with Medicare (D-SNP) and/or Medicaid programs
- Strong understanding of HEDIS, Stars, risk adjustment, and utilization drivers
- 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
- Health equity focus
Nice To Haves
- Master’s degree (MPH, MHA, MBA, or related) preferred
Responsibilities
- Develop population health strategies for ACA, Medicaid, and D-SNP populations aligned with enterprise priorities
- Identify high-impact opportunities to improve outcomes for complex and vulnerable populations
- Ensure alignment with regulatory requirements and product-specific goals
- 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, Stars, risk adjustment, 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 build vs. buy decisions for clinical capabilities
- 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
- Serve as liaison to Government Programs teams
- Ensure alignment between benefit design, clinical programs, and population health outcomes
- Collaborate with analytics, network, and operations teams
- Partner with analytics teams to define measurement frameworks
- Use data to identify trends, gaps, and opportunities
- Translate insights into actionable recommendations
- Ensure strategies align with CMS and Medicaid requirements
- Support audits, reporting, and program integrity efforts
- Embed health equity into all strategies and program designs
- Identify disparities and recommend targeted interventions
- Partner with community organizations and internal teams
Benefits
- medical
- dental
- vision
- short-term and long-term disability
- group term life insurance
- other optional voluntary benefits
- Employee Wellness rewards program
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What This Job Offers
Job Type
Full-time
Career Level
Senior
