Remote Clinical Program and Population Health Strategist-Commercial
About The Position
The Clinical Program and Population Health Strategist – Commercial advances population health strategy for Commercial populations in alignment with Presbyterian’s integrated delivery system model and Health Value strategy. The role partners across the health plan, medical group, and care delivery system, translating enterprise priorities into product-specific strategies, clinical program designs, and a prioritized Clinical Initiative Portfolio. It influences execution through cross-functional partnerships but does not directly manage program operations or vendor performance. The Strategist develops strategies and evidence-based interventions, prioritizes initiatives using impact and return on investment, defines success measures, and supports program implementation and scaling. The role works with Commercial product teams and partners across provider strategy, analytics, network management, sales, care management, digital health, and operations. It uses data and market insight to recommend improvements in quality, affordability, utilization, engagement, and health equity. This is a full-time, exempt, remote position for workers in New Mexico, with a day shift. The position reports to the Vice President, Population Health, Provider Strategy and Performance.
Requirements
- Bachelor’s degree required.
- 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.
Nice To Haves
- Master’s degree (MPH, MHA, MBA, or related) preferred.
Responsibilities
- Develop population health strategies for Commercial populations aligned with enterprise priorities.
- Identify high-impact opportunities to improve outcomes in preventive care, chronic disease, and rising-risk populations.
- Align strategies with product goals, market competitiveness, contractual requirements, and employer expectations.
- 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.
- Design evidence-based clinical programs and interventions, including target populations, program goals, and success measures.
- Partner with program and operational leaders to support implementation and scaling.
- Inform integration of digital, virtual, and in-person care models.
- Translate clinical strategies into provider-facing approaches and support 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 and align 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 and translate insights into recommendations.
- Incorporate market trends, employer expectations, and competitive benchmarks into strategy.
- Advance digital health, virtual care, and innovative engagement models.
- Embed health equity into strategies and program designs; identify disparities and recommend targeted interventions.
- Monitor commercial quality performance, preventive care and screening utilization, total cost of care and utilization trends, avoidable emergency department visits and admissions, portfolio performance and ROI, and member engagement and experience measures.
Benefits
- Medical insurance
- Dental insurance
- Vision insurance
- Short-term and long-term disability insurance
- Group term life insurance
- Optional voluntary benefits
- Employee wellness rewards program, with opportunities to earn gift cards through wellness activities
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What This Job Offers
Job Type
Full-time
Career Level
Senior
