Remote Clinical Program and Population Health Strategist-Commercial

Presbyterian Healthcare Services; New Mexico; Remote; USD 110,000 - 160,000; Full time

Job summary

Presbyterian Healthcare Services is seeking a Remote Clinical Program and Population Health Strategist – Commercial to advance population health priorities across the Commercial segment. The role partners with the health plan, medical group, and care delivery system to translate enterprise priorities into program designs and measurable initiatives.

You will define target populations, success metrics (HEDIS, affordability, utilization), and collaborate with analytics, provider strategy, and sales

Qualifications

• Bachelor’s degree required; master’s preferred (MPH/MHA/MBA).
• 5–10+ years in population health, healthcare strategy, or clinical program design.
• Experience with Commercial populations; data-driven decision making; knowledge of HEDIS and utilization.

Responsibilities

• Develop population health strategies for Commercial populations aligned with enterprise priorities.
• Define success metrics with HEDIS, affordability, and utilization goals.
• Collaborate with analytics, network, sales, and operations to implement programs and enable scaling.
• Embed health equity into strategies and program designs.

Skills

Population health

Healthcare strategy

Data-driven

HEDIS knowledge

Cost drivers

Utilization data

Education

Bachelor's degree

Master's degree

Job description

Remote Office

Now Hiring: Remote Clinical Program and Population Health Strategist-Commercial Summary:

Presbyterian is hiring a skilled Clinical Program and Population Health Strategist-Commercial to join our team.

Type of Opportunity: Full time

Remote Workers New Mexico

Work Shift: Days (United States of America)

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.

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
• Define success metrics aligned with HEDIS, affordability, and utilization goals
• 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

• 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
• Use data to identify trends, gaps, and opportunities
• Advance digital health, virtual care, and innovative engagement models

Health Equity

• Embed health equity into all strategies and program designs
• Commercial quality performance (HEDIS and employer-prioritized measures)
• Clinical Initiative Portfolio performance and ROI

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

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
• ~ Data-driven decision making
• ~ 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.

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.

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.

We're Determined to Support New Mexico's Well‑Being | Presbyterian Healthcare Services