Remote Population Health Strategy Lead – Government Programs

Presbyterian Healthcare Services; Santa Fe (NM); Remote; USD 109,000 - 191,000; Full time

Benefits offered by this job

Wellness program

Job summary

Presbyterian Healthcare Services is seeking a Remote Clinical Program and Population Health Strategist for Government Programs. This full-time role advances ACA, Medicaid, and D-SNP population health initiatives across the health plan, medical group, and care delivery system, aligning with Presbyterian's Health Value strategy.

Responsibilities include translating priorities into clinical program designs, defining success metrics (HEDIS, Stars, risk adjustment), developing provider tools, and

Qualifications

• Bachelor's degree required; Master's preferred.
• 5-10+ years 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 in a matrixed organization.
• Strategic thinking and portfolio prioritization.
• Data-driven decision making and cross-functional collaboration.
• Health equity focus.

Responsibilities

• Develop population health strategies for ACA, Medicaid, and D-SNP populations aligned with enterprise priorities.
• Define success metrics aligned with HEDIS, Stars, risk adjustment, and utilization goals.
• Design evidence-based clinical programs and interventions.
• Partner with program and operational leaders to implement and scale initiatives.
• Translate clinical strategies into provider-facing tools, workflows, and reporting.
• Collaborate with analytics, network management, and compliance teams.
• Inform build vs. buy decisions for clinical capabilities.

Skills

Population health strategy

Cross-functional collaboration

Data-driven decision making

Executive communication

Health equity focus

Strategic portfolio prioritization

Education

Bachelor's degree

Master's degree (MPH, MHA, MBA, or related) preferred

Job description

Presbyterian Healthcare Services is seeking a Remote Clinical Program and Population Health Strategist for Government Programs. This full-time role advances ACA, Medicaid, and D-SNP population health initiatives across the health plan, medical group, and care delivery system, aligning with Presbyterian's Health Value strategy.

Responsibilities include translating priorities into clinical program designs, defining success metrics (HEDIS, Stars, risk adjustment), developing provider tools, and