Clinical Program and Population Health Strategist-Commercial

About the role

Build your Career. Make a Difference. Presbyterian is hiring a skilled Clinical Program and Population Health Strategist-Commercial to join our team. Type of Opportunity: Full time Job Exempt: Yes Job is based: Reverend Hugh Cooper Administrative Center Work Shift: Weekday Schedule Monday-Friday (United States of America)

Responsibilities

• Some key responsibilities include:
• 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
• Ensure alignment with product-specific goals, market competitiveness, contractual requirements, and employer expectations
• Clinical Initiative Portfolio Strategy & Prioritization
• 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
• Clinical Program Design & Strategic Guidance
• 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
• Provider Strategy & Performance Enablement
• 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
• Product & Cross-Functional Alignment
• 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
• Analytics & Insights
• Partner with analytics teams to define measurement frameworks
• Use data to identify trends, gaps, and opportunities
• Translate insights into actionable recommendations
• Market Competitiveness & Innovation
• Incorporate market trends, employer expectations, and competitive benchmarks into strategy
• Advance digital health, virtual care, and innovative engagement models
• Health Equity
• Embed health equity into all strategies and program designs
• Identify disparities and recommend targeted interventions
• Commercial quality performance (HEDIS and employer-prioritized measures)
• Preventive care and screening utilization
• Total cost of care and utilization trends
• Avoidable utilization (ED visits and admissions)
• Clinical Initiative Portfolio performance and ROI
• Member engagement and experience measures
• 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

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
• 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.
• Wellness
• Why work at Pres

Benefits

Additional Information

Location Address: 9521 San Mateo NE Albuquerque, NM 87113-2237 Compensation Pay Range: Minimum Offer $103,500.80 Maximum Offer $162,073.60 Now Hiring: Clinical Program and Population Health Strategist-Commercial

Your Match

How well this role fits your profile.

Company Intel

What employees say

Worked at phsorg? Share your experience