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Presbyterian Healthcare Services · New Mexico, NM, United States
Remote Office
Now Hiring: Remote Clinical Program and Population Health Strategist-Government Programs Summary:
Presbyterian is hiring a skilled Clinical Program and Population Health Strategist-Government Programs 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 – 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.
Government Programs Population Health Strategy
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
Define target populations, program goals, and success measures
Partner with program and operational leaders to support implementation and scaling
Provider Strategy & Performance Enablement
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
Use data to identify trends, gaps, and opportunities
Regulatory & Compliance Strategy
Health Equity & Community Integration
Embed health equity into all strategies and program designs
Partner with community organizations and internal teams
Medicare Stars and HEDIS performance
Medicaid quality measures
Clinical Initiative Portfolio performance and ROI
Health equity outcome measures
Reports to: Vice President, Population Health, Provider Strategy and Performance
Key partnerships: Government Programs Product Owners, Provider Strategy, Analytics, Network Management, Compliance, Community 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
~ Strong understanding of HEDIS, Stars, risk adjustment, and utilization drivers
~ Data-driven decision making
~ Health equity focus
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
Details
| Company | Presbyterian Healthcare Services |
| Location | New Mexico, NM, United States |
| Type | FULL TIME |
| Niche | healthcare |