Clinical Program and Population Health Strategist – Government Programs
P
Presbyterian Healthcare ServicesHealthcare strategy
Source API remote eligibility restrictions: United States; Job is based: Remote Workers New MexicoFull-TimeSenior
Salary108,680 - 190,694.4 USD per year
Apply NowOpens the employer's application page
Job Details
- Experience
- 5–10+ years of experience in population health, healthcare strategy, or clinical program design
Requirements
- Bachelor’s degree required.
- Master’s degree in public health, healthcare administration, business administration, or a related field preferred.
- 5–10+ years of experience 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 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.
- Health equity focus.
Responsibilities
- Develop population health strategies for ACA, Medicaid, and D-SNP populations aligned with enterprise priorities.
- Identify opportunities to improve outcomes for complex and vulnerable populations.
- Support development and refinement of the Clinical Initiative Portfolio and prioritize initiatives with product owners and leadership.
- Define success metrics aligned with HEDIS, Stars, risk adjustment, and utilization goals.
- Design evidence-based clinical programs and interventions, defining target populations, goals, and measures.
- Partner with program and operational leaders to support implementation and scaling, and inform build-versus-buy decisions.
- Translate clinical strategies into provider-facing approaches, tools, workflows, and reporting.
- Partner with analytics teams to define measurement frameworks, identify trends and gaps, and translate insights into recommendations.
- Ensure strategies align with CMS and Medicaid requirements and support audits, reporting, and program integrity efforts.
- Embed health equity in strategies and program designs, recommend targeted interventions, and partner with community organizations.
View Full Description & ApplyYou'll be redirected to the employer's site
