Location Address:

Remote Office Santa Fe, NM 87501

Compensation Pay Range:

Minimum Offer $94,057.60 Maximum Offer $143,707.20

Summary:

The Manager, Clinical Vendor and Program Operations is responsible for leading the initial execution, daily operations, and continuous optimization of a portfolio of internal and vendor-supported clinical programs that support population health, quality performance, and total cost of care outcomes across DSNP, Medicaid, and Commercial lines of business. This role aligns with Presbyterian’s integrated delivery system (IDS) model and Health Value strategy and requires partnership and alignment across the health plan, medical group, and care delivery system.

The Manager leads a team of program managers and/or clinical staff and is accountable for delivering measurable improvements in quality, cost, access, and health equity outcomes through clinical programs. This role partners cross-functionally with clinical leadership, procurement, legal, IT, and contracting to support clinical vendor evaluation and selection, while maintaining clinical oversight of performance, and continuous optimization of the vendor clinical solution.

How you grow, learn and thrive matters here.
• Educational and career development options, including tuition and certification reimbursement, scholarship opportunities
• Staff Safety (a wearable badge that allows nurses to quickly and discreetly call for help when safety is a concern)
• Differentials for night/weekend shifts, higher education, certifications and various lead roles (for eligible positions)
• Malpractice liability insurance
• Loan forgiveness through the  New Mexico Higher Education Department 
• EPIC electronic charting system

Type of Opportunity: Full time FTE: 1.00 Job Exempt: Yes Work Shift: Weekday Schedule Monday-Friday (United States of America)

Responsibilities:

• Lead, coach, and develop a team of clinical program managers and/or clinical staff
• Set priorities, allocate resources, and manage team performance
• Foster a culture of accountability, collaboration, and continuous improvement
• Oversee execution and operations of internal and vendor-supported clinical programs
• Ensure alignment with population health and provider performance strategies
• Drive improvements in quality, cost, access, and member outcomes
• Standardize best practices and scale successful interventions
• Clinical Vendor Evaluation & Selection Support
• Partner with clinical and population health leadership, procurement, legal, IT, and contracting to support clinical vendor evaluation and selection
• Contribute to needs assessment, RFP development, and clinical vendor evaluation
• Provide clinical and operational expertise to inform clinical vendor decisions
• Establish KPIs, SLAs, and governance structures for clinical vendors
• Continuously monitor clinical vendor performance, outcomes, and ROI
• Lead clinical vendor performance reviews and corrective action plans
• Ensure clinical vendors are integrated into workflows and delivering measurable value
• Collaborate with provider groups and internal stakeholders, including
• Population Health Outreach and Engagement, to support program adoption
• Ensure integration of programs into provider workflows
• Support provider engagement aligned with value-based care initiatives
• • Partner with analytics teams to track program and vendor performance
• • Translate data into actionable insights
• • Prepare reports and recommendations for leadership

Qualifications:

• Active clinical license (RN, NP, PA, or relevant discipline) required
• Bachelor’s degree required; Master’s degree (MPH, MHA, MSN, or MBA) preferred
• 5+ years of experience in population health, clinical program management, or health plan operations
• 1–3 years of leadership experience
• Experience with vendor management and health plan data
• Knowledge of HEDIS, Stars, and population health principles
• Clinical program design and management
• People leadership and team development
• Vendor management and performance accountability
• Data-driven decision making
• Program execution and continuous improvement
• Cross-functional collaboration and stakeholder influence
• Communication and problem-solving
• Commitment to health equity and patient-centered care

We're all about well-being, starting with yours.
Presbyterian employees have access to a fun, engaging and unique wellness program, including free on-site and community-based gyms, nutrition coaching and classes, mindfulness and meditation resources, wellness challenges and more.

Learn more about our employee benefits.

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.

AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.

Compensation Disclaimer

The compensation range for this role takes into account a wide range of factors, including but not limited to experience and training, internal equity, and other business and organizational needs.

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