Medical and Healthcare Economics Program Manager
Presbyterian Healthcare Services, Albuquerque, NM, United States
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: Medical and Healthcare Economics Program Manager
Summary
Build your Career. Make a Difference. Presbyterian is hiring a skilled Medical and Healthcare Economics Program Manager.
The Medical Economics Program Manager is responsible for driving execution, oversight, and accountability across Medical Economics initiatives. This role serves as the central coordination point for all Med Econ workstreams—including Medical Cost Savings, Pharmacy, Network, Payment Integrity, Care Management (CM), and Utilization Management (UM). Reporting to the Director of Medical Economics, this individual ensures initiatives are clearly defined, rigorously tracked, and delivering measurable financial and operational outcomes.
Key Responsibilities
Manage governance and execution of Medical Economics workstreams across the health plan, ensuring alignment, accountability, and delivery of initiatives related to total cost of care, provider performance, value-based care, and Med Econ reporting
Lead day‑to‑day management of Medical Economics initiatives across all major savings and performance domains
Establish and manage structured forums (weekly workstream reviews, monthly executive updates, etc.)
Partner with workstream owners (Clinical, Network, Pharmacy, Finance, Operations) to ensure alignment on goals, timelines, and deliverables
Maintain and actively manage RAID logs (Risks, Assumptions, Issues, Dependencies) across all initiatives
Ensure accountability through clear action tracking, ownership, and follow‑ups
Implement scalable program management best practices across Med Econ
Develop executive‑ready reporting on initiative status, financial impact, and key decisions required
Translate complex data into clear narratives, highlighting performance vs. plan
Support preparation of materials for CFO, CMO, and senior leadership reviews
Ensure all initiatives have clearly defined workstreams, owners, milestones, and KPIs
Own centralized tracking of all savings initiatives and reporting
Standardize approach to baseline development, intervention measurement, and ROI tracking
Identify risks, gaps, and underperformance early and elevate with recommended mitigation strategies
Act as the connective tissue across departments contributing to Medical Economics outcomes
Coordinate inputs from Clinical, Network, Pharmacy, Finance, and Operations teams
Ensure dependencies are identified and managed across teams
Facilitate decision‑making by aligning stakeholders on priorities and trade‑offs
Qualifications
Bachelor’s degree in business, healthcare, finance, or related field or equivalent practical experience
4‑8+ years of experience in healthcare, health insurance, consulting, finance, or related field
Experience supporting or leading cross‑functional initiatives, programs, or workstreams
Demonstrated ability to manage multiple priorities in a fast‑paced environment
Experience developing executive‑level materials and communicating with senior stakeholders
Strong organizational, problem‑solving, and attention‑to‑detail skills
Strong analytical and financial acumen, with ability to understand and track savings initiatives
Benefits
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
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.
Why work at Presbyterian?
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 1,600 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.
We’re Determined to Support New Mexico’s Well‑Being | Presbyterian Healthcare Services
#J-18808-Ljbffr
9521 San Mateo NE Albuquerque, NM 87113-2237
Compensation Pay Range
Minimum Offer $103,500.80
Maximum Offer $162,073.60
Now Hiring: Medical and Healthcare Economics Program Manager
Summary
Build your Career. Make a Difference. Presbyterian is hiring a skilled Medical and Healthcare Economics Program Manager.
The Medical Economics Program Manager is responsible for driving execution, oversight, and accountability across Medical Economics initiatives. This role serves as the central coordination point for all Med Econ workstreams—including Medical Cost Savings, Pharmacy, Network, Payment Integrity, Care Management (CM), and Utilization Management (UM). Reporting to the Director of Medical Economics, this individual ensures initiatives are clearly defined, rigorously tracked, and delivering measurable financial and operational outcomes.
Key Responsibilities
Manage governance and execution of Medical Economics workstreams across the health plan, ensuring alignment, accountability, and delivery of initiatives related to total cost of care, provider performance, value-based care, and Med Econ reporting
Lead day‑to‑day management of Medical Economics initiatives across all major savings and performance domains
Establish and manage structured forums (weekly workstream reviews, monthly executive updates, etc.)
Partner with workstream owners (Clinical, Network, Pharmacy, Finance, Operations) to ensure alignment on goals, timelines, and deliverables
Maintain and actively manage RAID logs (Risks, Assumptions, Issues, Dependencies) across all initiatives
Ensure accountability through clear action tracking, ownership, and follow‑ups
Implement scalable program management best practices across Med Econ
Develop executive‑ready reporting on initiative status, financial impact, and key decisions required
Translate complex data into clear narratives, highlighting performance vs. plan
Support preparation of materials for CFO, CMO, and senior leadership reviews
Ensure all initiatives have clearly defined workstreams, owners, milestones, and KPIs
Own centralized tracking of all savings initiatives and reporting
Standardize approach to baseline development, intervention measurement, and ROI tracking
Identify risks, gaps, and underperformance early and elevate with recommended mitigation strategies
Act as the connective tissue across departments contributing to Medical Economics outcomes
Coordinate inputs from Clinical, Network, Pharmacy, Finance, and Operations teams
Ensure dependencies are identified and managed across teams
Facilitate decision‑making by aligning stakeholders on priorities and trade‑offs
Qualifications
Bachelor’s degree in business, healthcare, finance, or related field or equivalent practical experience
4‑8+ years of experience in healthcare, health insurance, consulting, finance, or related field
Experience supporting or leading cross‑functional initiatives, programs, or workstreams
Demonstrated ability to manage multiple priorities in a fast‑paced environment
Experience developing executive‑level materials and communicating with senior stakeholders
Strong organizational, problem‑solving, and attention‑to‑detail skills
Strong analytical and financial acumen, with ability to understand and track savings initiatives
Benefits
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
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.
Why work at Presbyterian?
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 1,600 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.
We’re Determined to Support New Mexico’s Well‑Being | Presbyterian Healthcare Services
#J-18808-Ljbffr