System Director Strategic Advisor - Western Montana

Billings Clinic•Missoula, MT
•Onsite

About The Position

The System Director Strategic Advisor provides system-level executive and operational leadership for Billings Clinic–Logan Health, advancing the health system’s mission, vision, and values. The position provides strategic oversight for hospital networks in Western Montana, helping align operations with system priorities, achieve performance goals, optimize resources, and deliver high-quality, patient-centered care. The role works with senior leadership to develop strategic plans and roadmaps and measure key drivers of strategic success. The director leads operational strategies and growth initiatives, including market development, partnerships, service-line advancement, performance improvement, resource stewardship, and cross-functional collaboration. The position supports financial sustainability and oversees clinical business plans and operations, including strategic planning, service-line integration, quality improvement, patient access, revenue analysis, and provider-practice support. It also supports innovative, cost-effective care programs, monitors performance and business risks, and maintains regulatory and accreditation compliance. The role cultivates relationships with physicians and providers, partnering with them to assess needs and design and deliver services. It also promotes sustainable specialty outreach through collaboration with outreach, telemedicine, referral teams, and regional healthcare providers. The position may provide strategic oversight of regional physician branch clinics, healthcare management contracts, and new physician or facility affiliations and alliances, and serves as a strategy and clinical-services content expert for potential hospital-based networks. The job is full-time, exempt, and assigned to General Administration in Missoula, Montana. The employee must reside in the community served by the facility. A current Montana driver license is required. A bachelor’s degree in business, healthcare administration, or a related field is required; a graduate degree is preferred. The posting gives both a successful leadership experience expectation of 5–6 years and a minimum of ten years of relevant experience, with direct experience in physician-practice solutions, practice transformation, and program growth preferred.

Requirements

  • Bachelor’s degree in business, healthcare administration, or a related field.
  • Successful experience working in a leadership role; the posting specifies 5–6 years.
  • Minimum of ten years of relevant experience, as stated in the posting.
  • Must reside in the community served by the facility.
  • Current Montana driver license.
  • Proven ability to perform under pressure, lead with urgency, and maintain attention to detail.
  • Ability to develop competencies in leadership, fiscal management, employee engagement, human resources, organizational dynamics and governance, communication, strategic planning, change management, risk management, compliance, patient safety, and quality improvement.
  • Ability to meet mandatory organizational, departmental, and applicable external standards and requirements.

Nice To Haves

  • Graduate degree.
  • Healthcare work experience.
  • Direct experience with a variety of physician-practice solutions, practice transformation, and program growth.

Responsibilities

  • Provide operational leadership and strategic oversight for the advancement of health system hospital networks in Western Montana.
  • Align network operations with health system priorities, performance goals, resource optimization, and high-quality, patient-centered care.
  • Lead development and execution of operational strategies supporting assigned areas, including Cardiology, Pathology, and other assigned services.
  • Advance health system strategy through performance improvement, resource stewardship, strategic initiative execution, and cross-functional collaboration.
  • Lead growth and market-development initiatives by identifying opportunities, fostering partnerships, analyzing market trends, and implementing initiatives to improve access, community impact, competitive position, and long-term growth.
  • Support financial sustainability through resource optimization, improved operational performance, strategic growth, and responsible stewardship.
  • Lead implementation of clinical business plans and operations, including strategic planning, service-line integration, quality improvement, patient access, revenue analysis, and provider-practice support.
  • Make rapid decisions on complex administrative issues and concepts.
  • Support patient-centered care models; monitor performance; assess business risks; and maintain regulatory and accreditation compliance.
  • Develop and promote sustainable physician-specialty outreach initiatives with outreach, telemedicine, referral teams, and regional healthcare providers.
  • Provide strategic oversight, as needed, for regional physician branch clinics, healthcare management contracts, and new physician and facility affiliations and alliances.
  • Serve as a strategy and clinical-services content expert for potential hospital-based networks.
  • Partner with physician leaders and providers to assess needs and engage them in service design and delivery.
  • Recruit, develop, and retain high-performing teams; foster engagement and professional growth; conduct performance evaluations and coaching; and promote diversity, equity, inclusion, and belonging.
  • Build collaborative relationships, monitor key performance indicators and resource utilization, manage budgets responsibly, and lead organizational change.
  • Make timely, data-driven decisions, accept accountability for results, and demonstrate sound judgment in routine and crisis situations.
  • Ensure compliance with regulatory, accreditation, and legal requirements; maintain survey and audit readiness; and support patient-safety and risk-mitigation practices.
  • Take responsibility for professional growth, meet educational and organizational requirements, and implement process-improvement principles.
  • Model behaviors consistent with Billings Clinic’s mission, vision, values, code of business conduct, and service expectations.
  • Perform other duties as assigned or needed to meet department or organizational needs.

Benefits

  • Medical insurance
  • Dental insurance
  • Vision insurance
  • 403(b) retirement plan with employer matching
  • Defined contribution pension plan
  • Paid time off
  • Employee wellness program
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