Chief Operating Officer - Montana PMG

Calling all Esteemed Leaders!

Are you an operational and nursing executive who thrives in integrated, multi‑site environments—uniting clinical excellence, physician partnership, and disciplined operations? Do you inspire high‑performing teams, advance evidence‑based practice, and deliver outstanding patient, provider, and caregiver experiences? If so, this COO/Executive Director of Nursing role in the Providence Medical Group (PMG) Montana Service Area invites you to lead with purpose and impact.

The Role:

The Chief Operating Officer & Executive Director of Nursing (COO/EDON) provides dual operational and nursing leadership for Providence Medical Group (PMG) – Montana Service Area. This role:

• Supports employed and contracted physicians and holds accountability for standards of nursing practice across PMG.
• Partners with executive leadership on strategy development and execution.
• Has direct accountability for Primary Care, First Step, the FQHC project, and specialty clinics not aligned with a service‑line leader.
• Provides system‑level support to service‑line leaders and staff regarding nursing scope, policy, and operational improvements.
• Owns care delivery operations and quality, provider/staff/patient engagement and satisfaction, and onboarding for patients, providers, and staff.

The COO/EDON advances MSA‑wide standardization, clinical integration, and consolidation to deliver a seamless continuum of care, aligned to reimbursement realities and PMG strategic goals.

What You'll Do:

• Plan & Align
  • Lead annual and multi‑year financial and operational plans for PMG; coach leaders on objectives and progress.
  • Apply evidence‑based practice and strategic analysis to guide decisions; identify scenarios and implications; set priorities and execute decisively.
  • Participate in PMG strategic planning and budget formation with the RCE Medical Group, Regional Operations, and MSA Physician Chief Executive.
• Organize & Execute
  • Design organizational structures and management systems that enable administrative and clinical integration across sites.
  • Maintain current organizational charts and coordinated information flow for efficient operations.
  • Lead integration strategies (program development, quality, fiscal management, compliance, clinical management, physician relationships, outcomes, reimbursement).
• Lead People & Culture
  • Demonstrate expert leadership in communication, delegation, judgment, and listening.
  • Ensure equitable talent practices: selection, motivation, development, and performance accountability.
  • Build a culture of professional growth, feedback, recognition, and constructive accountability; complete evaluations on time; hold regular staff meetings.
  • Lead management orientation and continuing education; mentor leaders through change.
• Control & Improve
  • Ensure timely, accurate, efficient operational performance; measure against objectives and regulatory standards.
  • Provide prompt feedback and corrective action; set clear performance standards (competency, productivity, PI, resource use, outcomes).
  • Establish and monitor a Quality Assessment & Performance Improvement plan: gather data, resolve deficiencies, and sustain improvements.
• Ethics, Confidentiality & Safety
  • Uphold an ethical and moral framework in all decisions; safeguard rights of staff, patients, and the organization.
  • Maintain strict confidentiality of patient, medical staff, and employee information.
  • Champion a safe environment: Environment of Care, Infection Control, Exposure Control; model consistent use of PPE and safety practices.
• Clinical Operations & Experience
  • Administer well‑organized departments delivering