Click column header to sort
The Director of Claims and Encounters provides strategic leadership, fiscal accountability and operational excellence for the Presbyterian Health Plan (PHP) Claims Operations and Encounter Resolution teams. This leader is responsible for directing the operations of the Claims Department for Commercial/ASO, Medicare and Medicaid products, to ensure that all functions related to claims receipt, processing and payment are performed within the established quality and quantity standards. You will lead the encounters resolution team and be the leader responsible for encounters completeness and facilitating maximized Medicaid rate setting. This leadership role is accountable to drive execution of...
The Chief Nurse Executive is focused on developing a highly effective, accountable and professional nursing and clinical community for the exceptional patient and employee experience, achieving high reliability in clinical outcomes, and meeting budgetary/financial performance for the areas assigned. This position is responsible for ongoing regulatory readiness, collaboration to ensure safe and effective nurse staffing, and integration with key areas to achieve efficient operations, patient placement and resource utilization. You are the leader for the patient experience and is responsible to drive results, ensure appropriate patient and family involvement, timely...
The Director of Nursing for Primary and Urgent Care directs and is accountable for nursing practice, education and nursing services for Primary/Urgent Care. The director provides leadership for nursing and works with clinical teams to provide high-quality, cost-effective patient care. This person will also ensure full integration of nursing practice. This leader functions as a primary/urgent care nursing liaison across the continuum of care within the PHS Network and serves as the resource for the Primary /Urgent Care dyad for nursing and clinical processes.
This Assistant Chief Nurse Executive (ACNE) represents the functional knowledge, skills, abilities, and personal characteristics required to produce a set of activities that generate observable and measurable outcomes. Core competencies include the American Organization of Nurse Leaders (AONL) nurse executive competencies and are focused on developing an effective, accountable, and professional nursing workforce and nursing practice. This position is responsible for clinical nursing practice and establishing standards for patient care services, regulatory readiness, and achievement of clinical and patient experience results; collaboration to ensure safe and effective nurse staffing...
The Director of IT Applications is responsible for oversight and management of all Presbyterian Healthcare Services software systems including but not limited to Enterprise, Financial, Clinical, Ambulatory, Administrative and Revenue Cycle Systems. This leader provides strategic direction, budget management, development, implementation and maintenance of these systems through Life Cycle Management methodology in a service-oriented manner.
Why work at Presbyterian?
As an organization, we are committed to improving the health of our communities. From...
The Presbyterian Delivery System Chief Medical Officer (PDS CMO) provides key physician leadership to advance the enterprise vision and strategy. This role oversees the development and implementation of strategies and programs that manage clinical quality and the cost of care. Works with internal and external stakeholders and partners to ensure the delivery of exceptional clinical, cost and experience outcomes for Presbyterian's patients and members. This role develops and implements clinical strategies and programs to ensure consistent, high-quality, safe, and equitable care across PDS hospitals, ambulatory clinics, and services.
This role reports to the...
This is an enterprise role with primary responsibility for both The Solutions Group and Presbyterian's health and wellness offerings. The Vice President of Wellness will possess deep knowledge and expertise of employer and purchaser needs in health, wellness and employee assistance, guiding The Solutions Group team focused on earning business in this market segment and successfully serving these accounts. Emphasis is placed on the expansion of key relationships across a broad spectrum of local, regional and national prospects. This leader is accountable for creating cross-functional core teams and works closely with Presbyterian Delivery System and Presbyterian Health Plan in order to integrate products and services to create value...
The Executive Director provides strategic leadership, operational excellence and serves as a thought leader in shaping care experience for the Presbyterian enterprise, using national experience trends, recognized best practices and Presbyterian-specific data. You will build and oversee a strong and consistent experience infrastructure designed to provide strategic support and tactical direction to core operational leaders who are responsible to create great patient and family experiences throughout Presbyterian Delivery System. This person leads the patient experience team, which serves as primary internal patient experience consultants to senior and operational leaders. You will recommend and implement effective...
