New

Chief Administrative Officer - Presbyterian Health Plan

Presbyterian Healthcare Services
life insurance, vision insurance, paid time off, long term disability
United States, New Mexico, Albuquerque
1100 Central Avenue Southeast (Show on map)
Feb 12, 2026
Location Address: 9521 San Mateo NE Albuquerque, NM 87113-2237 Summary: The Chief Administrative Officer (CAO) is a key member of the Health Plan executive leadership team responsible for driving enterprise operational excellence, administrative efficiency, regulatory performance, and provider network effectiveness across a $5B health plan. Reporting directly to the Health Plan President and partnering closely with the COO, the CAO leads a broad and complex portfolio spanning administrative expense management, enterprise project and program governance, business process engineering, workforce management (including Genesys technology and training), regulatory operations, major subcontractor oversight, and provider contracting and network operations. This leader is responsible for driving cross-functional performance that strengthens affordability, improves member and provider experience, ensures compliance readiness, and positions the Health Plan competitively for growth. The CAO also serves as executive leader of the RFP Tiger Team, driving high-quality bid strategy and execution in competitive procurement cycles. Job Description: Executive Leadership & Strategy - Serve as a principal advisor to the Health Plan President and a strategic partner to the COO, shaping operational strategy, affordability plans, and enterprise performance priorities. - Lead an SVP-level portfolio that delivers reliable, scalable, and compliant operations aligned to the Health Plan's financial, regulatory, and service objectives. - Represent administrative operations in enterprise governance forums; provide transparent reporting, risk visibility, and actionable insights for executive decision-making. - Lead organizational design, succession planning, and talent development across a 200-person multi-disciplinary division. Administrative Expense Strategy & Performance Management - Own the administrative expense management system for the Health Plan, including budget stewardship, multiyear planning, forecasting, and cost optimization. - Deliver measurable administrative savings and productivity improvements through process redesign, technology modernization, and workforce optimization. - Establish a governance framework that enhances cost transparency, decision discipline, and accountability across operational teams. Health Plan Project & Program Portfolio Management - Lead the Health Plan's enterprise portfolio of initiatives, ensuring effective intake, prioritization, resource allocation, dependency management, and executive governance. - Drive disciplined project execution that meets regulatory deadlines, supports annual operational goals, and aligns to the strategic plan. - Champion benefits realization and drive a culture of accountability and performance across the portfolio. Business Process Engineering & Operational Excellence - Lead enterprise process engineering efforts to improve efficiency, quality, throughput, and control across administrative and operational functions. - Use Lean, Six Sigma, and continuous improvement methodologies to modernize workflows, reduce handoffs, eliminate waste, and mitigate operational risk. - Build capability for ongoing operational excellence through standardized processes, documentation, and performance measurement. Workforce Management (WFM), Genesys Technology & Training - Provide executive leadership for workforce management strategy, including volume forecasting, capacity planning, scheduling optimization, and adherence performance. - Oversee the Health Plan's Genesys technology platform, ensuring roadmap alignment, performance optimization, and strong operational adoption. - Direct training strategy to support quality outcomes, regulatory compliance, and a high-performing operational workforce. Regulatory Operations, Compliance Execution & Subcontractor Governance - Oversee regulatory operations to ensure timely, accurate, and compliant execution of mandated activities, reporting, and corrective action plans. - Implement a comprehensive subcontractor governance model, ensuring strong performance, SLA accountability, and risk mitigation for major vendors. - Partner with Legal, Compliance, and Operations to ensure enterprise audit readiness and proactive management of regulatory risk. Provider Contracting & Network Operations - Lead the provider contracting and network operations functions, ensuring network adequacy, affordability, and access for members. - Oversee execution of contracting strategies, provider onboarding, credentialing operations, and provider service workflows. - Collaborate closely with clinical, analytics, and finance leadership to align network strategy to value-based care, cost-of-care targets, and market competitiveness. RFP Tiger Team Leadership - Act as executive sponsor and leader of the RFP Tiger Team, responsible for strategy, governance, content quality, and compliance of competitive bids. - Ensure proposals reflect operational differentiators, accurate capabilities, and compelling value propositions. - Drive continuous improvement in bid preparation processes, content development, and post-bid analysis. People Leadership & Culture - Foster a culture of transparency, accountability, continuous improvement, and collaboration. - Develop and mentor senior leaders, ensuring strong succession depth and capability across administrative, operational, and network functions. - Lead change management for operational transformations, technology programs, and organizational redesign. Additional Job Description: Bachelor's degree in Business, Healthcare Administration, Public Health or related field (MBA, MHA, MPH) required. Master's degree preferred. 15+ years of progressively responsible leadership experience in healthcare strategy, transactions, business development, management consulting, or investment banking. Significant executive leadership experience overseeing multifunctional organizations of comparable scale (200+ employees). Demonstrated success managing large portfolios of initiatives and leading organizational and process transformation. Proven track record overseeing or partnering closely with provider contracting and network operations (payer environment strongly preferred). Experience managing administrative expense portfolios, operational budgets, and cost optimization initiatives at scale. Hands-on leadership of workforce management functions and contact center technology optimization (Genesys preferred). Benefits Benefits are effective day-one (for .45 FTE and above) and include: Competitive salaries Full medical, dental and vision insurance Flexible spending accounts (FSAs) Free wellness programs Paid time off (PTO) Retirement plans, including matching employer contributions Continuing education and career development opportunities Life insurance and short/long term disability programs About Us Presbyterian Healthcare Services is a locally owned, not-for-profit healthcare system ofnine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, it is the state's largest private employer with approximately 11,000 employees. Presbyterian's story is really the story of the remarkable people who have chosen to work here. Starting with Reverend Cooper who began our journey in 1908, the hard work of thousands of physicians, employees, board members, and other volunteers brought Presbyterian from a tiny tuberculosis sanatorium to a statewide healthcare system, serving more than 700,000 New Mexicans. We are part of New Mexico's history-and committed to its future. That is why we will continue to work just as hard and care just as deeply to serve New Mexico for years to come. About New Mexico New Mexico's unique blend of Spanish, Mexican and Native American influences contribute to a culturally rich lifestyle. Add in Albuquerque's International Balloon Fiesta, Los Alamos' nuclear scientists, Roswell's visitors from outer space, and Santa Fe's artists, and you get an eclectic mix of people, places and experiences that make this state great. Cities in New Mexico are continually ranked among the nation's best places to work and live by Forbes magazine, Kiplinger's Personal Finance, and other corporate and government relocation managers like Worldwide ERC. New Mexico offers endless recreational opportunities to explore, and enjoy an active lifestyle. Venture off the beaten path, challenge your body in the elements, or open yourself up to the expansive sky. From hiking, golfing and biking to skiing, snowboarding and boating, it's all available among our beautiful wonders of the west. AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.