Permanent Executive Leadership Jobs in Montana

President, St. Peter’s Health Medical GroupSt. Peter’s HealthHelena, MTThe Opportunity:St. Peter’s Health seeks a seasoned physician executive with demonstrated experience leading a multi-specialty medical group or similarly complex physician enterprise. This is not envisioned as a first-time physician executive role. The ideal candidate will bring the maturity, judgment and credibility to lead an established medical group while developing the next generation of physician and administrative leaders. Experience working in, developing or implementing a physician-administrator dyad model is strongly preferred. Clinical practice is not required; however, a candidate who has practiced recently and wishes to maintain a limited clinical presence may find that experience valuable in maintaining firsthand connection to the realities of practice.The Position: The President of St. Peter’s Health Medical Group (SPHMG) serves as a core member of the St. Peter’s Health Executive Leadership Team and provides overall strategic, operational and physician leadership for a rapidly growing, highly integrated medical group of approximately 175–180 physicians and advanced practice providers. The Medical Group has more than doubled in size over the past six years and is a major driver of St. Peter’s Health’s ability to provide high-quality care and access across Helena and the surrounding communities.This is a pivotal leadership opportunity to build on a strong, community-focused physician culture while advancing the Medical Group to its next stage of maturity. The President will work closely with the Chief Medical Officer, Chief Executive Officer, Chief Operating Officer and physician and administrative leaders to strengthen the Medical Group’s leadership infrastructure, mature its developing dyad model, improve responsiveness and decision-making, and ensure that physicians, advanced practice providers and staff are empowered to lead effectively.The successful leader will be highly visible and accessible, with a strong bias toward listening, relationship building and collaborative problem solving. The President will balance local autonomy and accountability with the need for greater standardization, operational discipline, access, quality and financial stewardship. The role also provides the opportunity to advance strategic clinical partnerships across Montana while preserving St. Peter’s Health’s local governance, independence and community-centered approach.The Ideal Candidate:

• Required Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO).
• Preferred Completed advanced coursework in administrative medicine/physician leadership and/or a Master’s Degree in a business discipline.
• Board certification in their specialty with at least five years of clinical practice experience and demonstrated senior physician leadership/management experience.
• Current or eligible for Montana medical licensure.
• A respected, board-certified physician executive with significant leadership experience in a multi-specialty medical group, physician enterprise or comparable environment.
• Demonstrated success partnering with administrative leaders and empowering physician leaders through clear decision rights, accountability and shared governance.
• Strong understanding of ambulatory and physician enterprise operations, including access, recruitment, productivity, quality, patient experience, physician compensation and financial performance.

The Organization:St. Peter's Health is a $370M+ net revenue, independent, nonprofit health care system located in Helena, Montana. Services include but are not limited to a 99-bed acute care hospital, physician clinics, 24-bed behavioral health unit, urgent care clinics, home health and hospice care, cancer care, dialysis and ambulance services. St. Peter’s Health provides services to an estimated 97,000 residents from a five-county area (Lewis and Clark, Broadwater, Powell, Meagher and Jefferson counties). The organization is overseen by a volunteer board of directors that includes leaders and health experts who are committed to ensuring the organization provides exceptional health care to its community.In 2025, St. Peter’s Health was named again as a Chartis Top 100 Rural & Community Hospital and received Orthopedic Center of Excellence designation by DNV Healthcare.The Location:Helena, Montana, is Montana’s Capital City and located between Yellowstone National Park and Glacier National Park. Helena has a rich gold rush history, and exploring Last Chance Gulch brings the history to life. Designated a ride center by the International Mountain Biking Association, Helena has over 75 miles of trails that originate in the Downtown area, offering visitors a world-class mountain biking or hiking experience.Use these links to learn more about the area:http://www.helenamt.com/http://www.visitmt.com/places-to-go/cities-and-towns/helena.htmlhttp://helenachamber.com/Please direct all inquiries, applications, and referrals to: Richard Heishmanrichard.heishman@amnhealthcare.comAbout B.E. Smith Leadership Solutions, Executive and Physician Leadership Search B.E. Smith Leadership Solutions, Executive and Physician Leadership Search, is a retained executive search firm serving the healthcare and life sciences industries. Ranked as one of the top healthcare recruiting firms in the country, B.E. Smith Leadership Solutions, is known for leading healthcare into the future by its growing base of clients across the country, drawing on a national pool of candidates.#BESmith#BESRecruiting#LI-RH1