Process Executive Jobs in New Mexico (NOW HIRING)

Location Address:
9521 San Mateo NEAlbuquerque, NM 87113-2237
Summary:
Presbyterian Health Plan (PHP) seeks a visionary technology executive to serve as its next Executive Director of AI Engineering & Process Automation. This highly strategic leadership role will define and operationalize the future of artificial intelligence, intelligent automation, and digital transformation across the Health Plan.
As healthcare organizations face mounting pressure to improve efficiency, reduce administrative burden, accelerate decision-making, and enhance member and provider experiences, Presbyterian is making significant investments in AI and automation capabilities. The Executive Director will lead the strategy, engineering delivery, governance, and adoption of enterprise AI and automation solutions that drive measurable clinical, operational, financial, and customer experience outcomes.
This executive will build and lead a multidisciplinary team responsible for delivering secure, compliant, and scalable automation and AI capabilities, including robotic process automation (RPA), machine learning, workflow automation, predictive analytics, and generative AI solutions. Working closely with operational leaders across Claims, Prior Authorization, Utilization Management, Provider Operations, Enrollment, Finance, Care Management, and Member Services, the Executive Director will identify and prioritize transformation opportunities and ensure successful adoption from concept through enterprise deployment.
The ideal candidate is a transformational technology leader who combines deep engineering expertise with strong business acumen and a proven track record of delivering AI and automation solutions at scale.
Work Arrangement:
• Remote: Open to applicants in the United States, excluding CA, IL, ND, NY, OH, WA, and WY.
• Hybrid (Strongly Preferred): For individuals within 60 miles of Albuquerque, in-office presence is required Tuesday through Thursday.
Job Description:
Strategic AI & Automation Leadership

• Develop and execute the Health Plan's AI and automation strategy, aligning investments with organizational priorities and measurable business outcomes.
• Establish a multi-year roadmap for AI, machine learning, generative AI, workflow automation, and robotic process automation (RPA).
• Identify opportunities to improve administrative efficiency, operational performance, member experience, provider experience, and cost management through intelligent automation.
• Prioritize initiatives based on business value, implementation complexity, risk, and return on investment.
• Serve as a strategic advisor to executive leadership regarding emerging AI technologies, market trends, and innovation opportunities.

AI Engineering & Solution Delivery

• Lead the design, development, deployment, and scaling of production-ready AI and automation solutions.
• Oversee implementation of automation and AI initiatives across Claims, Prior Authorization, Utilization Management, Provider Operations, Finance, Enrollment, Care Management, Encounters, and Member Services.
• Establish engineering standards, development methodologies, and quality controls that ensure scalable and sustainable delivery.
• Create repeatable frameworks for evaluating, testing, and operationalizing emerging technologies.

Architecture, Platforms & Technology Governance

• Define enterprise architecture standards supporting AI and automation initiatives.
• Establish integration patterns, APIs, data pipelines, orchestration frameworks, observability capabilities, and resiliency standards.
• Lead platform evaluation, selection, implementation, and lifecycle management activities.
• Ensure alignment with enterprise technology strategy and long-term scalability goals.

Responsible AI, Compliance & Risk Management

• Establish enterprise governance frameworks for responsible AI usage.
• Ensure compliance with HIPAA, privacy regulations, security requirements, and organizational policies.
• Implement controls supporting explainability, auditability, model lifecycle management, drift monitoring, and bias mitigation.
• Partner with Compliance, Legal, Risk Management, Privacy, and Security teams to maintain appropriate oversight.

Operational Excellence & Value Realization

• Establish operational support models for AI and automation solutions, including SLAs, incident management, monitoring, release governance, and continuous improvement.
• Develop performance dashboards and executive reporting frameworks.
• Measure and communicate business outcomes associated with AI investments.
• Drive optimization and continuous improvement of deployed solutions.

Executive Partnership & Change Leadership

• Partner closely with operational leaders to identify automation opportunities and drive organizational adoption.
• Lead executive discussions regarding priorities, investments, risks, tradeoffs, and expected outcomes.
• Develop change management strategies supporting implementation and user adoption.
• Translate technical concepts into actionable business recommendations for executive audiences.

Talent Leadership & Organizational Capability Building

• Build, lead, and develop a high-performing team of AI engineers, automation developers, data engineers, solution architects, and technical leaders.
• Foster a culture of innovation, accountability, continuous learning, and collaboration.
• Develop succession plans and technical career pathways.
• Elevate organizational capabilities in AI engineering, automation, and digital transformation.

Success Measures
Within the first 12-24 months, the Executive Director will be expected to:

• Develop and gain executive alignment on a comprehensive AI and automation roadmap aligned with Health Plan priorities.
• Establish a sustainable AI Engineering & Process Automation function with strong governance, architecture standards, and operational processes.
• Successfully deploy multiple production AI and automation solutions that deliver measurable operational and financial improvements.
• Reduce administrative burden, manual work effort, claim pend volumes, turnaround times, and operational inefficiencies across targeted functions.
• Implement responsible AI governance frameworks that ensure compliance with security, privacy, regulatory, and ethical standards.
• Deliver measurable value realization through improvements in productivity, accuracy, cost avoidance, quality, and member/provider experience.
• Build executive dashboards and reporting frameworks that demonstrate adoption, performance, ROI, and business impact.
• Recruit, develop, and retain a high-performing team capable of scaling AI and automation capabilities across the enterprise.
• Establish trusted advisory relationships with operational and executive leaders and become the organization's recognized leader in AI-driven transformation.
• Position Presbyterian Health Plan as a leader in intelligent automation and responsible AI adoption within the healthcare payer industry.

Additional Job Description:

• 12+ years of progressive technology leadership experience in software engineering, AI, automation, digital transformation, or enterprise technology delivery.
• 7+ years leading managers, technical leaders, and enterprise-scale technology programs.
• Demonstrated executive accountability for AI, automation, engineering, or digital transformation initiatives.
• Proven success building and scaling high-performing engineering, AI, or automation organizations.
• Experience influencing executive stakeholders and leading enterprise transformation initiatives.
• Demonstrated track record establishing strategy and governance while delivering measurable business outcomes.

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 of nine 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.