Climate change is occurring at an accelerated rate in high-elevation alpine and mountain ecosystems. Cold-adapted, mountain species are at risk due to forecasted change and knowledge is needed to respond to current and future conservation challenges. Mountain goats (Oreamnos americanus) are an iconic species of North American mountain cultures and landscapes, and due to specialized adaptations for life in cold, mountainous environments they are particularly sensitive to changes in weather and climate. As sentinels of change in alpine ecosystems, the study of mountain goats offers insight into the ecological effects and conservation challenges associated with climate change in these sensitive and biodiverse environments. Here, we synthesize existing knowledge about how climate change is expected to influence environmental conditions experienced by mountain goats and associated mechanistic changes to behavior, nutritional ecology, demography, health, and interspecific interactions. In many instances, climate change effects are likely to be negative and additive to existing threats (such as human disturbance, hunting, disease, predation) though benefits are expected in some cases. Changes in climate and mountain environments will necessitate re-examination and modification of population monitoring, management, and conservation strategies. Specifically, spatiotemporal (and other) aspects of monitoring and management may need to be adjusted to accommodate emerging and novel conservation challenges. Yet, key data and knowledge gaps remain and should be addressed to advance conservation and decision-making capabilities. For mountain goats and similarly climate-sensitive alpine herbivores, effective conservation will ultimately benefit from collaborations among diverse networks guided by well-planned, strategic visions focused on common ground – namely the resiliency and persistence of culturally and ecologically significant mountain species and the alpine environment they inhabit.