Job Description
Founding team is in NYC. Their preference is onsite in Long Island, NY. However, they're open to remote candidates with the right experience.
Our client is a PE-backed platform preparing to build a nationwide Home & Community-Based Services (HCBS) organization. They are seeking a Chief Growth Officer who is ambitious and ready to scale the company across all 50 states through organic de-novo launches and rapid M&A. If you have experience taking HCBS or home-health entities from application to first claim in multiple states, this is your green-field opportunity. The ideal candidate has 10+ years of experience building or flipping HCBS / HHA entities in at least two states.
Location
- Preferred: On-site with the founding team on Long Island, NY (easy commute from NYC).
- Open to Remote: Exceptional applicants with a proven multi-state HCBS / HHA track record will be considered anywhere in the U.S. (25–30% travel).
Core Responsibilities
- Operational Launch & Scale
- Own every state filing, readiness checklist, survey, and first-claim timeline.
- Implement EVV, scheduling, payroll, and claims systems across de-novo and acquired agencies.
- Regulatory & Clinical Compliance
- Serve as Chief Growth Officer for all state, CMS, and managed-care requirements.
- Lead QAPI, incident management, and survey preparedness efforts.
- M&A Execution
- Partner with PE sponsors on diligence; translate LOIs into operational plans for day one.
- Integrate people, processes, and technology while maintaining clinical quality.
- Payer & Referral Contracting
- Negotiate and network with Medicaid MCOs, Medicare Advantage, PACE, VA Community Care, AAAs, and discharge planners.
- People & Culture
- Recruit and coach regional leaders; foster a compliance-first, data-driven, yet human-centric culture.
Must-Have Qualifications
- 10+ years building or turning around HCBS / Home-Health agencies in two or more states.
- Experience taking at least two entities from initial application to first paid claim (licensure, waiver enrollment, MCO credentialing, EVV go-live).
- Proven success scaling through de-novo launches and M&A integration.
- Deep knowledge of §1915(c) / (k) waivers, CMS-855A, accreditation standards, HIPAA, EVV, incident reporting, and QAPI.
- Track record negotiating multi-state MCO / MA contracts and aligning them with operational economics.
- Leadership style that balances urgency with process discipline—able to innovate quickly and pass surveys.
Nice-to-Have
- Built or led a national platform backed by private equity.
- Experience rolling out value-based payment models (Hospital-at-Home, readmission bundles).
Cultural Values
- Builder's Mindset: View blank maps as opportunities.
- Compliance-First: Prioritize quality and safety.
- People-Centric: Focus on scaling human talent, not just metrics.
- Relentless but Humble: Adapt without ego.
Why Join Now?
- Green-Field Authority: Shape the playbook for all 50 states.
- PE Support: Capital committed for aggressive growth and M&A.
- National Impact: Improve health outcomes for vulnerable populations at scale.
- Career Defining Opportunity: Lead operations and compliance for a future market leader.