NxT Level
Overview
Fractional-CEO for Startup.
Founding team is in NYC. Their preference is onsite in Long Island, NY. However, they're open to remote candidates with the right experience.
Please read the information in this job post thoroughly to understand exactly what is expected of potential candidates. Our client is a PE-backed platform prepared to build nation-wide Home & Community-Based Services (HCBS). They are looking for a Chief Growth Officer that's ambitious and prepared to build a company that'll scale into all 50 states through a mix of organic de-novo launches and rapid M&A. If you've taken HCBS or home-health entities from application to first claim in multiple states, this is your green-field moment. I need 10+ years building or flipping HCBS / HHA entities in 2 or more 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. Stand up EVV, scheduling, payroll, and claims 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 continuous-survey preparedness. M&A Execution Partner with PE sponsors on diligence; translate LOIs into operational day-1 plans. Integrate people, processes, and tech while safeguarding clinical quality. Payer & Referral Contracting Negotiate / network with Medicaid MCOs, Medicare Advantage, PACE, VA Community Care, AAAs, and health-system discharge planners. People & Culture Recruit and coach mission-driven regional leaders; embed a compliance-first, data-obsessed culture that still feels human. Must-Have Qualifications
10+ years building or turning around HCBS / Home-Health agencies in two or more states. End-to-end experience taking at least two entities from initial application to first paid claim (licensure, waiver enrollment, MCO credentialing, EVV go-live). Demonstrated success scaling through both de-novo launches and M&A integration. Deep working knowledge of §1915(c) / (k) waivers, CMS-855A, ACHC / CHAP / JCAHO standards, HIPAA, EVV, incident reporting, and QAPI. Track record negotiating multi-state MCO / MA contracts and aligning them with operating economics. Leadership style that balances Trailblazer urgency with process-discipline -you break ground fast and pass every survey. Nice-to-Have
Built or led a national platform backed by private equity. Rolled out value-based payment models (Hospital-at-Home, readmission bundles). Cultural DNA We Value
Builder's Mindset : You see blank maps as playgrounds. Compliance-First : Quality and safety are non-negotiable. People-Centric : You scale humans, not just dashboards. Relentless but Humble : "Life happens to the best of us"-you pivot without ego. Why Join Now?
Green-Field Authority : Architect the playbook that wins all 50 states. PE Firepower : Capital is committed for aggressive de-novo growth and rapid M&A. National Impact : Keep vulnerable populations healthy at home-at scale. Career Defining : Be the operations & compliance force behind a future market leader.
#J-18808-Ljbffr
Fractional-CEO for Startup.
Founding team is in NYC. Their preference is onsite in Long Island, NY. However, they're open to remote candidates with the right experience.
Please read the information in this job post thoroughly to understand exactly what is expected of potential candidates. Our client is a PE-backed platform prepared to build nation-wide Home & Community-Based Services (HCBS). They are looking for a Chief Growth Officer that's ambitious and prepared to build a company that'll scale into all 50 states through a mix of organic de-novo launches and rapid M&A. If you've taken HCBS or home-health entities from application to first claim in multiple states, this is your green-field moment. I need 10+ years building or flipping HCBS / HHA entities in 2 or more 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. Stand up EVV, scheduling, payroll, and claims 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 continuous-survey preparedness. M&A Execution Partner with PE sponsors on diligence; translate LOIs into operational day-1 plans. Integrate people, processes, and tech while safeguarding clinical quality. Payer & Referral Contracting Negotiate / network with Medicaid MCOs, Medicare Advantage, PACE, VA Community Care, AAAs, and health-system discharge planners. People & Culture Recruit and coach mission-driven regional leaders; embed a compliance-first, data-obsessed culture that still feels human. Must-Have Qualifications
10+ years building or turning around HCBS / Home-Health agencies in two or more states. End-to-end experience taking at least two entities from initial application to first paid claim (licensure, waiver enrollment, MCO credentialing, EVV go-live). Demonstrated success scaling through both de-novo launches and M&A integration. Deep working knowledge of §1915(c) / (k) waivers, CMS-855A, ACHC / CHAP / JCAHO standards, HIPAA, EVV, incident reporting, and QAPI. Track record negotiating multi-state MCO / MA contracts and aligning them with operating economics. Leadership style that balances Trailblazer urgency with process-discipline -you break ground fast and pass every survey. Nice-to-Have
Built or led a national platform backed by private equity. Rolled out value-based payment models (Hospital-at-Home, readmission bundles). Cultural DNA We Value
Builder's Mindset : You see blank maps as playgrounds. Compliance-First : Quality and safety are non-negotiable. People-Centric : You scale humans, not just dashboards. Relentless but Humble : "Life happens to the best of us"-you pivot without ego. Why Join Now?
Green-Field Authority : Architect the playbook that wins all 50 states. PE Firepower : Capital is committed for aggressive de-novo growth and rapid M&A. National Impact : Keep vulnerable populations healthy at home-at scale. Career Defining : Be the operations & compliance force behind a future market leader.
#J-18808-Ljbffr