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NxT Level

Chief Executive Officer (Fractional)

NxT Level, New York, New York, us, 10261

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Below covers everything you need to know about what this opportunity entails, as well as what is expected from applicants. This range is provided by Nxt Level. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range $200,000.00/yr - $350,000.00/yr Direct message the job poster from Nxt Level CEO at Nxt Level - Dream Big, Hire Right, Change Lives. 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. Founding team is in NYC. Their preference is onsite in Long Island, NY. However, they're open to remote candidates with the right experience. We are looking for a Consulting CEO that could eventually convert full time as the company launched. 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 CEO 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. Seniority level

Seniority levelExecutive Employment type

Employment typeFull-time Job function

Job functionBusiness Development IndustriesHospitals and Health Care, Public Health, and Health and Human Services Referrals increase your chances of interviewing at Nxt Level by 2x Get notified about new Chief Executive Officer jobs in

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