Job Description
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.
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.
Apply tot his job
Apply To this Job