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.

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