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 Executive 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 Compliance 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. Compensation: $200,000-$350,000 per year

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