Strategic executive for Home Health, Hospice, and Personal Care Services across Texas, New Mexico, and Indiana. Responsible for operational excellence and financial performance within a $129M portfolio.
Responsibilities
Own regional strategy and annual operating plans for all four service lines; align resources to meet revenue, margin, and patient care goals.
Develop market expansion plans (de novos, tuck-in acquisitions, service mix optimization) and integrated care pathways across Home Health, Hospice, Personal Care and Therapy.
Lead referral development (health systems, physicians, post-acute networks, payers, MCOs, ACOs) and strengthen value-based partnerships.
Build a unified brand experience across states and service lines.
Deliver the P&L: meet/exceed targets for revenue, EBITDA margin, cash flow, and cost containment.
Budget ownership for the $55M expense plan; drive disciplined labor productivity, visit utilization, supply, and overhead management.
Revenue cycle performance: improve DSO, AR aging, authorization turnaround, and payer mix; partner tightly with Finance & RCM.
Capital allocation: prioritize investments (technology, clinical programs, talent) using ROI and payback analyses.
Standardize operating model and SOPs for intake, scheduling, case management, visit planning, interdisciplinary team coordination, and transitions of care.
Throughput & capacity management: optimize staffing models, productivity benchmarks, and census growth; reduce avoidable cancellations and missed visits.
Continuous improvement using Lean/Six Sigma tools; drive cost-to-serve reduction and process reliability.
Accountable for quality outcomes: OASIS accuracy, Star Ratings, risk-adjusted readmission rates, timely initiation of care, HHVBP measures, CHAPS/family satisfaction, caregiver reliability, service continuity, customer satisfaction, and functional outcome improvement.
Ensure federal and state compliance (e.g., CMS Conditions of Participation), survey readiness, corrective action plans, and policy adherence.
Lead and develop four VPs of Operations; set clear KPIs, cadence, and accountability.
Champion service excellence and rapid issue resolution with external relationships: health systems, referral sources, payers, state agencies.
Run the business by the numbers: build dashboards for census, productivity, quality, financials, and regulatory metrics; adopt a weekly/monthly ops cadence.
Navigate state-specific requirements in Texas, New Mexico, and Indiana, ensuring policies and training reflect state-level variations.
Requirements
10–15+ years of progressive leadership in post-acute or home-based care (Home Health and Hospice required; Personal Care/Private Duty and Therapy strongly preferred).
Proven multi-site, multi-state P&L ownership at $100M+ scale.
Deep knowledge of CMS Conditions of Participation, HHVBP, OASIS, CHAPS, survey processes, and payer contracting (Medicare, Medicaid, MCOs, commercial).
Demonstrated success in referral growth, clinical quality improvement, productivity optimization, and margin expansion.
Strong command of RCM (authorizations, billing, collections, denial prevention) and operational analytics.
Bachelor’s degree (Business, Health Administration, Nursing, or related field).
Master’s in Healthcare Administration, Business (MBA), or related discipline preferred.
Clinical licensure (e.g., RN) beneficial.
Lean/Six Sigma certification.
Experience with EMR/EHR platforms used in home health/hospice; telehealth/remote monitoring programs.
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