Chief Growth / Strategy Officer (New York)

Job Description

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. (2530% travel).

Core Responsibilities

1. Operational Launch & Scale
2. Own every state filing, readiness checklist, survey, and first-claim timeline.
3. Implement EVV, scheduling, payroll, and claims systems across de-novo and acquired agencies.
4. Regulatory & Clinical Compliance
5. Serve as Chief Growth Officer for all state, CMS, and managed-care requirements.
6. Lead QAPI, incident management, and survey preparedness efforts.
7. M&A Execution
8. Partner with PE sponsors on diligence; translate LOIs into operational plans for day one.
9. Integrate people, processes, and technology while maintaining clinical quality.
10. Payer & Referral Contracting
11. Negotiate and network with Medicaid MCOs, Medicare Advantage, PACE, VA Community Care, AAAs, and discharge planners.
12. People & Culture
13. Recruit and coach regional leaders; foster a compliance-first, data-driven, yet human-centric culture.

Must-Have Qualifications

1. 10+ years building or turning around HCBS / Home-Health agencies in two or more states.
2. Experience taking at least two entities from initial application to first paid claim (licensure, waiver enrollment, MCO credentialing, EVV go-live).
3. Proven success scaling through de-novo launches and M&A integration.
4. Deep knowledge of 1915(c) / (k) waivers, CMS-855A, accreditation standards, HIPAA, EVV, incident reporting, and QAPI.
5. Track record negotiating multi-state MCO / MA contracts and aligning them with operational economics.
6. Leadership style that balances urgency with process disciplineable 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.