Senior Executive Vice President – SW Operations

Role Overview

• 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.
• Clinical risk mitigation: sentinel event review, infection control, medication safety, and after-hours escalation protocols.
• 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.