Director of Business Operations — Home Health & Hospice

Position summary Lead and optimize the organization’s business operations across home health and hospice services to ensure regulatory compliance, financial sustainability, operational efficiency, and excellent patient/family experience. This leader partners with clinical, finance, HR, and field teams to scale programs, improve margins, and support strategic growth.

Key responsibilities

• Operational leadership: Oversee day-to-day non-clinical operations for home health and hospice (billing, orders management, facilities, scheduling/dispatch).
• Financial performance: Drive budgeting, forecasting, margin improvement, cost control, and operational KPI tracking. Partner with finance to analyze P&L, identify opportunities, and implement corrective actions.
• Strategic initiatives & growth: Support M&A integration, new program launches, market expansion, partner relationships, vendor contracts, and technology rollouts (EMR, scheduling, telehealth).
• People management: Lead, develop, and coach operational teams. Set objectives and conduct performance reviews.
• Data & reporting: Build operational dashboards and KPIs (referral volume, admissions conversion, visit productivity, cost per patient, days in A/R, denial rates, caregiver utilization, patient satisfaction). Present insights to executive leadership and Board as needed.
• Quality & patient experience: Collaborate with clinical leadership to ensure operations support quality care, timely access, family communication, and high patient/family satisfaction.
• Risk management: Manage vendor relationships, insurance, property/facility issues, and corrective actions for audit findings or regulatory citations.

Qualifications

• Experience: 7 612+ years in healthcare operations, with at least 3 5 years in a senior operational leadership role; direct experience in home health and hospice strongly preferred.
• Education: Master 27s degree in Business, Healthcare Administration, Nursing, Finance, or related field required; MBA, MHA preferred.
• Skills & knowledge: Strong understanding of Medicare/Medicaid hospice and home health regulations, clinical documentation requirements, and payer contracting. Robust financial acumen, analytics, and process improvement skills.
• Technical: Experience with EMR systems, preferably EPIC, billing platforms, scheduling/telehealth tools, and Excel.
• Leadership: Proven ability to lead multidisciplinary teams, manage change, and influence at the executive level. Excellent communication, problem-solving, project management, and stakeholder management skills.
• Certifications: Lean/Six Sigma, HFMA, or similar certifications are a plus.

This range serves as a good faith estimate and actual pay will encompass a number of factors, including a candidate 27s qualifications, skills, competencies and experience. The salary range or rate listed does not include any bonuses/incentive, differential pay or other forms of compensation that may be applicable to this job, and it does not include the value of benefits.