Executive Director / Healthcare Administrator (Growth & Scaling Focus)

Level 4 Transit

$120K — $150K *
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • 5+ years of leadership experience in home health or homecare with proven growth in client census and revenue.
  • Meets Texas Health and Human Services requirements to serve as a Home Health Administrator.
  • Experience with Medicare, Medicaid, and Veterans Administration (VA) healthcare system.
  • Proven ability to launch or scale a Private Pay non-skilled home care service line.
  • Strong understanding of recruitment strategies for high-quality field staff.

Responsibilities

  • Market services to hospitals, rehabilitation facilities, and community organizations to drive referrals.
  • Enhance relationships with the Veterans Administration to increase veteran care program participation.
  • Design and implement a marketing plan targeting the Private Pay market for non-skilled personal care.
  • Lead and scale clinical and internal teams to support patient growth.
  • Develop and enforce a recruitment and retention strategy for caregivers, HHAs, and CNAs.
  • Oversee daily operations ensuring seamless care continuity during transitions.
  • Ensure compliance with federal, state, and local healthcare regulations.

Benefits

  • Uncapped growth-linked incentives tied to key growth milestones.
  • Comprehensive benefits package.
  • Direct collaboration with executive ownership for resource support.
  • Access to an established brand to aid in growth initiatives.
Full Job Description
Job Description

We are looking for an entrepreneurial, growth-minded Executive Director / Healthcare Administrator to take the reins of this established asset and spearhead our next phase of aggressive expansion in both skilled and non-skilled home healthcare.

THE OPPORTUNITY

We role combines the security of an established business with the upside and excitement of a high-growth venture. The operational foundation, infrastructure, and core contracts are already in place. Your mandate is to integrate this business into our ecosystem, optimize existing clinical operations, and drive massive growth-specifically by maximizing our footprint with the VA and building a dominant private-pay non-skilled home care division from scratch.

JOB OVERVIEW

We are seeking a dynamic and strategic Home Healthcare Administrator with a strong focus on growth and scaling operations. This leadership role offers an exciting opportunity to shape and expand our home care services, ensuring high-quality care for individuals across various settings. The ideal candidate will possess a passion for senior care, deep expertise in long-term care environments, and a proven track record of managing operations, teams, and budgets effectively. Join us to lead innovative initiatives that enhance service delivery, foster community partnerships, and drive organizational growth in the home healthcare sector.

KEY RESPONSIBILITIES

Growth & Referral Management (The Core Focus):

  • Actively market the agency'sservices to hospitals, rehabilitation facilities, discharge planners, andcommunity organizations across the Dallas metroplex to drive a consistentreferral pipeline.
  • Deepen our existingrelationship with the Veterans Administration (VA) to capture a largershare of veteran care programs.
  • Design, launch, and execute astrategic marketing plan to capture the high-margin Private Pay market for non-skilledpersonal care and companionship.

Team Building & Recruitment:

  • Lead, inspire, and scale theclinical and internal office team to support an increasing patient census.
  • Develop and oversee anaggressive recruitment and retention strategy for caregivers, HHAs, andCNAs to ensure the field staff grows in lockstep with new clientacquisition.

Operations & Integration Management:

  • Oversee daily operations,ensuring seamless continuity of care for existing clients during thetransition.
  • Ensure absolute compliancewith federal, state, Texas HHS, and CMS regulations across Medicare,Medicaid, and VA programs.
  • Manage the division'sP&L, focusing on maximizing utilization, optimizing schedulingefficiency, and driving profitability.


HOW TO APPLY

If you are a builder who excels at turning established operations into high-growth engines, we want to hear from you. Please submit your resume along with a brief note highlighting your specific experience growing a private-pay census or expanding VA healthcare relationships.

Requirements

QUALIFICATIONS & EXPERIENCE

The "Must-Haves":

  • ProvenGrowth Track Record: Minimum 5 years of leadership experience in home health or homecare, with a documented history of significantly increasing client censusand revenue.
  • Licensure: Meets Texas Health and HumanServices (HHS) requirements to serve as a Home Health Administrator.
  • DiversePayor Experience: Direct experience working with Medicare, Medicaid, and ideally, theVeterans Administration (VA) healthcare system.
  • Private PayBlueprint: Proven experience launching or heavily scaling a Private Pay/ Private Duty non-skilled home care service line.
  • RecruitmentSavvy: Strongunderstanding of the current caregiver labor market and a proven playbookfor hiring and retaining high-quality field staff.

Preferred Skills:

  • Deep networks and existingrelationships with case managers, discharge planners, and social workersin the Dallas area.
  • Strong business acumen with adeep understanding of P&L management, key performance indicators(KPIs), and scheduling optimization.

Benefits

WHAT WE OFFER

  • Highly competitive basesalary commensurate with experience.
  • UncappedGrowth-Linked Incentives: A lucrative bonus structure tied directly to key growthmilestones (e.g., census increases, private-pay revenue targets, andcaregiver retention metrics).
  • Comprehensive benefitspackage.
  • Direct collaboration withexecutive ownership and the resources of an established transit brand tosupport your growth initiatives.

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