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Chief Operating Officer, HCBS Compliance and Regulations

  • Full Time, onsite
  • Nxt Level
  • New York City Metropolitan Area, United States of America
Salary undisclosed

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Chief Operating Officer / Chief Compliance Officer

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 prepared to build nation-wide Home & Community-Based Services (HCBS). They are looking for a Chief Operating Officer / Chief Compliance Officer that's ambitious and prepared to build a company that'll scale into all 50 states through a mix of organic de-novo launches and rapid M&A. If you’ve taken HCBS or home-health entities from application to first claim in multiple states, this is your green-field moment.

What are the core responsibilities?

  • Licensure & Accreditation – Drive all CON, LHCSA/CHHA, waiver, PSO/IPA filings; quarterback state and CMS surveys.
  • Compliance Architecture – Translate CMS VBP, 1915 waiver, Stark/AKS, and state rules into audit-proof policies.
  • M&A Integration – Lead diligence on compliance, QAPI, and risk pools; execute post-close 100-day plans.
  • Operational Scale – Stand up multi-state EVV, QAPI, credentialing, and analytics systems; recruit and mentor regional leaders.
  • Risk & Ethics Oversight – Monitor HIPAA, corporate practice, solvency, and billing integrity; brief investors on exposure.
  • Performance Analytics – Connect compliance dashboards to HEDIS, CAHPS, and CMS VBP metrics; launch Lean/Six-Sigma projects.

What are some of the requirements?

  • 10+ years building or flipping HCBS/HHA entities in 2 or more states.
  • Successful lead on CMS or state survey with first-pass POC.
  • Active CHC, CCEP, or similar compliance credential.
  • Track record negotiating capitation / shared-savings deals

Who will love working on this team?

Straight-talking operator who meets conflict head-on, values humble confidence, and recruits people smarter than themselves. Mission first, titles last.

Chief Operating Officer / Chief Compliance Officer

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 prepared to build nation-wide Home & Community-Based Services (HCBS). They are looking for a Chief Operating Officer / Chief Compliance Officer that's ambitious and prepared to build a company that'll scale into all 50 states through a mix of organic de-novo launches and rapid M&A. If you’ve taken HCBS or home-health entities from application to first claim in multiple states, this is your green-field moment.

What are the core responsibilities?

  • Licensure & Accreditation – Drive all CON, LHCSA/CHHA, waiver, PSO/IPA filings; quarterback state and CMS surveys.
  • Compliance Architecture – Translate CMS VBP, 1915 waiver, Stark/AKS, and state rules into audit-proof policies.
  • M&A Integration – Lead diligence on compliance, QAPI, and risk pools; execute post-close 100-day plans.
  • Operational Scale – Stand up multi-state EVV, QAPI, credentialing, and analytics systems; recruit and mentor regional leaders.
  • Risk & Ethics Oversight – Monitor HIPAA, corporate practice, solvency, and billing integrity; brief investors on exposure.
  • Performance Analytics – Connect compliance dashboards to HEDIS, CAHPS, and CMS VBP metrics; launch Lean/Six-Sigma projects.

What are some of the requirements?

  • 10+ years building or flipping HCBS/HHA entities in 2 or more states.
  • Successful lead on CMS or state survey with first-pass POC.
  • Active CHC, CCEP, or similar compliance credential.
  • Track record negotiating capitation / shared-savings deals

Who will love working on this team?

Straight-talking operator who meets conflict head-on, values humble confidence, and recruits people smarter than themselves. Mission first, titles last.