Director of Operations -Builder Role - High Growth Startup Environment

Job Description

Job Description

Benefits:

• Bonus based on performance
• Competitive salary
• Paid time off

About the Role

We are building a home care agency from the ground up—and we are looking for a hands-on Operations Builder to help lead that effort.

This is not a maintenance role. This is not a fully structured corporate operations job. This is a roll-up-your-sleeves, figure-it-out, build-the-system-as-you-go leadership role in a fast-moving startup environment.

You will help shape how the agency runs day-to-day, build systems where they don’t yet exist, and play a central role in scaling a growing home care business.

If you are someone who likes clear playbooks, predictable workflows, and fully staffed teams already in place, this will not be a fit. If you want ownership, autonomy, and the ability to build something meaningful from the ground up, this role will be extremely rewarding.

This role may be particularly appealing to healthcare professionals who understand patient care and care transitions but are looking to move beyond direct clinical service into operations, leadership, and business growth. Individuals from therapy, rehabilitation, care coordination, discharge planning, healthcare staffing, and similar backgrounds often find themselves uniquely prepared for success in this role.
What You’ll Own

Operations & Systems Building

• Run and continuously improve daily agency operations 
• Build structure around intake, scheduling, staffing, and service delivery 
• Identify gaps in workflow and create solutions as the business grows 
• Help design the operational backbone of a scaling home care agency 

Caregiver & Staffing Leadership

• Recruit, onboard, and develop caregivers 
• Own scheduling and shift coverage in a dynamic, fast-changing environment 
• Step into staffing gaps when needed to ensure clients are supported 
• Address performance and accountability issues directly and fairly 

Client Experience

• Support new client starts and ongoing care coordination 
• Ensure families receive consistent, high-quality service 
• Act quickly to resolve issues and maintain trust with clients and families 

Quality & Compliance

• Maintain compliance with Oklahoma non-medical home care requirements 
• Build and maintain accurate documentation systems 
• Support audits, reviews, and internal quality checks 

Community Growth & Relationships

• Build relationships with referral partners (hospitals, case managers, senior communities, VA, etc.) 
• Represent the agency in the community as it grows 
• Support organic growth through relationship-building and reputation 

What Makes This Role Different

• You will be building systems, not just following them 
• You will work closely with leadership in shaping the future of the agency 
• You will see the direct impact of your decisions every single day 
• This is a high-impact, high-learning-curve role in a startup environment

What We’re Looking For

• Thrives in ambiguity and fast change 
• Likes solving problems more than following instructions 
• Is energized by building something new 
• Can stay calm and effective in a chaotic, high-demand environment 
• Takes ownership instead of waiting for direction 
• Communicates clearly and directly 
• Cares deeply about quality care and client experience 

Experience in home care or healthcare operations is helpful, but not required if you have strong operational instincts and a builder mindset.

Why This Role Matters

This position is foundational to the success of our agency. The person in this role will directly shape how we operate, how caregivers are supported, and how families experience care.

You won’t just be joining a company—you’ll be helping build it.