Chief Operating Officer

PeopleOS

Overview

Houston, United States | Posted on 07/13/2026

We are seeking an experienced, transformational Chief Operating Officer to build and lead the operational foundation of our rapidly growing Medicaid Home Health, PDN, PAS, and Hospice organization. This is not a traditional COO role; we need an executive who can build the systems, leadership structure, and performance culture required to scale the company from approximately $15 million to more than $150 million in annual revenue over the next 3 to 5 years.

The COO will own all operational functions i.e. clinical operations, staffing, scheduling, intake, admissions, quality, compliance, workforce productivity, and customer experience, working closely with the CEO, CFO, and Chief Growth Officer to deliver exceptional patient care while building a scalable platform for future expansion and acquisitions.

Key Responsibilities

Lead day-to-day operations across PDN, PAS, and Hospice; translate strategic vision into operational execution
Build and develop a high-performing leadership team
Design and continuously improve scalable systems for intake/admissions, clinical operations, scheduling, care coordination, QAPI, compliance, and KPI reporting
Develop standardized operating procedures supporting consistency, acquisitions, and multi-location growth
Improve patient, caregiver, and referral partner experience; increase scheduling efficiency and caregiver utilization
Recruit, develop, and mentor operational leaders; partner with HR on recruiting, onboarding, retention, and engagement
Build operational dashboards tracking productivity, quality, staffing, satisfaction, retention, and admissions

Requirements

Required

Bachelor's degree in Healthcare Administration, Nursing, Business, or related field (Master's preferred)
10+ years of progressive healthcare leadership experience, including executive operational leadership
Demonstrated success building scalable operational systems and leading organizational transformation
Strong leadership, communication, and change management skills

Preferred

Experience in Home Health, Hospice, PDN, or PAS
Knowledge of Medicaid operations and regulatory compliance
Experience leading multi-site healthcare organizations
Experience supporting acquisitions, expansion, or rapid organizational growth
Competitive executive salary + performance-based bonus

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Vacancy posted 4 days ago

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