Executive Director - Adult Foster Care & Community-Based Home Services, Boston-MA

THE OPPORTUNITY

The Executive Director will serve as the senior-most on-site leader, reporting directly to the Vizx Corp CEO. You will inherit an organization with a strong clinical reputation, trusted caregiver relationships, and a deep community presence — and you will be expected to build on that foundation with the operational discipline and strategic vision needed to scale.

Employment Type: Full-Time, Exempt — Executive Leadership

Compensation: $130,000 – $170,000 base + performance incentive up to 15%

Program Focus: MassHealth Adult Foster Care (AFC) & Group AFC (GAFC) | CARF-Accredited

Key Payers: MassHealth (Medicaid), Integrated Care Organizations (ICOs), Senior Care Options (SCOs), PACE programs

Regulatory Body: EOHHS / MassHealth | 130 CMR 408.000 | CARF

SCOPE OF LEADERSHIP

1. Clinical & Program Operations

• AFC and GAFC program delivery across all enrolled members
• MDT structure: Program Director, RN/LPN, and Care Manager functions
• Caregiver recruitment, evaluation, training, and ongoing support
• Clinical assessments, prior authorizations, and care plan workflows Financial & Administrative Oversight
• Full P&L accountability for the organization
• MassHealth revenue cycle: billing, claims, AR aging, prior authorization
• Budget management and vendor relationships
• Regular financial reporting to Vizx Corp leadership

2. Regulatory & Compliance Authority

• MassHealth AFC/GAFC compliance (130 CMR 408.000) and billing standards
• CARF accreditation ownership — readiness, surveys, corrective action
• HIPAA compliance and data governance
• Incident reporting and quality management under EOHHS requirements Workforce & Organizational Leadership
• Executive leadership across clinical, administrative, and care management teams
• Talent strategy: hiring, retention, succession planning
• Culture ownership — accountability, trust, and staff engagement
• Organizational transition leadership in partnership with Vizx Corp

3. Financial & Administrative Oversight

• Full P&L accountability for the organization
• MassHealth revenue cycle: billing, claims, AR aging, prior authorization
• Budget management and vendor relationships
• Regular financial reporting to Vizx Corp leadership

4. Workforce & Organizational Leadership

• Executive leadership across clinical, administrative, and care management teams
• Talent strategy: hiring, retention, succession planning
• Culture ownership — accountability, trust, and staff engagement
• Organizational transition leadership in partnership with Vizx Corp

KEY RESPONSIBILITIES

1. Clinical Operations & Service Delivery

• Lead delivery of services across all program lines with full accountability for member outcomes, caregiver quality, and program integrity
• Maintain the multidisciplinary team (MDT) structure required under applicable regulations — ensuring each function is appropriately staffed, supervised, and performing
• Oversee caregiver and direct care worker recruitment, onboarding, annual evaluation, and ongoing support to sustain program quality and member safety
• Ensure timely completion of all clinical documentation: assessments, prior authorizations, care plans, and discharge planning
• Monitor clinical quality indicators and drive continuous improvement across all care delivery programs

2. Regulatory Compliance & Risk Management

• Maintain full compliance with MassHealth AFC/GAFC regulations (130 CMR 408.000), all billing rules, and administrative standards
• Own CARF accreditation — including policies, internal monitoring, mock survey preparation, and corrective action planning
• Oversee HIPAA compliance, mandated reporting obligations (51A), and incident management
• Monitor EOHHS and MassHealth regulatory developments and implement policy adjustments proactively
• Serve as the organization's primary point of contact with EOHHS, MassHealth, and CARF surveyors

3. Financial Leadership

• Own the organization's P&L — managing budget, cost structure, and financial performance to margin and growth targets set with Vizx Corp leadership
• Oversee revenue cycle performance: billing accuracy, claims submissions, AR aging, prior authorization compliance, and payer reconciliation
• Identify and execute opportunities for financial efficiency, service-line growth, and sustainable scaling
• Deliver regular, board-quality financial performance reporting to Vizx Corp leadership

4. Workforce Leadership & Organizational Culture

• Lead, develop, and retain a high-performing executive and clinical team — with clear expectations, ongoing feedback, and visible accountability
• Own talent strategy: workforce planning, succession readiness, and key-person risk mitigation in a competitive labor market
• Build and maintain a culture of mutual respect, clinical excellence, and organizational pride across a diverse workforce
• Serve as a stabilizing, accessible executive presence for staff, caregivers, and community partners throughout organizational transition

4. Stakeholder & Community Relations

• Maintain and grow referral relationships with hospitals, discharge planners, PCPs, social workers, and community-based organizations across Greater Boston
• Serve as primary executive representative with MassHealth, MCOs, ICOs (Integrated Care Organizations), and SCOs (Senior Care Options)
• Build relationships with PACE programs and LTSS coordination entities serving Vizx Corp members
• Communicate proactively with members, caregivers, and families in their primary language where possible

5. Organizational Transition & Integration

• Partner with Vizx Corp's Director of Administration & Operational Systems on system onboarding, policy harmonization, and operational alignment
• Build the executive team and operational infrastructure required for sustained performance at scale in the Boston, MA market
• Develop and execute a 12-month strategic roadmap anchored in quality outcomes, regulatory compliance, and program growth

QUALIFICATIONS & LICENSURE

Licensure & Background Check Requirements — Boston, MA

• Candidates holding an NHA, RCFE Administrator Certificate, LCSW, RN, or CCM credential are strongly preferred.
• Background Check Required: CORI + SORI clearance required prior to hire
• Mandated Reporter: Massachusetts Mandated Reporter (51A)

Required Qualifications

• 7+ years of progressive healthcare leadership, with at least 3 years in an executive or senior director role
• Demonstrated P&L ownership in a MassHealth-contracted, home health, AFC, or community-based healthcare setting
• Direct experience overseeing MDT operations in a MassHealth AFC or GAFC program
• Track record of leading organizations through CARF accreditation, regulatory audits, or equivalent quality reviews
• Financial fluency in healthcare revenue cycle management, including MassHealth billing and AR oversight
• Demonstrated ability to lead through organizational change while maintaining staff trust and program quality
• Exceptional communication skills across clinical staff, regulatory bodies, caregivers, and executive leadership

Preferred / Differentiating

• CARF accreditation experience specific to AFC or community-based services
• Familiarity with MassHealth managed care organizations (MCOs), ICOs, SCOs, or PACE program requirements
• Experience supporting corporate acquisition, leadership transition, or organizational restructuring
• Master's degree in Healthcare Administration, Business Administration, or related field (MHA or MBA preferred)
• Bilingual: Spanish, Haitian Creole, Cape Verdean Creole, Portuguese, Vietnamese or Somali strongly preferred

BENEFITS

• Health & Wellness Medical, dental, and vision coverage; wellness program access
• Time Off Competitive PTO per Vizx Corp executive policy
• Professional Dev. Executive leadership development; ACHE dues and conference support; Vizx Corp training resources
• Growth Path Direct reporting relationship to CEO; opportunity to shape Vizx Corp's regional expansion strategy and AFC program development

Vizx Corp is an Equal Opportunity Employer.