Sr. Executive Vice President of SW Operations

Job Title Sr. Executive Vice President of SW Operations – Home Health, Hospice, Personal Care Services & Therapy Location Flexible within the region (Texas, New Mexico, Indiana); regular travel across all service areas. Reports To Chief Executive Officer Direct Reports 4 Vice Presidents of Operations (one for Home Health, one for Hospice, one for Personal Care Services and one for Therapy) Position Summary The Sr. Executive Vice President, Southwest of Operations is a strategic, outcomes-driven executive responsible for the operational, clinical, financial, and regulatory performance of the company’s Home Health, Hospice, Personal Care Services and Therapy across Texas, New Mexico, and Indiana. This leader translates strategy into execution, ensures exceptional patient/family experience, drives referral growth, and sustains high-quality, compliant care while optimizing efficiency and profitability. The role stewards a $129M portfolio with a $55M expense base and leads four VP-level operators, fostering a cohesive, data-informed, high-performance culture. Scope & Scale Annual Revenue: ~$129 million Expense Budget: ~$55 million Geography: Multi-state operations (TX, NM, IN) P&L Ownership: Full regional P&L accountability, including revenue growth, margin expansion, and cost management across all service lines. Key Responsibilities 1) Strategic Leadership & Growth Own regional strategy and annual operating plans for all four service lines; align resources to meet revenue, margin, and patient care goals. Develop market expansion plans (de novos, tuck-in acquisitions, service mix optimization) and integrated care pathways across Home Health, Hospice, Personal Care and Therapy. Lead referral development (health systems, physicians, post-acute networks, payers, MCOs, ACOs) and strengthen value-based partnerships. Build a unified brand experience across states and service lines. 2) Financial & P&L Management Deliver the P&L: meet/exceed targets for revenue, EBITDA margin, cash flow, and cost containment. Budget ownership for the $55M expense plan; drive disciplined labor productivity, visit utilization, supply, and overhead management. Revenue cycle performance: improve DSO, AR aging, authorization turnaround, and payer mix; partner tightly with Finance & RCM. Capital allocation: prioritize investments (technology, clinical programs, talent) using ROI and payback analyses. 3) Operational Excellence Standardize operating model and SOPs for intake, scheduling, case management, visit planning, interdisciplinary team coordination, and transitions of care. Throughput & capacity management: optimize staffing models, productivity benchmarks, and census growth; reduce avoidable cancellations and missed visits. Continuous improvement using Lean/Six Sigma tools; drive cost-to-serve reduction and process reliability. 4) Clinical Quality & Compliance Accountable for quality outcomes: Home Health: OASIS accuracy, Star Ratings, risk-adjusted readmission rates, timely initiation of care, HHVBP measures. Hospice: CHAPS/family satisfaction, symptom management, live discharge rate, length of stay (LOS), and interdisciplinary plan-of-care adherence. Personal Care Services: care plan compliance, caregiver reliability, service continuity, customer satisfaction. Therapy: functional outcome improvement (e.g., mobility and ADL performance), patient engagement and visit adherence, timely evaluations and reassessments, documentation accuracy and compliance, and payer-driven utilization management. Regulatory stewardship: ensure federal and state compliance (e.g., CMS Conditions of Participation), survey readiness, corrective action plans, and policy adherence across TX, NM, IN. Clinical governance: partner with Chief Clinical Officer/Medical Directors on evidence-based protocols, high-risk case review, and clinical education. 5) Workforce & Culture Lead and develop four VPs of Operations; set clear KPIs, cadence, and accountability. Succession planning and leadership bench building across branch administrators, DONs/clinical leaders, and market directors. Talent strategy: recruiting, retention, incentive design, competency development, and engagement—especially for field clinicians and caregivers. Culture of safety and Just Culture principles; reinforce mission-driven, patient-centered values. 6) Customer & Stakeholder Management Voice of patient & family: champion service excellence and rapid issue resolution. External relationships: health systems, referral sources, payers, state agencies; represent the organization in market forums. Community presence: foster partnerships with senior services, community groups, and hospice volunteer networks. 7) Data, Technology & Innovation Run the business by the numbers: build dashboards for census, productivity, quality, financials, and regulatory metrics; adopt a weekly/monthly ops cadence. Digital enablement: leverage EMR/EHR capabilities, mobile documentation, scheduling optimization, telehealth/remote monitoring as appropriate. Analytics-driven decision making: segment performance by market/service line; conduct root-cause analyses and implement corrective actions. 8) Risk Management & Safety Clinical risk mitigation: sentinel event review, infection control, medication safety, and after-hours escalation protocols. Operational risk: disaster readiness, supply chain stability, cybersecurity awareness, and business continuity across three states. 9) Cross-State Regulatory Nuance Navigate state-specific requirements in Texas, New Mexico, and Indiana (licensure, staffing, supervision rules, emergency preparedness, scope of practice, Medicaid/MCO contracts), ensuring policies and training reflect state-level variations. Success Metrics (KPIs) Financial & Growth Net revenue & EBITDA margin vs. plan; labor cost % of revenue; visit cost per episode/ per diem; DSO ( Clinical Quality & Compliance Home Health Star Rating ≥ 4.0; HHVBP composite improvements; OASIS audit accuracy; 30-day readmission rate reduction. Hospice CHAPS ≥ 85th percentile; stable/appropriate LOS; live discharge within benchmarks; condition-of-participation survey outcomes (no condition-level deficiencies). Personal Care caregiver reliability rate; plan-of-care adherence; client satisfaction ≥ target. Operational Productivity (visits per clinician FTE), on-time start-of-care, scheduling efficiency, missed visit rate, visit utilization vs. care plan, branch survey readiness scores. People & Culture Voluntary turnover; time-to-fill; leadership bench strength; engagement scores; safety incident rate. Competencies Strategic Agility & Execution – turns strategy into measurable outcomes. Financial Acumen – manages budgets, margins, and RCM drivers. Clinical & Regulatory Literacy – ensures safe, compliant, high-quality care. Operational Excellence – process discipline and continuous improvement. Leadership & Talent Development – builds strong teams and culture. Relationship Management – trust-based partnerships with referrers and payers. Data-Driven Decision Making – uses analytics to guide action. Change Leadership – leads integration, standardization, and transformation. Working Conditions & Travel Frequent travel (40–60%) across TX, NM, IN to branches, referral sources, payers, and regulatory engagements. Availability for after-hours escalation and incident management as needed. Equal Opportunity Statement We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment based on race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity, or any other protected status in accordance with applicable federal, state, and local laws. Qualifications 10–15+ years of progressive leadership in post-acute or home-based care (Home Health and Hospice required; Personal Care/Private Duty and Therapy strongly preferred). Proven multi‑site, multi‑state P&L ownership at $100M+ scale. Deep knowledge of CMS Conditions of Participation, HHVBP, OASIS, CHAPS, survey processes, and payer contracting (Medicare, Medicaid, MCOs, commercial). Demonstrated success in referral growth, clinical quality improvement, productivity optimization, and margin expansion. Strong command of RCM (authorizations, billing, collections, denial prevention) and operational analytics. Bachelor’s degree (Business, Health Administration, Nursing, or related field). Preferred Master’s in Healthcare Administration, Business (MBA), or related discipline. Clinical licensure (e.g., RN) beneficial. Lean/Six Sigma certification. Experience with EMR/EHR platforms used in home health/hospice; telehealth/remote monitoring programs. Home Health and Hospice – Wellsky Personal Care Services – Vesta and Netsmart Therapy Services - Wellsky #J-18808-Ljbffr