Managing Consultant (Delivery - Home Health Care & Medicaid HCBS)

Managing Consultant (Delivery – Home Health Care & Medicaid HCBS)Location: Austin, TexasLet Us Introduce OurselvesAt HCPA, we empower organisations to reach new heights through consulting and business transformation across highly regulated industries. Having supported over $2 billion in revenue growth, we're now expanding into Austin, Texas — bringing our expertise in Home Health Care, HCBS, and broader healthcare services into the US market.Our work spans sectors including NDIS, Aged Care, Department of Veteran Affairs, Early Learning, Medicinal Cannabis, Peptides, Weight Loss, Practice Management, and Cosmetic Injectables — delivering practical, innovative solutions that create real impact.About the RoleThis role is focused on building and delivering healthcare services, not just managing them.You will work with healthcare businesses to design, launch, and scale Home Health Care services, particularly within Medicaid-funded models (HCBS and waiver programs)This is a hands-on role—ideal for someone who has operated within real healthcare environments and understands how services actually work on the ground.You'll be responsible for turning regulatory requirements and funding models into practical, end-to-end service systems that are compliant, scalable, and commercially viable.What You'll Be DoingService Design & BuildDesign end-to-end Home Health Care service modelsIntake ? assessment ? care delivery ? documentation ? billingTranslate Medicaid (HCBS / waiver) requirements into real workflowsBuild services that are:Operationally practicalScalableAudit-readyLaunch & ImplementationWork directly with clients to:Launch new Home Health servicesSet up new service lines or locationsFix broken or inefficient operationsMove from strategy ? execution, ensuring services actually work in practiceSOPs, Systems & Process DesignCreate SOPs, playbooks, and care delivery workflows from scratchStandardize processes across:Clinical and non-clinical operationsDocumentation and complianceEnsure services are repeatable and scalableMedicaid & HCBS AlignmentDesign services aligned with:Medicaid reimbursement structuresHCBS and waiver program requirementsEnsure compliance with:State-specific regulationsDocumentation and audit standardsStructure services to be financially viable within Medicaid constraintsClient Delivery & Problem SolvingDiagnose operational gaps across:Care deliveryStaffing modelsCompliance workflowsImplement practical solutions, not just recommendationsOwn end-to-end delivery for assigned clientsGovernance & Quality Control (Supportive, Not Dominant)Ensure services are:Structured correctly before launchDelivered in line with regulatory standardsMaintain quality and consistency across deliveryBalance flexibility with compliance (not rigid enforcement)Commercial AwarenessDesign services with profitability and sustainability in mindAlign operations with:Medicaid funding realitiesCost structures of home-based careIdentify and fix revenue leakage or inefficienciesWho We're Looking ForRequired ExperienceDirect experience in:Home Health Care operationsMedicaid-funded services (HCBS / waiver programs)Proven experience:Building or launching services (not just managing them)Working in real care delivery environmentsStrong Indicators of FitHas:Opened new service lines or locationsBuilt SOPs and workflows from scratchWorked in startup or scaling environmentsComfortable working in:Ambiguous or unstructured environmentsHands-on, execution-focused rolesTypical BackgroundsHealthcare startup operatorImplementation / delivery consultant (with real ops exposure)Multi-site healthcare operations leadWhat This Role Is NOTNot a purely strategic or advisory consulting roleNot an internal governance or audit-only positionNot suitable for candidates without hands-on Home Health or Medicaid experienceNot a purely corporate / BAU operations roleWhat Success Looks LikeServices are successfully launched and operationalWorkflows are clear, compliant, and scalableClients move from idea ? execution smoothlyServices are financially viable within Medicaid modelsDelivery is structured, but still adaptable to real-world conditionsInterested?Apply directly or reach out for a confidential discussion:shella@hcpassociation.com.au