Chief Growth / Strategy Officer

Fractional-CEO for StartupFounding team is in NYC. Their preference is onsite in Long Island, NY. However, they're open to remote candidates with the right experience.Our client is a PE-backed platform prepared to build nation-wide Home & Community-Based Services (HCBS). They are looking for a Chief Growth Officer that's ambitious and prepared to build a company that'll scale into all 50 states through a mix of organic de-novo launches and rapid M&A. If you've taken HCBS or home-health entities from application to first claim in multiple states, this is your green-field moment. I need 10+ years building or flipping HCBS/HHA entities in 2 or more states.LocationPreferred: On-site with the founding team on Long Island, NY (easy commute from NYC).Open to Remote: Exceptional applicants with a proven multi-state HCBS/HHA track record will be considered anywhere in the U.S. (2530 % travel).Core ResponsibilitiesOperational Launch & ScaleOwn every state filing, readiness checklist, survey, and first-claim timeline.Stand up EVV, scheduling, payroll, and claims across de-novo and acquired agencies.Regulatory & Clinical ComplianceServe as Chief Growth Officer for all state, CMS, and managed-care requirements.Lead QAPI, incident-management, and continuous-survey preparedness.M&A ExecutionPartner with PE sponsors on diligence; translate LOIs into operational day-1 plans.Integrate people, processes, and tech while safeguarding clinical quality.Payer & Referral ContractingNegotiate/network with Medicaid MCOs, Medicare Advantage, PACE, VA Community Care, AAAs, and health-system discharge planners.People & CultureRecruit and coach mission-driven regional leaders; embed a compliance-first, data-obsessed culture that still feels human.Must-Have Qualifications10+ years building or turning around HCBS/Home-Health agencies in two or more states.End-to-end experience taking at least two entities from initial application to first paid claim (licensure, waiver enrollment, MCO credentialing, EVV go-live).Demonstrated success scaling through both de-novo launches and M&A integration.Deep working knowledge of 1915(c)/(k) waivers, CMS-855A, ACHC/CHAP/JCAHO standards, HIPAA, EVV, incident reporting, and QAPI.Track record negotiating multi-state MCO/MA contracts and aligning them with operating economics.Leadership style that balances Trailblazer urgency with process-disciplineyou break ground fast and pass every survey.Nice-to-HaveBuilt or led a national platform backed by private equity.Rolled out value-based payment models (Hospital-at-Home, readmission bundles).Cultural DNA We ValueBuilder's Mindset: You see blank maps as playgrounds.Compliance-First: Quality and safety are non-negotiable.People-Centric: You scale humans, not just dashboards.Relentless but Humble: "Life happens to the best of us"you pivot without ego.Why Join Now?Green-Field Authority: Architect the playbook that wins all 50 states.PE Firepower: Capital is committed for aggressive de-novo growth and rapid M&A.National Impact: Keep vulnerable populations healthy at homeat scale.Career Defining: Be the operations & compliance force behind a future market leader.