Own and operate the full divisional P&L across multiple markets, including revenue performance, expense management, productivity, and margin.
Ensure consistent execution of operational standards across all markets in alignment with organizational mission, vision, and values.
Develop and execute market-level business plans aligned with enterprise strategy, including growth targets, financial objectives, and disenrollment reduction.
Drive performance across multiple markets, ensuring each meets census, utilization, retention, productivity, and operational maturity expectations.
Review and manage divisional and market-level KPIs, including:
Recruitment, retention, staffing stability
New client intake, authorization velocity, access to care
Scheduled vs. delivered hours & missed services
Clinician billable hours & productivity
Cost controls & operational efficiency
Make disciplined, data-driven decisions to improve service delivery, scalability, and financial performance.
Leadership of Executive Directors
Directly lead, coach, and hold Executive Directors accountable for operational, people, and market outcomes.
Establish clear expectations, scorecard ownership, and operational execution for each Executive Director.
Track and communicate KPIs and scorecard results to reinforce accountability and drive performance.
Conduct regular 1:1s, performance reviews, coaching sessions, and leadership development planning.
Ensure Executive Directors effectively manage performance, accountability processes, and corrective action within their markets.
Growth & Strategic Execution
Execute market-level growth strategies across the division, including:
New market launches and ramp optimization
Capacity expansion and access-to-care initiatives
Disenrollment mitigation and retention improvement
Partner with the Division President and functional leaders to translate strategic direction into consistent execution across each market.
Maintain awareness of market dynamics and competitive landscape to ensure markets deliver a differentiated, family-centered experience.
Clinical Partnership & Quality Oversight
Partner closely with Clinical Directors to ensure clinical quality, ethical care, and compliance with all regulatory and payer requirements.
Monitor clinical quality metrics, outcomes, and program effectiveness in collaboration with clinical leadership.
Support clinical teams with operational solutions that improve scheduling, utilization, and family experience without compromising care standards.
Drive leadership development across the division in collaboration with Training & Professional Development.
Mentor Executive Directors for increased responsibility and succession readiness.
Ensure strong hiring, onboarding, engagement, and retention practices across all markets.
Train, coach, and develop market and enterprise leaders, building a strong leadership bench and ensuring continuous performance management.
Conduct or support evaluations, disciplinary actions, and staffing plans in collaboration with market leaders.
Foster a culture of accountability, ownership, collaboration, and continuous improvement.
Customer Experience & Issue Resolution
Serve as an escalation point for complex client, caregiver, and employee issues.
Guide Executive Directors and Clinical Directors on effective resolution strategies.
Ensure concerns are resolved timely, professionally, and in alignment with organizational values.
Champion a high-touch, family-centered experience across all markets.
Compliance, Safety & Controls
Ensure all markets meet and maintain regulatory, licensing, accreditation, and payer requirements.
Conduct regular site visits to evaluate safety, cleanliness, documentation accuracy, and operational integrity.
Ensure operational, clinical, and billing documentation is accurate, timely, and compliant.
Cross-Functional Collaboration
Work closely with Clinical, Admissions, Marketing, HR, IT, Training, Billing, and Finance to ensure markets are fully supported and aligned.
Participate in divisional and enterprise-level meetings, workgroups, and best-practice initiatives.
Communicate clearly and consistently around priorities, performance expectations, and operational outcomes.
Requirements
5–7+ years of operations or multi-site leadership experience.