The Chief Executive Officer will lead a specialized financial operations and payroll platform serving home care, home health, and hospice providers. This early-stage leadership role is responsible for defining the company’s service model, pricing strategy, go-to-market approach, and operational structure while partnering closely with a technical counterpart and experienced healthcare operators driving consistent lead flow. The CEO will guide overall organizational strategy, own financial outcomes, and build a scalable operating framework that supports sustainable growth.

Key Responsibilities

• Set and execute the company’s strategic vision, growth roadmap, and operating priorities.

• Own the P&L, financial planning, budgeting, margin optimization, and cash-flow performance.

• Shape service offerings, establish pricing structures, and lead complex negotiations.

• Drive B2B sales initiatives, cultivate strong relationships with founders and healthcare operators, and convert inbound lead flow.

• Oversee multistate payroll, Medicaid billing, and healthcare financial operations strategies.

• Design and implement scalable SOPs across service delivery, operations, and compliance.

• Recruit, manage, and develop high-performing teams across functions.

• Partner closely with technical leadership to enhance systems, automation, and operational efficiency.

• Uphold regulatory compliance across multistate payroll and EVV-related requirements.

• Foster a culture of accountability, high agency, and strong execution.

Qualifications

• Proven executive leadership experience with direct ownership of outcomes.

• Strong command of P&L management, margins, and cash-flow dynamics.

• Experience shaping service models, pricing, and contracting.

• Demonstrated success selling B2B services and partnering with founders.

• Deep understanding of healthcare financial operations, including billing and payroll.

• Multistate operational experience strongly preferred.

• Background in building and scaling SOPs in growing organizations.

• Track record of hiring, developing, and leading high-performance teams.

• High agency and desire for equity-level upside in an early-stage environment.