Chief Operating Officer (COO) – Home Care Growth & Operations
TL;DR
Home care's booming, but most agencies run like it's 1985. Sigma wants someone to drag them into today—and tomorrow.
Your day: keep billing, payroll, and compliance humming while you build the systems and team that'll 10x this thing. Think SOPs that scale, dashboards that don't lie, and partnerships that feed growth.
Who fits: you've grown a home care shop or something just as people‑heavy and red‑tape‑wrapped. Medicaid know‑how's a plus, but systems thinking's a must.
Money talk: $50‑100k base plus profit share with no ceiling—because if you grow it, you should own it.
Skip the Easy Applydance. Send a quick video showing how you think and what you've built. Real operators only.
Job Description
About The Role
Sigma Home Care is ready to scale - and we're looking for the operator who can make it happen.
This isn't a keep the lights onrole. It's for someone who can run day-to-day operations and build the systems, teams, and referral pipelines that take us 10x and beyond.
If you've scaled a home care or Medicaid-funded agency before, you know the playbook. If you've grown another people-driven, compliance-heavy service business, your skills will transfer here.
Either way - this is more than operations. It's about building something that changes lives while tapping into one of the fastest-growing industries in the country.
What You'll Be Doing
Oversee daily operations (billing, payroll, compliance, caregiver management).Build and lead a team that's accountable, scalable, and motivated.Increase referrals and hours through strong partnerships and systems.Create and execute growth plans with clear KPIs.Spot problems early, fix them fast, and prevent them from happening again.
What We're Looking For
Proven operator - you've scaled a home care, staffing, or healthcare services company.Growth mindset - you know how to drive referrals, hours, or revenue at scale.Systems builder - SOPs, dashboards, accountability processes are second nature.People leader - you can hire, train, and lead a team with empathy and accountability.Medicaid experience (preferred) - familiarity with waiver programs, compliance, HIPAA.
What You'll Get
💰 Competitive base + uncapped profit sharing
🙌 The support you need to grow, not just survive
❤️ Impact that actually changes lives
How To Apply (Read Carefully)
We don't want Easy Applyclicks. We want to see how you think.
Step 1: Record a 3-5 minute video answering:
Why do you want this role, and what makes you uniquely qualified?Share a time you grew a company's hours, clients, or revenue - what was your approach?What's one process you fixed that had a big impact?(Bonus) Do you have Medicaid or waiver program experience?
Step 2: Submit Your Application Here: 👉https://forms.gle/97Mv9xtMqi3AEbxXA
Only applications submitted through the form will be reviewed.
Salary: $50000 - $100000 per year
Company Details
Company
SIGMA HomeCare
Industry
Hospitals and Health Care
Company Size
51-200 employees
Growth
6-month: -16.67%
12-month: 0%