Chief Operating Officer (COO) – Home Care Growth & Operations
TL;DR
Sigma Home Care is hunting for an operator who can turn a scrappy home care agency into a 10x machine—not someone who just keeps the lights on, but someone who builds the teams, systems, and referral pipelines that actually scale.
Your job: run the daily grind (billing, payroll, compliance, caregiver schedules), then architect the growth—more referrals, more hours, more impact. Spot what's broken before it breaks, fix it, move on.
Who fits: you've scaled home care, staffing, or healthcare services before; you speak Medicaid and waivers; you build SOPs like other people build sandwiches; you lead people with both steel and heart.
Why it matters: home care is booming, families need it desperately, and you'll be the one making sure caregivers show up, clients get served, and the whole thing doesn't collapse under its own weight.
The ask: skip the easy apply button. Record a 3–5 minute video showing how you think, then submit through their form—they want to see your playbook, not your resume.
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.
Company Details
Company
SIGMA HomeCare
Industry
Hospitals and Health Care
Company Size
51-200 employees
Growth
6-month: 0%
12-month: 20%