Chief Operating Officer (COO) – Home Care Growth & Operations
About the RoleSigma 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 on" role. 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. • bolthires 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 GetCompetitive base + uncapped profit sharingThe support you need to grow, not just surviveImpact that actually changes lives(Read Carefully)We don't want "Easy Apply" clicks.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: Here:Only applications submitted through the form will be reviewed. Apply tot his job