Chief Operating Officer (COO) – Home Care Growth & Operations

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 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. • 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 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: Submit Your Application Here: Only applications submitted through the form will be reviewed. Apply tot his job