Founding Administrator / Executive Director (Service Coordination – Multi-State)

Remote Full-time
Founding Administrator / Executive Director (Service Coordination – Multi-State)
Build it. Lead it. Win the contracts.

We are launching a new Service Coordination entity as part of a growing regional senior care and IDD group.

We are seeking a Founding Administrator / Executive Director to lead the agency from setup through scale, with a strong focus on securing contracts and building the operation from the ground up. This role will work directly with ownership and regional leadership and has flexibility to launch in any state and program.

What You’ll Do
• Lead startup: licensing, setup, and operational launch
• Identify target states/programs and drive market entry strategy
• Lead contract strategy: identify, apply for, and secure service coordination opportunities
• Build relationships with state agencies, MCOs, and referral sources
• Develop and implement policies, procedures, and compliance frameworks
• Hire, train, and manage your core team
• Ensure compliance with applicable state and Medicaid requirements
• Establish scalable systems across operations and service delivery

What We’re Looking For
• Experience operating or launching a Service Coordination entity or similar program
• Strong understanding of Medicaid, IDD, LTSS, or related coordination models
• Proven ability to secure contracts and build referral pipelines
• Ability to navigate different state regulatory and licensing environments
• Strong operator with both strategic and execution capabilities
• Comfortable in a fast-paced, low-structure environment

Why This Role
• True founding leadership role with direct access to ownership
• Flexibility to choose state and program focus
• Backed by an established regional healthcare platform
• High autonomy with the ability to shape the entire operation
• Competitive compensation and growth opportunity

Pay: $50,000.00 - $100,000.00 per year

Benefits:
• Health insurance
• Paid time off

Work Location: Remote

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