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Executive Director Ltss Jobs (NOW HIRING)

Associate VP, Care Management-IN Medicaid

$16 - $21.50/hr

... LTSS), and home and community-based services (HCBS). The AVP translates Medicaid contract ... It has 7 direct reports and roughly 400 indirect reports. Strategic and Executive Leadership * Own ...

Associate VP, Care Management-IN Medicaid

$16 - $21.50/hr

... LTSS), and home and community-based services (HCBS). The AVP translates Medicaid contract ... It has 7 direct reports and roughly 400 indirect reports. Strategic and Executive Leadership * Own ...

Associate VP, Care Management-IN Medicaid

$16 - $21.50/hr

... LTSS), and home and community-based services (HCBS). The AVP translates Medicaid contract ... It has 7 direct reports and roughly 400 indirect reports. Strategic and Executive Leadership * Own ...

Support implementation of state-directed initiatives, regulatory changes, EVV-related processes ... Prepare LTSS presentations, reports, and executive summaries for leadership and stakeholders.

Support implementation of state-directed initiatives, regulatory changes, EVV-related processes ... Prepare LTSS presentations, reports, and executive summaries for leadership and stakeholders.

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Executive Director Ltss information

See salary details

$36.5K

$101.4K

$185K

How much do executive director ltss jobs pay per year?

As of Sep 14, 2026, the average yearly pay for executive director ltss in the United States is $101,436.00, according to ZipRecruiter salary data. Most workers in this role earn between $67,500.00 and $125,000.00 per year, depending on experience, location, and employer.

What is an executive director LTSS?

An Executive Director of LTSS (Long-Term Services and Supports) is a senior leadership role responsible for overseeing and managing programs and services that assist individuals with long-term care needs, such as the elderly or people with disabilities. They develop organizational strategies, manage budgets, ensure compliance with regulations, and supervise staff to ensure quality care and support for clients. The Executive Director LTSS often collaborates with healthcare providers, government agencies, and community organizations to improve service delivery and outcomes for those requiring long-term support.

What are the key skills and qualifications needed to thrive as an executive director LTSS?

To thrive as an Executive Director LTSS (Long-Term Services and Supports), you need leadership experience in healthcare administration, a relevant bachelor's or master's degree (often in health administration, social work, or nursing), and a deep understanding of regulatory compliance. Familiarity with case management software, Medicaid/Medicare regulations, and quality assurance systems is typically required. Strong interpersonal skills, strategic vision, and the ability to inspire and manage diverse teams set exceptional leaders apart. These competencies ensure effective oversight, quality care delivery, and organizational success in complex long-term care environments.

How does an executive director LTSS typically collaborate with interdisciplinary teams to ensure quality care delivery?

As an Executive Director of Long Term Services and Supports (LTSS), you will frequently work with interdisciplinary teams, including nurses, social workers, therapists, and administrative staff. Your role involves facilitating clear communication, aligning on care goals, and ensuring compliance with regulatory standards. Regular team meetings and case conferences are common, where you'll provide leadership, resolve challenges, and drive initiatives to improve both patient outcomes and operational efficiency. Building strong relationships across departments is essential for maintaining a high standard of care and fostering a collaborative work environment.

What is the difference between Executive Director Ltss vs Program Manager?

AspectExecutive Director LtssProgram Manager
CredentialsTypically requires a bachelor’s or master’s degree in social work, public administration, or related field; certifications varyUsually requires a bachelor’s degree; some roles prefer a master’s or relevant certifications
Work EnvironmentOversees multiple programs or departments within a senior leadership capacity, often in nonprofit or government agenciesManages specific programs or projects, often within a team, focusing on day-to-day operations
Employer & IndustryCommonly employed by government agencies, nonprofits, or healthcare organizations providing long-term support servicesFound in similar settings but with a narrower scope, focusing on program delivery and management

The Executive Director Ltss holds a higher-level leadership role overseeing multiple programs and strategic initiatives, while a Program Manager focuses on managing specific programs or projects within the organization. Both roles require relevant credentials and experience, but the Executive Director Ltss typically has broader responsibilities and authority.

What are popular job titles related to Executive Director Ltss jobs?

For Executive Director Ltss jobs, the most frequently searched job titles are:

Infographic showing various Executive Director Ltss job openings in the United States as of September 2026, with employment types broken down into 2% As Needed, 85% Full Time, 12% Part Time, and 1% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $101,436 per year, or $48.8 per hour.

Director, Employment & Community Inclusion

Baltimore, MD • On-site

$90K/yr

Full-time

Posted 11 days ago


Job description

Position Title
Director, Employment & Community Inclusion
Position Reports To
Executive Director of Adult Services
FLSA Status
Exempt
Work Location
On-site
POSITION SUMMARY
Under the supervision of the Vice President/Executive Director of Adult Services, the Director, Employment & Community Inclusion is responsible for carrying out the objectives of development, evaluation, training, and service delivery while maintaining high standards of programming consistent with licensing requirements, regulations, and NCIA policy. The Director is responsible for hiring and supervising staff employed in the NCIA Meaningful Day Program. This full-time position provides comprehensive coordination and facilitation of all operational components of the Meaningful Day Program.
ESSENTIAL RESPONSIBILITIES AND CORE COMPETENCIES
  • Develops, coordinates, and implements all facets of Meaningful Day's day-to-day operations and oversees all program activities.
  • Develops and motivates high-performing teams; provides supervision, mentoring, and professional development opportunities; and promotes an atmosphere of quality customer service and excellence in service delivery.
  • Develops effective working partnerships and customer relationships with state agencies, funding sources, community providers, community employers, and individuals and families.
  • Manages program budget, revenue, and expenses and monitors compliance with budget guidelines.
  • Participates in long-term program planning and recommends timelines and resources needed to achieve strategic goals.
  • Monitors compliance with NCIA policies and all relevant regulatory requirements, including COMAR and applicable local health and fire department regulations.
  • Designs and strategically implements the transformation of NCIA's current day and employment service supports to meet HCBS waiver requirements and DORS and EWP employment objectives.
  • Ensures all programming aligns with the CMS Final Rule, LTSS Maryland, and the Community Settings Rule.
  • As part of the strategic plan, develops program performance metrics and consistently achieves a minimum success rate of 90%.
  • Applies continuous-improvement methods and makes timely course corrections as required.
  • Assists with development of the annual program budget within NCIA's financial systems; develops program staffing and activities within budget parameters; and manages income and expenses to support program quality and financial health.
  • Evaluates, implements, and creates workflows for the software system used to track and monitor documentation of service needs in accordance with each Person-Centered Plan.
  • Ensures services provided meet LTSS billing requirements so the Agency bills accurately for services delivered.
  • Builds and nurtures relationships with private employers to create pathways to competitive community employment opportunities for adults with disabilities.
  • Leads implementation of NCIA's goals for community employment, customized employment, business ownership, volunteerism, and meaningful community-development activities for people receiving supports.
  • Participates in recruiting, hiring, orientation, training and development, supervision, evaluation, disciplinary actions, and termination of staff.
  • Oversees management of the contracted temporary workforce.
  • Develops and updates the Meaningful Day operations manual and communicates NCIA and Meaningful Day policies and procedures to staff, individuals, and caregivers.
  • Ensures all staff adhere to NCIA policies and regulatory requirements regarding confidentiality, abuse, neglect, and the fundamental rights of individuals.
  • Promotes individuals' values and rights by implementing immediate corrective action to resolve identified problems.
  • Meets regularly with the Executive Director to review progress and concerns regarding the Meaningful Day Program.
  • Reviews payroll, budgets, and other fiscal items to ensure accuracy and compliance with NCIA policies and U.S. Department of Labor wage-and-hour laws.
  • Maintains records, prepares reports, and composes correspondence related to the work.
  • Attends scheduled administrative meetings and holds regular staff meetings.
  • Serves as liaison between the community and the Meaningful Day Program.
  • Performs other related duties as assigned by the Executive Director.
  • Ability to read, analyze, and interpret the most complex documents.
  • Ability to respond effectively to the most sensitive inquiries or complaints.
  • Ability to write speeches and articles using original or innovative techniques or styles.
  • Ability to deliver effective and persuasive speeches and presentations on controversial or complex topics to top management, public groups, and boards of directors.
  • Ability to work with mathematical concepts such as probability and statistical inference and to apply concepts such as fractions, percentages, ratios, and proportions to practical situations.
  • Ability to apply principles of logical or scientific thinking to a wide range of intellectual and practical problems.
  • Ability to work with nonverbal symbolism, including formulas, scientific equations, graphs, and musical notes, in its most complex forms.
  • Ability to work with a variety of abstract and concrete variables.
  • Strong time-management, interpersonal, leadership, organizational, and motivational skills.
  • Ability to execute decisions, delegate responsibilities, follow up effectively, and communicate proficiently.
  • Strong work ethic.
  • Proficiency in Microsoft Office, Google Docs, and mobile platforms.
  • Ability to operate a motor vehicle.

PHYSICAL REQUIREMENTS
This position requires the ability to remain stationary for extended periods; move throughout the work area; bend, kneel, crouch, reach, walk, jog, or run as applicable; operate standard office equipment and technology; communicate effectively; and occasionally lift, carry, push, or pull up to 10 lbs. These requirements are necessary to perform the essential functions of the position, with or without reasonable accommodation, in accordance with applicable law.
POSITION REQUIREMENTS
  • Education: Master's degree from four-year college or university; with 8 years' experience working with adults with an intellectual disability in employment/day support settings
  • Certifications: ACRE (Association of Community Rehabilitation Educators) certification/training is required. Certified Employment Support Professional (CESP) certification is preferred. Candidates who do not possess CESP certification at the time of hire will be required to obtain CESP certification within the first twelve (12) months of employment and maintain the certification in accordance with applicable certification requirements.
  • Experience: Ten (10) years supervisory experience with 5 years at a senior level, or

commensurate combination of education and experience.
  • Background Requirements: Must be able to successfully complete a criminal background check, fingerprinting, and drug screening.

  • Valid Maryland Driver's License with less than 3 points

NCIA is an Equal Opportunity Employer. Employment decisions are made without regard to race, color, religion, sex, pregnancy, sexual orientation, gender identity or expression, national origin, age, disability, genetic information, veteran status, marital status, or any other status protected by applicable federal, state, or local law. NCIA provides reasonable accommodation to qualified individuals with disabilities during the application process and throughout employment, consistent with applicable law. Individuals who require an accommodation should contact Human Resources.