Medicare Operations Avp Jobs (NOW HIRING)

The AVP plans, directs, coordinates, and oversees operations activities across the assigned territory, ensuring the development and implementation of efficient operations and cost-effective systems that meet the current and future needs of the organization.

Responsibilities

• Oversees day-to-day operations and service delivery for every office in the territory across both the home health and private duty service lines, using KPIs or other key indicators to confirm each one is properly resourced.
• Implements operational changes that improve efficiency and set the area up for long-term sustainability, and builds new processes where they are needed.
• Monitors progress against fiscal and strategic goals, evaluates branch performance, and puts action plans in place when results slip.
• Prepares periodic activity and accomplishment reports from internal databases and leads strategic planning, special projects, and initiatives for the area.
• Recruits, hires, trains, develops, and mentors the branch directors in the area.
• Supervises branch employees and coordinates with corporate and regional support teams so goals and outcomes are met.
• Oversees clinical performance across the territory in partnership with the Director of Professional Services and branch clinical leadership — outcomes, patient experience, documentation, and clinical staffing all roll up to this role.
• Ensures every location has the clinical leadership and capacity to deliver safe, high-quality care, and moves quickly when a gap appears.
• Reviews clinical results alongside sales and operational results so decisions are made on the whole picture rather than one area in isolation.
• Keeps clinical, sales, and operations leaders in the area planning together — case mix, referral acceptance, and staffing decisions get made jointly, not in silos.
• For the private duty business, ensures care plans, supervisory visits, and caregiver competencies stay current and that service delivery matches authorized hours.
• Receives, investigates, and responds to incidents, complaints, and concerns raised by employees, clients, or referral sources anywhere in the service area.
• Communicates with clients and their families to confirm they are satisfied with the services being provided.
• Serves as a liaison with other local agencies so clients receive maximum support through available community resources.
• Accountable for quality and regulatory compliance across every location in the territory — ensures each branch meets state, federal, and accreditation standards, and holds branch leadership to that standard.
• Monitors quality and compliance indicators area-wide, identifies trends across offices, and directs corrective action plans where performance or risk warrants.
• Escalates serious incidents and allegations to corporate compliance, clinical, and legal partners, and confirms resolution and any required reporting is completed.
• Ensures every location in the area stays survey-ready, and leads the response and remediation when surveys, audits, or investigations occur.
• Partners with corporate quality, compliance, and HR to roll out policy, licensure, and certification requirements consistently across the territory.
• Maintains compliance with local, state, and federal laws and regulations governing licensure and certification of personnel.
• Participates in the branch budgeting process and forecasting, and is accountable for hitting budget targets.
• Leads the sales effort for the territory — sets targets with the sales team, runs the pipeline and account review cadence, and holds the area accountable for census and revenue growth.
• Keeps sales and operations aligned so the area can accept the volume the team wins — staffing and capacity ready ahead of demand, with a fast, reliable response to every new referral.

Qualifications | Experience | Education

• Bachelor's degree in Business Administration, Health Administration, or another industry-related field required; MBA preferred.
• At least 10 years of industry-related experience, including three years in upper management, required.
• Home Health and Medicare experience required.
• Extensive knowledge of the principles, procedures, and best practices in the industry, including both home health and private duty operations.

Category 3 – No Risk (No Exposure Expected)

Tasks involve no routine exposure to blood, body fluids, or OPIM, and employees have no duties that would place them at risk. Examples include clerical, administrative, or office-based staff with no patient care or hazardous cleaning responsibilities.

Why Join Us

You will be part of a collaborative team committed to patient-centered care, clinical excellence, and professional growth. We offer a supportive environment where your expertise has a direct impact on patient outcomes and organizational success.

Equal Opportunity Employer

This employer is required to notify all applicants of their rights pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor.