Adams Health Care

245D Program Director / Designated Manager

We are seeking an experienced 245D Program Director / Designated Manager to lead the operation, compliance, development, and expansion of our Minnesota Home and Community-Based Services (HCBS) program.

This is a senior leadership role for someone with strong, hands-on knowledge of Minnesota 245D services who can take ownership of the program, build strong operational systems, and work directly with executive leadership to expand the organization.

Leadership & Operations

• Lead day-to-day operations and overall performance of the 245D program.
• Serve as the Designated Manager and oversee Designated Coordinator functions, as applicable.
• Develop effective systems for admissions, service delivery, documentation, staffing, and program oversight.
• Recruit, supervise, develop, and hold program staff accountable.
• Establish strong operational standards as the organization grows.

Compliance & Quality

• Maintain compliance with Minnesota Chapter 245D, DHS licensing requirements, and HCBS standards.
• Maintain readiness for DHS licensing reviews, audits, investigations, and inspections.
• Oversee required assessments, support plans, documentation, staff training, incidents, medication-related systems, and corrective actions.
• Conduct internal compliance reviews and proactively address deficiencies and operational risks.
• Monitor regulatory changes and ensure required changes are implemented.

Program Development & Expansion

• Lead the development and expansion of 245D services, programs, and locations.
• Evaluate new referrals and opportunities based on client needs, staffing capacity, compliance requirements, and organizational readiness.
• Develop the operational structure necessary to successfully launch and sustain new programs.
• Build strong relationships with counties, case managers, guardians, families, and community partners.
• Work directly with executive leadership to identify expansion opportunities and execute the organization's long-term 245D strategy.

Qualifications

• Significant experience working with Minnesota 245D licensed services.
• Previous experience as a Designated Manager, Program Director, Designated Coordinator, or comparable 245D leadership position.
• Strong knowledge of DHS licensing, 245D compliance, documentation, staffing, and service delivery requirements.
• Experience with DHS licensing reviews, compliance audits, corrective actions, and program development strongly preferred.
• Proven leadership, organizational, and problem-solving abilities.
• Must meet applicable DHS qualification requirements.

Growing Minnesota HCBS provider delivering quality, person-centered 245D services.