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:

1. Why do you want this role, and what makes you uniquely qualified?
2. Share a time you grew a company's hours, clients, or revenue - what was your approach?
3. What's one process you fixed that had a big impact?
4. (Bonus) Do you have Medicaid or waiver program experience?

Step 2: Submit Your Application Here: 👉

Only applications submitted through the form will be reviewed.