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Chief Operating Officer (COO) - Home Care Growth & Operations

Chief Operating Officer (COO) - Home Care Growth & Operations

SIGMA HomeCareBloomfield Hills, MI, US
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Job Description

Job Description

​​ 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

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    Chief Officer Growth • Bloomfield Hills, MI, US

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