Division Director, Home Health Services

Northeast Arc•Danvers, MA

About The Position

Northeast Arc's Clinical Services division is seeking an experienced, mission-driven leader to provide strategic, business, and operational leadership for its home health services, including continuous skilled nursing and homecare. Serving as the agency's Home Health Administrator, the Division Director is appointed by and accountable to the governing body and is responsible for all day-to-day operations of the home health component of the organization. The role owns the division's financial performance, workforce development, business growth, and regulatory compliance, ensuring that services are high quality, financially sustainable, and aligned with regulatory standards. The position contributes to Northeast Arc's mission of helping people with disabilities become full participants in their communities.

Requirements

  • Bachelor's degree required.
  • At least 5 to 8 years of progressive management experience in home care, visiting nursing services, or a similar healthcare service, including senior-level business or operations leadership.
  • Demonstrated experience managing a budget or P&L, including revenue cycle, billing, reimbursement, and cost management.
  • Must successfully complete and pass all required background checks as a condition of employment.
  • Demonstrated commitment to Northeast Arc's mission, vision, values, and the people it serves.
  • Strong business acumen, including financial analysis, budgeting, and data-driven decision-making.
  • Proven track record in business development, program design, and payer/contract negotiation.
  • Working knowledge of the Medicare Home Health Conditions of Participation, MassHealth, and other payer requirements.
  • Inclusive leadership and management style that builds, develops, and retains high-performing management teams.
  • Strong strategic thinking and ability to operate at both the tactical and systemic level.
  • Ability to manage multiple priorities in a demanding environment; excellent interpersonal and organizational skills.

Nice To Haves

  • Master's degree in healthcare administration, public health, social work, business administration, or a related field (e.g., MHA, MPH, MSW, MBA).
  • Clinical background (RN).

Responsibilities

  • Serve as the Home Health Administrator, appointed by and accountable to the governing body, with responsibility for all day-to-day operations of the home health division.
  • Own the division's financial performance, including annual budget development, forecasting, P&L management, cost control, and monthly variance reporting.
  • Oversee the revenue cycle, including intake and authorization, billing accuracy, claims, collections, denials management, and timely reimbursement across Medicare, MassHealth, managed care, and other payers.
  • Develop and execute business plans to grow census and revenue, including new service lines, referral partnerships, and payer relationships.
  • Lead workforce planning, recruitment, onboarding, training, retention, and performance management for division staff; participate in final hiring and separation decisions in accordance with agency policy.
  • Ensure compliance with Medicare Home Health Conditions of Participation, state requirements, accreditation standards, and payer contracts; serve as primary contact for audits, surveys, and licensing reviews and lead corrective action.
  • Oversee the division's quality assessment and performance improvement (QAPI) activities, incident and complaint management, and risk mitigation in partnership with Clinical Managers.
  • Represent the division as an active member of the Senior Leadership Team and Joint Agency Management Team (JAMM), contributing to agency-wide planning, management, and communication.

Benefits

  • Medical, dental, and vision coverage for employees working an average of 30 hours per week.
  • Generous paid time off, including vacation, sick time, and 12 paid holidays.
  • Flexible Spending Accounts for health care and dependent care.
  • Group Life Insurance.
  • Additional voluntary insurance options and discount programs.
  • 403(b) retirement plan with limited company match.
  • Employee Assistance Program and Mental Health Hub.
  • Ongoing professional development, including trainings, conferences, CEUs, and more.
  • eAcademy online learning platform.
  • Mileage reimbursement where applicable.
  • Additional perks, including employee discounts.
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