Vice President - Home & Community Based Services

WesleyLife CareerJohnston, IA

About The Position

WesleyLife is revolutionizing the experience of aging by challenging the stigma that aging means decline and promoting the idea that life transitions are opportunities for growth and purpose. The Vice President of Home and Community-Based Services (HCBS) envisions, builds and leads executive oversight for all of WesleyLife’s community-based services, currently including hospice, palliative, home health, in-home services, continuing care at home (WellAhead), community wellness (Well @ Wesley) Adult Day, and Community Nutrition. The VP provides executive leadership to the team to create a strong mission-centered atmosphere for clients, team members and families. This position has significant responsibility for growth and strategy of WesleyLife’s reach and impact in this space, as well as operational excellence in all areas to meet regulatory requirements, establish/meet/exceed financial expectations, ensure an excellent reputation, and serve current customers in exceptional ways.

Requirements

  • Health Care Administration, RN or Licensed Therapist, Healthcare – Wellness Strategist/Operator or Growth-Oriented General Manager with multi-site service business background desired
  • 8-12+ years of progressively responsible leadership experience in Home and Community Based Services.
  • Program/business development experience with demonstrable success as shown through census/revenue growth
  • Financial and business acumen, proven P&L responsibility and experience driving growth and operational improvement
  • Thorough knowledge of home health and hospice regulations and Medicare conditions of participation and reimbursement
  • Excellent communication and interpersonal skills
  • Track record of leading change and scaling operations
  • The ability to work effectively within and support a team environment
  • The ability to organize and manage multiple functions, schedules, and changing priorities
  • The ability to exercise sound judgment, and to make and implement well-reasoned decisions

Responsibilities

  • Models and advocates the mission, vision and values of WesleyLife.
  • Develops and executes the long-term HCBS vision, aligned with organizational goals and community-based needs and market trends.
  • Architects the strategic, operational business models, infrastructure, financial and regulatory foundations of WesleyLife’s HCBS platform.
  • Develops, plans and implements strategies to serve more individuals and address customer needs/wants through our network of services in settings that may be outside our Community for Healthy Living (“CHL”) environments.
  • Provides regular strategic updates and recommendations to executive leadership and board governance.
  • Owns and leads the growth strategy for Home & Community Based Services, with accountability for identifying, prioritizing and executing new program, partnership and market opportunities that drive sustainable organizational growth.
  • Envisions innovative service lines, delivery models and geographic expansion strategies for WesleyLife’s community-based services.
  • Serves as the executive lead for market analysis and feasibility assessment.
  • Partners with Finance to develop business cases, define investment strategies and build pro forma projections for all new program and market launches.
  • Builds any new programs from the ground up, including development of operating models and performance standards.
  • Leads end-to-end development and launch of new programs, partnerships and markets, including design of operating models, staffing structures, performance standards and scalability plans.
  • Collaborates with marketing and sales as a growth leader.
  • Actively engages in broad community opportunities for visibility and to advance partnership / service opportunities.
  • Takes an active role in integrating WesleyLife services with community needs.
  • Builds and maintains a strong external network, including professional relationships with peer organizations, community-based providers, physician and system partners, to expand influence and support for WesleyLife HCBS.
  • Serves as a visible subject-matter expert and community resource, representing WesleyLIfe in public forums and with individuals and organizations on issues related to home and community-based services and aging / continued wellness in place.
  • Provides executive oversight of HCBS operations, ensuring programs operate effectively, consistently, and in alignment with WesleyLife’s strategic, financial and quality expectations through the leadership of the Executive Director(s) and program directors.
  • Establishes the operational vision, performance expectations, and governance structure for all HCBS programs, while delegating day-to-day execution and management to operational leaders.
  • Partners with HCBS leadership to develop and advance operational strategies and annual operating plans that drive excellence in quality, customer experience, workforce stability and financial performance.
  • Monitors and owns accountability for HCBS performance through dashboards, quality indicators, satisfaction data, and financial results, including forecast-to-actual analysis, guiding leaders in addressing trends, risks, and opportunities.
  • Leads and develops the HCBS leadership team to ensure effective leadership structures, succession planning, engagement and retention are aligned with WesleyLife’s people strategies.
  • Guides development of the financial budget and rolling multi-year forecasts in collaboration with WesleyLife leadership and program team members.
  • Addresses financial variances and implements appropriate action plans, in conjunction with HCBS leadership, for improvement, where needed.
  • Leads efforts to enable and ensure effective service coordination for patients, clients and residents (CHL, HCBS, etc.).
  • Completes other projects and assignments, performing other job-related duties as assigned.

Benefits

  • At WesleyLife, you're not just starting a job — you're joining a purpose-driven community where your well-being, growth, and impact truly matter.
  • With nearly 80 years of excellence in serving older adults, we empower our team members to thrive while making meaningful connections and changing lives every day.
  • WesleyLife is proud to be recognized as one of Senior Care’s Best Places to Work by WeCare Connect!
  • We’re committed to a workplace where every team member is seen, heard, and appreciated.
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