Achievers Health Care LLC is seeking an experienced, results-oriented Deputy Administrator / Operations Manager to provide leadership over the day-to-day operations of our growing home health agency in Columbus, Ohio.
This is a senior operational leadership position with responsibility for regulatory compliance, operational efficiency, business growth, revenue optimization, staff accountability, and profitability.
The successful candidate will work closely with the Administrator, Director of Nursing, clinical leadership, billing team, and administrative staff to strengthen the agency's operational infrastructure, maintain regulatory readiness, expand the client base, improve reimbursement and collections, control operating costs, and build scalable systems that support sustainable growth.
The ideal candidate will have significant experience in Ohio home health, healthcare operations, Medicaid/Medicare compliance, business development, or multi-payer healthcare administration and will be comfortable being held accountable for measurable operational and financial results.
Key Responsibilities
1. Regulatory Compliance & Quality Management
- Maintain operational compliance with applicable Ohio Department of Health (ODH), Ohio Medicaid, CMS/Medicare, HIPAA, OSHA, and other federal and state requirements applicable to the agency.
- Work with clinical leadership to maintain continuous survey and audit readiness.
- Monitor personnel files, credentialing, training, background checks, clinical documentation, incident reporting, plans of correction, and required administrative records.
- Conduct or coordinate periodic internal compliance audits and ensure deficiencies are corrected promptly.
- Maintain and continuously improve agency policies, procedures, SOPs, and internal controls.
- Monitor changes in healthcare regulations and ensure timely implementation of applicable requirements.
- Support preparation for state surveys, payer audits, accreditation reviews, Medicaid reviews, and other regulatory inspections.
- Develop a culture in which compliance is integrated into daily operations rather than addressed only during surveys.
2. Operations & Organizational Management
- Manage and coordinate the agency's day-to-day administrative operations.
- Translate management objectives into measurable departmental goals, responsibilities, and deadlines.
- Develop standardized workflows and SOPs that allow the agency to operate efficiently as it grows.
- Establish performance dashboards and routinely report operational results to executive management.
- Coordinate activities across clinical operations, scheduling, intake, human resources, billing, authorization, payroll, and business development.
- Identify operational bottlenecks and implement corrective actions.
- Ensure appropriate staffing levels relative to patient census, service requirements, and reimbursement.
- Strengthen management accountability through regular operational meetings, performance reviews, and follow-up.
3. Growth & Business Development
The Operations Manager will play a direct role in expanding the agency's patient census, payer relationships, referral network, and geographic reach.
Responsibilities include:
- Develop and execute a measurable annual and quarterly growth strategy.
- Build and maintain relationships with hospitals, physicians, rehabilitation facilities, skilled nursing facilities, assisted living facilities, case managers, managed care organizations, Medicaid waiver programs, and other referral sources.
- Identify opportunities to expand into new service lines, payer contracts, populations, and geographic markets.
- Monitor referral conversion rates and identify reasons for lost or declined referrals.
- Develop strategies for improving referral intake and speed-to-admission.
- Work with leadership to evaluate potential partnerships, contracts, acquisitions, or other expansion opportunities.
- Track growth initiatives against clearly established targets for census, revenue, referrals, and payer mix.
4. Revenue, Billing & Profitability
A major responsibility of this position is ensuring that operational growth translates into sustainable profitability and positive cash flow.
The Operations Manager will:
- Monitor revenue, reimbursement, billing, accounts receivable, authorization, denial, and collection trends.
- Work closely with billing personnel and third-party billing partners to reduce outstanding claims and improve collection performance.
- Identify operational causes of delayed or denied claims and implement corrective measures.
- Monitor staffing costs, overtime, administrative expenses, vendor expenses, and other major operating costs.
- Review service profitability by payer, program, and service line.
- Assist leadership with annual budgets, forecasts, cash-flow planning, and operating targets.
- Develop strategies to improve operating margins without compromising quality of care or regulatory compliance.
- Monitor key financial and operational indicators and recommend corrective action when performance falls below expectations.
5. Human Resources & Workforce Performance
- Support recruitment, onboarding, retention, and performance management of clinical and administrative personnel.
- Work with clinical leadership to maintain appropriate staffing coverage and minimize unnecessary overtime.
- Establish clear job expectations and measurable performance standards.
- Address attendance, productivity, conduct, and performance issues in accordance with agency policies and applicable employment requirements.
- Develop supervisory and management accountability across departments.
- Identify training needs and coordinate appropriate staff development.
- Develop strategies to improve employee retention and reduce avoidable turnover.
6. Performance Management & KPIs
The successful candidate will establish and monitor a management dashboard that may include:
- Patient/client census growth
- Monthly and annual revenue growth
- New referrals and referral conversion rate
- Admission and Start-of-Care timeliness
- Authorization turnaround time
- Claims denial/rejection rates
- Accounts receivable aging
- Collection performance
- Employee turnover and vacancy rates
- Overtime and staffing costs
- Documentation compliance
- Incident and complaint resolution
- Survey/audit deficiencies
- Gross margin and operating profitability
Performance will be evaluated based on the candidate's ability to demonstrate measurable improvement in these areas.
Minimum Qualifications
- Bachelor's degree in Healthcare Administration, Business Administration, Nursing, Public Health, Health Services Management, Finance, or a related discipline.
- Minimum 3–5 years of progressive management experience in home health, healthcare operations, long-term care, behavioral/developmental disability services, or a related healthcare environment.
- Demonstrated understanding of healthcare regulatory compliance and reimbursement.
- Strong knowledge of operational management, staffing, budgeting, billing, revenue-cycle management, and performance measurement.
- Demonstrated experience supervising employees and holding teams accountable for performance.
- Strong analytical, organizational, communication, and problem-solving skills.
- Proficiency with Microsoft Office and ability to work effectively with electronic health record, scheduling, billing, and reporting systems.
- Ability to manage multiple priorities in a fast-growing healthcare organization.
Preferred Qualifications
Preference will be given to candidates with:
- Previous Administrator, Assistant/Deputy Administrator, Operations Manager, Executive Director, Branch Manager, or Regional Operations experience within home health.
- Working knowledge of Ohio Department of Health, Ohio Medicaid, Medicare/CMS, Medicaid Managed Care, and waiver-funded healthcare services.
- Experience managing a home health agency through regulatory surveys or payer audits.
- Demonstrated success increasing patient census or healthcare revenue.
- Experience with payer contracting, credentialing, prior authorizations, claims management, and reimbursement.
- Experience developing SOPs and implementing scalable operational systems.
- Experience managing a multi-million-dollar healthcare operation or rapidly growing healthcare organization.
- Master's degree in Healthcare Administration, MBA, Nursing Administration, or related field.
Ideal Candidate
We are particularly interested in a candidate who combines healthcare compliance knowledge with a strong business mindset.
You may be a strong fit if you:
- Understand that growth without compliance creates risk.
- Understand that revenue without collections does not produce cash flow.
- Can identify operational problems and implement solutions rather than simply reporting them.
- Are comfortable working with financial and operational performance data.
- Can manage managers and frontline employees effectively.
- Can build relationships with referral sources and healthcare partners.
- Can develop systems that reduce excessive dependence on the Administrator.
- Are comfortable being accountable for measurable growth, efficiency, and profitability targets.
Compensation
Competitive salary commensurate with experience and qualifications.
Compensation may include a performance-based incentive or bonus structure tied to agreed KPIs such as census growth, revenue growth, collections, regulatory compliance, operating efficiency, and profitability.
Benefits and additional compensation will be discussed with qualified candidates.
Why Join Achievers Health Care?
Achievers Health Care LLC is a growing Ohio healthcare organization focused on delivering high-quality services while building a strong, scalable, and professionally managed operation.
This position provides an opportunity for an experienced healthcare leader to assume significant operational responsibility and directly influence the organization's next stage of growth.
The successful candidate will have the opportunity to:
- Work directly with executive leadership.
- Help shape the agency's expansion strategy.
- Build and improve operational systems.
- Lead initiatives affecting revenue and profitability.
- Strengthen regulatory and quality-management systems.
- Develop into a broader executive leadership role as the organization expands.
Application Requirements
Interested candidates should submit:
- Current resume
- Brief cover letter describing relevant home health or healthcare management experience
- Examples of measurable accomplishments involving business growth, compliance, operational improvement, revenue-cycle performance, or profitability
Achievers Health Care LLC is an Equal Opportunity Employer. Employment decisions are made based on qualifications, experience, performance, and legitimate business requirements without unlawful discrimination.
Pay: $60,724.31 - $73,130.35 per year
Benefits:
Work Location: In person
