Job Description
Executive Director•Adult Foster Care & Community-Based Home Services Vizx Global Boston, MA Job Details Full-time $130,000•$170,000 a year 1 day ago Benefits Wellness program Health insurance Dental insurance Paid time off Vision insurance Qualifications Vendor relationship building Executive leadership Home care experience Director experience Master of Health Administration Accreditation standards (regulatory compliance area) Accounts receivable management Managing healthcare operations budgets Quality of care (regulatory compliance area) Large-scale organizational change management Healthcare Administration Social service program staff supervision Medical billing compliance checks Quality control audit Master's degree Clinical audit and monitoring Profit & Loss statement Regulatory readiness in healthcare Medical claims submission Business Administration Home healthcare regulations C-Suite experience Quality audits Master of Business Administration Profit and loss analysis Financial reporting in social services Home & community care experience Stakeholder relationship building Cross-functional communication Senior leadership
Full Job Description Role:
Executive Director•Adult Foster Care & Community-Based Home Services Location:
Boston, Massachusetts Organization:
Confidential Healthcare Services Organization Reports To:
CEO, Vizx Corp Employment Type:
Full-Time, Exempt — Executive Leadership Compensation:
$130,000•$170,000 base + performance incentive up to 15% Program Focus:
MassHealth Adult Foster Care (AFC) & Group AFC (GAFC) | CARF-Accredited Key Payers:
MassHealth (Medicaid), Integrated Care Organizations (ICOs), Senior Care Options (SCOs), PACE programs Regulatory Body:
EOHHS / MassHealth | 130 CMR 408.000 | CARF Pay Transparency Notice:
Salary range posted in compliance with applicable Massachusetts law. Final offer commensurate with experience and scope. THE OPPORTUNITY
Vizx Corp is conducting a confidential search for an Executive Director to lead an established, CARF-accredited MassHealth provider of Adult Foster Care (AFC) and community-based home services in Greater Boston. This is a true executive appointment — full P&L accountability, regulatory authority, and strategic leadership of a multi-disciplinary organization at a pivotal moment in its growth. The Executive Director will serve as the senior-most on-site leader, reporting directly to the Vizx Corp CEO. You will inherit an organization with a strong clinical reputation, trusted caregiver relationships, and a deep community presence — and you will be expected to build on that foundation with the operational discipline and strategic vision needed to scale. This role is for an executive who has run a healthcare organization before — not someone aspiring to. If you have led an AFC provider, a home health agency, an FQHC, or a similarly complex MassHealth-contracted program and are ready to step into full organizational accountability, we want to speak with you. SCOPE OF LEADERSHIP
This is a full organizational leadership role. The Executive Director oversees:
1. Clinical & Program Operations AFC and GAFC program delivery across all enrolled members MDT structure: Program Director, RN/LPN, and Care Manager functions Caregiver recruitment, evaluation, training, and ongoing support Clinical assessments, prior authorizations, and care plan workflows Financial & Administrative Oversight Full P&L accountability for the organization MassHealth revenue cycle: billing, claims, AR aging, prior authorization Budget management and vendor relationships Regular financial reporting to Vizx Corp leadership 2. Regulatory & Compliance Authority MassHealth AFC/GAFC
compliance (130 CMR 408.000) and billing standards CARF accreditation ownership — readiness, surveys, corrective action HIPAA compliance and data governance Incident reporting and quality management under EOHHS requirements Workforce & Organizational Leadership Executive leadership across clinical, administrative, and care management teams Talent strategy: hiring, retention, succession planning Culture ownership — accountability, trust, and staff engagement Organizational transition leadership in partnership with Vizx Corp 3. Financial & Administrative Oversight Full P&L accountability for the organization MassHealth revenue cycle: billing, claims, AR aging, prior authorization Budget management and vendor relationships Regular financial reporting to Vizx Corp leadership 4. Workforce & Organizational Leadership Executive leadership across clinical, administrative, and care management teams Talent strategy: hiring, retention, succession planning Culture ownership — accountability, trust, and staff engagement Organizational transition leadership in partnership with Vizx Corp KEY RESPONSIBILITIES 1.
Clinical Operations & Service Delivery Lead delivery of services across all program lines with full accountability for member outcomes, caregiver quality, and program integrity Maintain the multidisciplinary team (MDT) structure required under applicable regulations — ensuring each function is appropriately staffed, supervised, and performing Oversee caregiver and direct care worker recruitment, onboarding, annual evaluation, and ongoing support to sustain program quality and member safety Ensure timely completion of all clinical documentation: assessments, prior authorizations, care plans, and discharge planning Monitor clinical quality indicators and drive continuous improvement across all care delivery programs 2. Regulatory Compliance & Risk Management Maintain full compliance with MassHealth AFC/GAFC
regulations (130 CMR 408.000), all billing rules, and administrative standards Own CARF accreditation — including policies, internal monitoring, mock survey preparation, and corrective action planning Oversee HIPAA compliance, mandated reporting obligations (51A), and incident management Monitor EOHHS and MassHealth regulatory developments and implement policy adjustments proactively Serve as the organization's primary point of contact with EOHHS, MassHealth, and CARF surveyors 3. Financial Leadership Own the organization's P&L — managing budget, cost structure, and financial performance to margin and growth targets set with Vizx Corp leadership Oversee revenue cycle performance: billing accuracy, claims submissions, AR aging, prior authorization compliance, and payer reconciliation Identify and execute opportunities for financial efficiency, service-line growth, and sustainable scaling Deliver regular, board-quality financial performance reporting to Vizx Corp leadership 4. Workforce Leadership & Organizational Culture Lead, develop, and retain a high-performing executive and clinical team — with clear expectations, ongoing feedback, and visible accountability Own talent strategy: workforce planning, succession readiness, and key-person risk mitigation in a competitive labor market Build and maintain a culture of mutual respect, clinical excellence, and organizational pride across a diverse workforce Serve as a stabilizing, accessible executive presence for staff, caregivers, and community partners throughout organizational transition 4. Stakeholder & Community Relations Maintain and grow referral relationships with hospitals, discharge planners, PCPs, social workers, and community-based organizations across Greater Boston Serve as primary executive representative with MassHealth, MCOs, ICOs (Integrated Care Organizations), and SCOs (Senior Care Options) Build relationships with PACE programs and LTSS coordination entities serving Vizx Corp members Communicate proactively with members, caregivers, and families in their primary language where possible 5. Organizational Transition & Integration Partner with Vizx Corp's Director of Administration & Operational Systems on system onboarding, policy harmonization, and operational alignment Build the executive team and operational infrastructure required for sustained performance at scale in the Boston, MA market Develop and execute a 12-month strategic roadmap anchored in quality outcomes, regulatory compliance, and program growth QUALIFICATIONS & LICENSURE
Licensure & Background Check Requirements — Boston, MA No specific state executive license is required for this role. Candidates holding an NHA, RCFE
Administrator Certificate, LCSW, RN, or CCM credential are strongly preferred. All candidates must obtain CORI/SORI
clearance prior to hire. Background Check Required:
CORI + SORI
clearance required prior to hire Mandated Reporter:
Massachusetts Mandated Reporter (51A) — training provided Required Qualifications 7+ years of progressive healthcare leadership, with at least 3 years in an executive or senior director role Demonstrated P&L ownership in a MassHealth-contracted, home health, AFC, or community-based healthcare setting Direct experience overseeing MDT operations in a MassHealth AFC or GAFC program Track record of leading organizations through CARF accreditation, regulatory audits, or equivalent quality reviews Financial fluency in healthcare revenue cycle management, including MassHealth billing and AR oversight Demonstrated ability to lead through organizational change while maintaining staff trust and program quality Exceptional communication skills across clinical staff, regulatory bodies, caregivers, and executive leadership Preferred / Differentiating Prior Executive Director, CEO, or COO role at a MassHealth AFC, GAFC, or home-based services agency CARF accreditation experience specific to AFC or community-based services Familiarity with MassHealth managed care organizations (MCOs), ICOs, SCOs, or PACE program requirements Experience supporting corporate acquisition, leadership transition, or organizational restructuring Master's degree in Healthcare Administration, Business Administration, or related field (MHA or MBA preferred) ACHE Fellow (FACHE), Licensed NHA, RCFE
Administrator, or equivalent executive credential Bilingual:
Spanish, Haitian Creole, Cape Verdean Creole, Portuguese, or Somali strongly preferred CORI/SORI
background clearance (required prior to hire) COMPENSATION & BENEFITS
Base Salary $130,000•$170,000 base + performance incentive up to 15% Performance Incentive Up to 15% of base | Tied to quality, compliance, financial, and growth benchmarks Health & Wellness Medical, dental, and vision coverage; wellness program access Time Off Competitive PTO per Vizx Corp executive policy Professional Dev. Executive leadership development; ACHE dues and conference support; Vizx Corp training resources Growth Path Direct reporting relationship to CEO; opportunity to shape Vizx Corp's regional expansion strategy and AFC program development WHAT SUCCESS LOOKS LIKE
Milestone Operational & Clinical Outcomes and People & Culture Outcomes Day 30 Operational continuity confirmed; payroll, credentialing, and IT stable; compliance risks documented and escalated Staff listening sessions complete; key retention risks identified; transition communication plan in place Day 60 Revenue cycle aligned to Vizx standards; MDT roles fully staffed; accreditation readiness assessment underway; AR aging benchmarked Cross-functional onboarding complete; first 1:1s with all direct reports conducted; staff engagement baseline established Day 90: KPI dashboard live; first quality audit complete; 12-month strategic roadmap presented to Vizx Corp CEO Organization-wide town hall held; early wins recognized publicly; culture and engagement survey administered LANGUAGE CAPABILITIES
— BOSTON, MA
The communities we serve in Boston, MA speak many languages. Candidates with fluency in any of the following are strongly encouraged to apply: Spanish, Haitian Creole, Cape Verdean Creole, Portuguese, Somali, Vietnamese. ABOUT THIS OPPORTUNITY
This organization has built something worth preserving — a track record of quality care, trusted caregiver relationships, and a meaningful presence in the communities it serves. Vizx Corp is committed to strengthening that foundation, not replacing it. The Executive Director we hire will be both steward and architect — protecting what has been built while creating the conditions for what this organization can become. This is a role for a leader who is energized by complexity, grounded in care, and prepared to be the most visible and trusted person in the room in Boston, MA. If you have led a healthcare organization through transition, built clinical teams that trust you, and operated within the regulatory demands of Boston, MA — this is a rare opportunity to do that work at the executive level with the backing of a committed ownership group. Vizx Corp is an Equal Opportunity Employer. Pay:
$130,000.00•$170,000.00 per year Benefits:
Dental insurance Health insurance Paid time off Application Question(s): Which of the following languages do you speak fluently: Spanish, Haitian Creole, Cape Verdean Creole, Portuguese, Somali, or Vietnamese? Education:
Master's (Preferred) Experience:
progressive healthcare leadership, : 7 years (Required) executive or senior director: 3 years (Required) overseeing MDT in a MassHealth AFC or GAFC program: 3 years (Required) License/Certification:
Massachusetts CORI & SORI
Clearance (Preferred) Work Location:
In person
