General Manager - Home Healthcare (Las Vegas, NV)
General Manager - Home Healthcare
Market-Level P&L Leadership | Full-Time | On-Site / Hybrid
Location: Las Vegas, NV
Industry: AI-Native Post Acute Care
Compensation: $150-$200 + Bonus + Equity
About the Client
We are fixing US healthcare by building an AI-native physical care platform, starting with home health. Home health is a $140B industry generating less than $10B in EBITDA — roughly 40% of revenue is consumed by pure administrative waste. We automate that waste with AI, creating a fundamentally different cost structure that lets us rapidly take market share by serving the 30% of patients who go untreated today.
Every dollar of revenue we generate removes two dollars from the healthcare system. If we succeed, so does US healthcare.
Our platform operates at materially higher gross margins than traditional home health providers. We pay clinicians more, strip out their admin burden, and unlock scale economics that have eluded this fragmented industry for decades. We are backed by world-class venture investors and scaling nationally through organic growth and acquisition.
About the Role
We are hiring General Managers to own and operate individual markets as we scale nationally. This is a P&L ownership role. You will run your market — a metropolitan area or MSA — as your own business. You own the census, the margin, the team, the clinical quality, and the growth trajectory.
Some GMs will take over existing operations and transform them. Others will stand up new markets from scratch, including post-acquisition integrations. All will operate with the intensity, ownership, and judgment of a founder running a business backed by a growth-stage platform and top-tier investors. All GMs receive a robust onboarding program to learn the industry and the business before stepping into the seat.
Responsibilities
Market P&L
Full accountability for revenue, census growth, gross margin, and unit economics
Drive census growth in partnership with Sales — translate referral pipeline into admitted, scheduled, and served patients
Leverage data and AI-driven tooling for daily resource allocation decisions that convert top-line growth into bottom-line results
Operations
Run daily execution across scheduling, staffing, clinical compliance, and service delivery
Single point of accountability for compliance, survey readiness, and clinical quality in your market
Partner cross-functionally with centralized Technology, Compliance, and Operations — you own local outcomes
Team
Hire, develop, and lead your market's operations team — Schedulers, Patient Care Coordinators, Clinical Managers, Sales Reps, and field clinicians
Build bench strength ahead of volume; sequence hiring and training to support growth, not just maintain current operations
Set clear expectations, coach through structured routines, and make the hard calls on performance
Platform
Serve as the critical feedback loop between field operations and our AI/product teams
Be the voice of your market to leadership: what's working, what's not, and what you need to win
Requirements
You are a high-ceiling, low-ego operator who wants to own a real business and a real team — not a workstream or a slide deck. You have run complex, people-heavy operations before and you are looking for a role where performance is rewarded with real upside and increasing scope.
Must-Haves
People leadership — you know how to lead others, set a high bar, and build trust through clear expectations and direct feedback
Operational execution at intensity — you have built and managed operational systems across complex, multi-stakeholder environments
Team building at scale — you have hired, onboarded, and scaled teams in operationally intensive environments and can cite specific sourcing strategies, hiring mistakes, and resulting process changes
Performance management — you have made difficult calls: coaching plans, demotions, terminations. You act decisively and can walk through the judgment behind each decision
Data-driven problem solving — you are comfortable with data, can build a simple model quickly, and always get to the "so what"
Owner, not advisor. You want to be on the hook for the P&L — and you are energized by that accountability
Builder, not maintainer. You are energized by standing up new markets, fixing broken operations, and scaling what works
Intensity is your default. You manage multiple competing priorities without getting overwhelmed
Systems over heroics. You solve problems by building process and infrastructure, not individual effort that does not scale
People leader. You set a clear standard, give direct feedback, and build trust across all levels
Low ego, high standards. No task is beneath you if it helps the team win
Nice-to-Haves
Experience in PE-backed operating companies or multi-site service businesses
Experience managing through rapid growth, post-acquisition integrations, or turnarounds
Military experience
Multi-site or multi-market operational leadership
Familiarity with AI-enabled operations or real-time operational instrumentation
What We Don't Require Home health or healthcare experience is not required. Strong operators from logistics, field services, staffing, or marketplace businesses translate well. Operational execution capability is what matters.
Compensation & Benefits
Competitive base + annual performance bonus tied directly to your market's P&L outcomes across compliance, census growth, operational execution, and patient satisfaction
Equity participation — you are building enterprise value, and your compensation reflects that
Comprehensive benefits including medical, dental, and 401(k) matching
Clear growth path — top-performing GMs take on multi-market responsibility and step into regional and platform-level leadership as we scale