Chief Executive Officer

Overview

We seek a Chief Executive Officer to lead PedMedCare in establishing the premier national network of Prescribed Pediatric Extended Care Centers (PPECC) across the United States, starting with a launch center in San Antonio, TX (relocation supported). This executive role reports to the Board of Directors and requires overseeing both operational and clinical excellence to build a scalable platform of many centers under one brand and clinical standard.

About the Vision

Currently, the pediatric medical day care category is fragmented and underdeveloped with roughly 180 licensed centers in 15 states nationwide. Texas alone has sufficient demand for over 40 centers, and across states with Medicaid benefits, the market should feasibly support a thousand or more centers. The opportunity lies in unifying this fragmented market by creating a consistent national brand with standardized clinical and operating protocols, supported by an innovative real estate ownership structure.

Opportunity Details

A PPECC is a licensed medical day care center serving children with complex medical needs such as ventilator dependence and feeding tubes. These centers provide skilled pediatric nursing, therapies, developmental programs, and transport services reimbursed by Medicaid, offering a cost-effective alternative to hospitalization or home nursing while enabling parents to rejoin the workforce.

The company has secured its capital structure, a site pipeline, and a property partner with deep real estate expertise valued at $500M assets under management. The CEO will spearhead the operating company focused on clinical licensing, workforce, revenue management, census growth, and scaling operations nationwide.

Core Responsibilities

• Lead the licensure process and open the first center from zero through compliance and patient admission.
• Recruit, develop, and retain qualified clinical and executive leadership amidst a constrained pediatric nursing labor market.
• Manage state licensing authority relationships, ensure compliance, address deficiencies, and maintain multi-state regulatory standards.
• Own the Medicaid-based revenue cycle including managed care contracting, prior authorizations, denial management, and appeals.
• Establish and nurture referral networks with hospitals, pediatric specialists, and home health agencies to build census.
• Develop and refine a scalable multi-site operating model with centralized services that improve economics at scale.
• Maintain full P&L responsibility, making informed decisions based on census, contribution margins, and ramp-up capital requirements.
• Build and manage a high-performing executive leadership team with documented hiring successes and lessons learned.
• Ensure uncompromising clinical quality, risk management, and family trust in vulnerable pediatric populations.

Ideal Additional Qualifications

• Familiarity with real estate site selection, lease structures, and credit impact within healthcare property finance.
• Prior CEO, board membership, or executive leadership experience.
• Experience obtaining licensure and entering new states without prior footprint.
• M&A and integration expertise for acquiring regional operators during expansion.
• Background in pediatric or medically complex care populations.
• Engagement with state-level policy and payer organizations.

Compensation & Benefits

• Competitive base salary up to $2,000,000+, aligned with experience and track record.
• Annual performance bonus ranging from 50% to 100% of base, based on center openings, census goals, survey results, and clinical quality.
• Substantial equity participation in both the operating and property companies, providing meaningful founder-level ownership and a stake in the real estate portfolio across the network.
• Stock options with milestone-based vesting over four to five years and acceleration on change of control.
• Comprehensive benefits including medical, dental, vision, relocation assistance, executive severance, and change-of-control protections.

Phased Objectives

Phase One (Validation): Successfully license and open the initial center, develop a strong clinical leadership team, establish referral and billing operations, and grow census to stabilization.

Phase Two (Scalability): Create a repeatable, documented opening playbook, open and stabilize additional centers, build centralized services to improve unit economics, and recruit the executive team.

Phase Three (National Brand Building): Lead multi-state expansion through organic growth and acquisitions, set clinical standards and brand identity nationally, and manage full P&L reporting to the board.

Equal Opportunity Statement

PedMedCare is an equal opportunity employer that values diversity. All qualified candidates will be considered without regard to protected characteristics.