Agency Director

Position Title: Agency Director – Home Health Operations

Location: Rockville, Maryland (serving Maryland and Washington, DC)

Position Status: Full Time

Pay Rate: $100,000–$120,000 annually (commensurate with experience)

We are seeking a strategic and results-driven Agency Director to lead home health operations across Maryland and Washington, DC. This executive-level leadership role is ideal for a high-performing healthcare operations professional with expertise in home care management, regulatory compliance, staffing leadership, financial oversight, and quality improvement
.

The Agency Director serves as the operational authority for the agency, ensuring excellence in clinical operations, workforce management, client services, compliance, and financial performance
. This leader partners cross-functionally with senior leadership, HR, clinical teams, and community stakeholders to drive sustainable growth, operational efficiency, and exceptional patient care outcomes. This role is best suited for a proactive leader who thrives in fast-paced healthcare environments, embraces accountability, and brings structure and clarity to complex operational challenges.

• Provide hands-on leadership and oversight of daily home health agency operations
• Manage client escalations, staffing challenges, clinical issues, and incident resolution
• Ensure adequate staffing coverage, workforce stability, and proactive risk mitigation
• Oversee intake, admissions, care coordination, and continuity of care processes
• Review and approve payroll, billing, overtime, and rate adjustments to ensure financial integrity
• Monitor and analyze KPIs including census growth, hours billed, overtime utilization, staffing gaps, and compliance metrics
• Maintain full regulatory compliance with Maryland RSA/COMAR and Washington, DC HSA regulations
• Lead audit preparation, inspections, accreditation readiness, and license renewals
• Recruit, onboard, mentor, and performance-manage interdisciplinary teams
• Build and maintain strong relationships with hospitals, healthcare systems, referral partners, and community organizations
• Drive operational excellence, quality improvement initiatives, and scalable process development

• Minimum 5+ years of progressive leadership experience in home health, home care, or healthcare operations management
• Demonstrated success managing staffing models, compliance programs, and operational KPIs
• Strong working knowledge of Maryland and/or Washington, DC home care regulations
• Experience overseeing budgeting, payroll, billing, and financial performance metrics
• Proven ability to lead high-performing teams and manage organizational change
• Excellent executive communication skills and leadership presence
• Strong decision-making skills with a solutions-oriented and accountable mindset
• Bachelor’s degree in Healthcare Administration, Business Administration, Nursing, or related field preferred

At Seneca Resources, we are more than just a staffing and consulting firm, we are a trusted career partner. With offices across the U.S. and clients ranging from Fortune 500 companies to government organizations, we provide opportunities that help professionals grow their careers while making an impact. When you work with Seneca, you’re choosing a company that invests in your success, celebrates your achievements, and connects you to meaningful work with leading organizations nationwide.

We take the time to understand your goals and match you with roles that align with your skills and career path. Our consultants and contractors enjoy competitive pay, comprehensive health, dental, and vision coverage, 401(k) retirement plans, and the support of a dedicated team who will advocate for you every step of the way. Seneca Resources is proud to be an Equal Opportunity Employer, committed to fostering a diverse and inclusive workplace where all qualified individuals are encouraged to apply.