Demo

Senior Director, Strategic Initiatives

Aeroflow Health
Asheville, NC Full Time
POSTED ON 4/21/2026
AVAILABLE BEFORE 5/21/2026
Aeroflow Health – Vice President of Strategic Initiatives

Aeroflow Health is a national leader in home medical equipment and clinical services. We combine technology, operational excellence, and compassionate expertise to deliver essential products and care directly to patients’ homes. At Aeroflow Health, we make healthcare accessible by taking a holistic approach to how we care for our patients.

We are equally as passionate about taking care of our employees. Recognized as one of the fastest-growing healthcare companies in the U.S., an Inc. 5000 honoree, and a certified Great Place to Work®, Aeroflow continues to seek ways they can be one of the nation’s top employers. As we continue to grow, we remain committed to building an exceptional workplace where talented professionals are empowered, supported, and inspired to make meaningful impact every day.

The Opportunity

The Vice President of Strategic Initiatives will serve as a trusted partner to the Chief Strategy Officer (CSO), acting as both a strategic thought partner and execution leader across a wide range of high-impact initiatives.

This is a high-trust, high-autonomy role designed for someone who can take limited direction, quickly synthesize complex challenges, and drive initiatives forward across multiple functions.

You will help bring structure to challenges, aligning stakeholders, and ensuring key priorities are executed effectively across the organization.

This role requires a unique blend of program management, strategic thinking, and hands-on execution, often shifting between all three in real time.

Your Primary Responsibilities

Program Leadership & Stakeholder Alignment

  • Lead complex, cross-functional initiatives across payer relations, compliance, operations, and leadership teams
  • Act as a central point of coordination across initiatives.
  • Drive alignment across senior leaders, often with competing priorities, to move initiatives forward
  • Establish clear communication cadences, ownership structures, and accountability frameworks
  • Manage multiple concurrent initiatives while maintaining visibility into progress, risks, and dependencies

Execution & Operational Ownership

  • Translate high-level strategic direction into actionable plans, timelines, and deliverables
  • Take ownership of initiatives with minimal direction, driving them from concept through execution
  • Identify opportunities to improve workflows, clarity, and operational efficiency
  • Ensure initiatives stay on track by removing blockers, following up with stakeholders, and maintaining momentum
  • This role requires a balance of strategic thinking and hands-on execution.

Strategy & Problem Solving

  • Partner directly with the CSO to evaluate opportunities, assess trade-offs, and recommend decision paths
  • Bring a structured, consultative approach to solving complex business challenges
  • Quickly get up to speed on new domains by asking the right questions and synthesizing information effectively
  • Support strategic initiatives related to payer coverage, partnerships, and organizational priorities
  • Contribute to executive-level presentations, planning discussions, and long-term strategic initiatives

Governance, Process & Organizational Effectiveness

  • Introduce structure and scalable processes to support evolving business needs
  • Ensure compliance, audit readiness, and operational discipline across key initiatives
  • Introduce programmatic approaches to managing work across teams and functions
  • Improve organizational efficiency by reducing bottlenecks and increasing clarity across initiatives

Compliance And Professional Responsibilities

  • Employee has an individual responsibility for knowledge of and compliance with laws, regulations, and policies.
  • Compliance is a condition of employment and is considered an element of job performance
  • Maintain HIPAA/patient confidentiality
  • Regular and reliable attendance as assigned by your schedule
  • Other job duties assigned

Skills For Success

Swiss Army Knife Operator

You are comfortable operating across strategy, execution, and program leadership. You can zoom out to think strategically and then immediately shift into execution to move work forward.

Driver with Ownership Mentality

You take initiative and run with it. When given a problem or opportunity, you don’t wait for direction. You figure it out and push it forward.

Builder in Evolving Environments

You are comfortable operating in environments where priorities and processes are evolving as the business grows. You bring structure, clarity, and organization to help teams operate more effectively.

Strong Stakeholder Operator

You are effective working across teams, leaders, and functions. You know how to bring the right people together, align priorities, and keep initiatives moving forward.

Relentless Follow-Through

You don’t just create plans — you ensure they get executed. You track progress, close loops, and hold work accountable through completion.

Comfortable Operating at Every Level

You are just as comfortable building strategy as you are stepping into the details to drive execution, coordination, or follow-up when needed.

Builder of Repeatable Systems

You don’t just solve problems once. You create processes, frameworks, and handoffs that allow work to scale and sustain beyond you.

High Judgment & Discretion

You are trusted with sensitive and confidential information and operate with professionalism and sound judgment.

Clear Communicator

You can take complex ideas and translate them into clear direction, plans, and next steps. You are comfortable communicating with senior leadership and cross-functional teams.

Organized and Operationally Strong

You manage multiple priorities effectively, bring structure to complex workstreams, and maintain clarity across fast-moving initiatives.

Strategic Thinker Who Drives Execution

You understand how decisions impact the broader organization and consistently move work toward practical, high-impact outcomes.

Comfortable Navigating Complexity

You can operate effectively across different leadership styles, competing priorities, and evolving business needs without losing momentum.

Critical measures of success:

  • Increased clarity, prioritization, and momentum across the CSO’s key initiatives
  • Consistent execution of cross-functional projects from concept through completion
  • Reduction in bottlenecks through improved stakeholder alignment and decision-making cadence
  • Strong visibility into initiative progress, risks, and outcomes across leadership
  • Establishment of repeatable processes and frameworks that improve organizational efficiency over time

Required Qualifications

  • 10 years of experience in strategy, government relations, or payer contracting
  • Proven track record leading cross-functional initiatives at the executive level
  • Bachelor’s degree in Business, Public Policy, Healthcare Administration, or a related field required; Master’s degree (MBA, MHA, MPH) preferred.
  • Exceptional written and verbal communication skills; experience preparing materials for executive and legislative audiences.
  • Strong program management experience with the ability to manage multiple priorities simultaneously
  • Experience working directly with senior leadership or executives on high-impact initiatives
  • Demonstrated ability to operate with high autonomy and minimal direction
  • Experience building processes, frameworks, or operational structure in ambiguous environments
  • Willingness to be based in or relocate to the Asheville, NC area and operate in a highly in-person environment

You might also have

  • Prior experience in a growth-stage company with multiple competing strategic initiatives.
  • Prior experience working with or within government agencies or health plans
  • Demonstrated experience supporting a senior executive with a broad and complex portfolio.
  • Background in lobbying, public affairs, or healthcare policy advocacy.
  • PMP or equivalent project management certification.

What Aeroflow Offers

Competitive Pay, Health Plans with FSA or HSA options, Dental, and Vision Insurance, Optional Life Insurance, 401K with Company Match, 12 weeks of parental leave for birthing parent/ 4 weeks leave for non-birthing parent(s), Additional Parental benefits to include fertility stipends, free diapers, breast pump, Paid Holidays, PTO Accrual from day one, Employee Assistance Programs and SO MUCH MORE!!

Here at Aeroflow, we are proud of our commitment to all of our employees. Aeroflow Health has been recognized both locally and nationally for the following achievements:

  • Family Forward Certified
  • Great Place to Work Certified
  • Inc. 5000 Best Place to Work award winner
  • HME Excellence Award
  • Sky High Growth Award

If you’ve been looking for an opportunity that will allow you to make an impact, and an organization with unlimited growth potential, we want to hear from you!

Aeroflow Health is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws.

We value transparency and candidate safety throughout the hiring process. Aeroflow recruiters may reach out through platforms such as LinkedIn or Indeed; however, all interviews and/or offer coordination and sensitive information requests will occur only through our official communication channels. You will never be asked to provide personal data outside our secure application portal, and all interview or offer details will come from an @aeroflowinc.com email address. We do not conduct interviews via text message or instant-messaging apps. If you have concerns, please contact our Talent Acquisition team for verification

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