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Executive Director - Nonprofit Operations

PCGH, Inc.
Roxboro, NC Full Time
POSTED ON 4/7/2026
AVAILABLE BEFORE 5/5/2026

PCGH, Inc. is a community-based nonprofit in Roxboro, North Carolina. We provide supports and residential services for adults with intellectual and developmental disabilities (IDD) and traumatic brain injury (TBI).

We are hiring an Executive Director / Corporate Compliance Officer to lead the Management Team, strengthen compliance and quality, and work in close partnership with the Board of Directors to advance PCGH’s mission. This position reports directly to the Board of Directors.

POSITION SUMMARY

The Executive Director (ED) provides day-to-day leadership of PCGH through direct supervision of the Management Team and oversight of agency operations.

The ED is accountable for ensuring PCGH policies and procedures are followed, including applicable NC General Statutes for 122-C facilities, CARF accreditation standards, and DHSR standards. The ED leads the annual budgeting process, supports sound financial stewardship, guides strategic growth of services, and provides regular reporting to the Board. The ED sets the tone for mission-centered decision-making and leads in a way that is visible and credible to staff, people supported, and other stakeholders.

KEY RESPONSIBILITIES

Fiscal Leadership

  • Develop annual budgets for each PCGH cost center and present to the Executive Committee.
  • Monitor revenues and expenditures, adjust as needed, and ensure monthly financial reporting to the Board.
  • Maintain strong financial controls through clear policies, procedures, documentation, and oversight.
  • Monitor purchasing and departmental spending, including adherence to bid and Board approval requirements.
  • Identify and pursue appropriate opportunities for additional revenue sources.
  • Ensure quotes are obtained for annual audit services, insurance coverage, and related needs.

Compliance, Licensure, Accreditation, and Contracts

  • Ensure compliance with all federal and state laws and regulations, including Medicaid, Medicare, and MCO requirements.
  • Ensure all service areas establish and maintain licensure, and maintain accreditation as required by the state and applicable standards.
  • Maintain contracts with MCOs to remain in network.
  • Serve as liaison with the Division of Health Service Regulations and other regulators as needed.
  • Protect the security of resident records and ensure confidential information is released only in accordance with agency policy and HIPAA requirements.

Program and Quality Management

  • Ensure programs comply with applicable local, state, and federal guidelines.
  • Review agency policies and procedures for relevance and accuracy, and update as needed.
  • Review internal audit data, identify gaps, and implement corrective actions.
  • Conduct an annual performance management review to confirm progress toward goals and address barriers promptly.
  • Oversee Medicaid program requirements and ensure authorizations for services are maintained.
  • Lead and oversee thoughtful growth of the agency’s service array to meet the unique needs of people supported.

People and Culture Leadership

  • Administer personnel matters related to management of the agency, including hiring management and screening administrative staff.
  • Supervise and conduct annual performance evaluations for management-level staff.
  • Hold regular management meetings to drive alignment, accountability, and follow-through.
  • Provide guidance and support to staff as needed and model respect for others’ perspectives, lifestyles, and ideas.

Operations and Community Representation

  • Oversee adequate maintenance and good repair of homes, vehicles, and equipment.
  • Ensure PCGH is represented at key stakeholder meetings and maintain appropriate communication with parents and community stakeholders.
  • Represent PCGH through community outreach, including civic presentations and media engagement as appropriate.

Other duties as assigned by the Board of Directors.

REQUIRED QUALIFICATIONS

  • Meets standards of a Qualified Professional (QP) or ability to meet those standards.
  • Demonstrated experience supervising management-level staff.
  • Extensive experience working with individuals with developmental disabilities and traumatic brain injury.
  • Experience developing, executing, and monitoring annual budgets in a nonprofit or similarly complex environment.
  • Working knowledge of regulated service environments and the ability to maintain compliance across programs.

PREFERRED KNOWLEDGE AND EXPERIENCE

  • Familiarity with ICF/IID regulations, waiver standards, Medicaid Clinical Coverage Policy requirements, HCBS standards, and related service definitions.
  • Familiarity with NC DHHS rules related to MH/DD/SAS, facility and service licensure, and regulatory review processes.
  • Understanding of OSHA, Wage and Hour, and other labor law compliance requirements as they relate to agency operations.
  • Experience maintaining accreditation and leading internal quality management systems.

PHYSICAL REQUIREMENTS

Ability to lift up to 35 pounds unassisted. Ability to assist in transferring residents weighing up to 250 pounds.

HOW TO APPLY

Please submit a resume and brief cover letter outlining your interest and relevant leadership experience. Selected candidates may be asked to participate in a structured interview process. Final candidates may be subject to reference checks and applicable background screening.

PCGH, Inc. is an equal opportunity employer.

Salary.com Estimation for Executive Director - Nonprofit Operations in Roxboro, NC
$135,836 to $201,316
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