Private Equity Principal

M&A Principal Healthcare (Home-Based Care)

Company: Mid-size Private Equity firm
Focus: Home-based care services (home health personal care hospice HCBS behavioral home services ancillary/home-infusion tech-enabled care)
Location:New York City Type: Full-time Travel: 2540%

Role Summary

Lead end-to-end deal flow and execution in healthcare with an emphasis on home-based care. Youll originate opportunities run disciplined processes from IOI/LOI through close and partner with operating leaders post-close to create value. This is a Principal seat with clear visibility to Partner: you own the funnel the model the diligence workstreams and the path to underwriting conviction.

What Youll Do

Deal Origination & Thesis

• Build and execute sector theses across home-based care (home health hospice personal care/private duty HCBS/waiver behavioral at-home infusion/DME-at-home virtual-to-home hybrids).

• Develop banker / broker / founder relationships; maintain coverage maps and quarterly touch plans.

• Source proprietary opportunities (conference circuits clinician/founder networks buy-and-build adjacencies).

• Screen targets structure outreach and drive top-of-funnel KPIs (screens/week IOIs/month).

Underwriting & Execution

• Lead IOI/LOI drafting valuation and structures (earnouts seller roll R&W debt terms).

• Own financial workstreams: 3-statement LBO models returns cases sensitivity/credit metrics QoE coordination.

• Run diligence: clinical quality payer/reimbursement (Medicare/Medicaid MA MCOs) coding/billing PDGM hospice cap licensure compliance (AKS/Stark/HIPAA) state survey history labor (caregiver pipeline) and revenue integrity.

• Coordinate lenders legal regulatory and consultants; manage VDR issues logs and workback plans to IC.

• Prepare crisp IC materials; defend assumptions and risk mitigants.

Portfolio & Value Creation

• Partner with management on 100-day plans KPI dashboards and bolt-on pipelines.

• Stand up roll-up playbooks: market mapping tuck-in underwriting integration guardrails (credentialing EMR referral sources).

• Track operating cadence (weekly/monthly KPIs; payer mix census visit utilization clinician attrition DSO/AR).

Firm-Building

• Mentor Associates/Analysts; elevate modeling research and memo standards.

• Contribute to fundraise materials and LP dialogues as needed.

What Youve Done (Qualifications)

• 710 years total experience with recent Principal-level ownership of deals in PE (or VP IB/Corp Dev with closed healthcare services deals).

• Closed-deal track record in healthcare; ideally in home-based care or adjacent multi-site services.

• Expert in LBO modeling credit metrics and debt processes (A/B unitranche SBIC/MM/UMM lenders).

• Proven leadership of cross-functional diligence (financial clinical regulatory legal HR IT/EMR).

• Fluency in reimbursement mechanics: Medicare FFS/MA Medicaid waivers/HCBS PDGM hospice cap OASIS payer contracting referral dynamics.

• Comfortable negotiating key documents (LOI purchase agreement terms debt term sheets) with counsel.

• Executive presence with founders clinicians bankers and lenders; crisp written IC communication.

• Bachelors degree required; MBA or advanced credential a plus.

What You Are (Competencies)

• Origination engine: builds repeatable sourcing; disciplined CRM hygiene and coverage.

• Underwriting athlete: sharp on value drivers downside cases and clear what would have to be true.

• Operator-aware: translates diligence into 100-day plans and measurable operating KPIs.

• Decisive & accountable: bias to action owns outcomes raises risks early with solutions.

• Team leader: develops juniors; sets a high bar for analytic and memo quality.

Success Metrics (First 1218 Months)

• Top-of-funnel: 2030 qualified management meetings/quarter; 812 IOIs/quarter.

• Conversion: 35 LOIs/quarter; 23 platform or add-on closes/year (mix by fund mandate).

• Underwriting quality: IC rework <10%; variance to base case within agreed bands at 612 months post-close.

• Portfolio impact: 100-day plan milestones on time; 2 accretive add-ons sourced per platform.

• Relationship capital: banker/founder NPS 9; lender/co-investor repeat engagement.

30/60/90 Plan (Guidepost)

• 30 days: absorb fund mandate & theses; publish healthcare market map; stand up banker/founder coverage plan; adopt CRM & IC templates.

• 60 days: originate 10 qualified screens; table one IOI; draft add-on pipeline for a current platform.

• 90 days: lead a live diligence workstream; drive an LOI; present a full IC deck on a priority thesis.

Compensation

• Competitive base bonus; carry and/or co-invest participation commensurate with experience.

• Benefits package; expenses for travel and professional development.