Executive portfolio
Chief Operating Officer, Cottage Home CareFounder & Chief Executive Officer, Care Guide
Healthcare operations leader across New York and Dhaka. She oversees operations for a home-care agency serving six US states and leads Care Guide, the 166-person company she founded in 2022.
10+
years in US healthcare operations, 7+ of them as COO
6
US states in the home-care operation she oversees as COO
166
people at Care Guide, up from a founding team of two in 2022
40%+
faster client turnaround after introducing AI automation and DevOps
Profile
As Chief Operating Officer of Cottage Home Care since 2019, Nusrat Shova oversees operations, compliance and quality across the agency’s six service states. As founder and CEO of Care Guide, she has built a 166-person operations and technology company in Dhaka since 2022.
Her grounding is practical. In New York she supervised scheduling and eligibility for a Queens home-care agency, then handled member enrollment for a Medicaid managed long-term care plan. She holds a B.S. in health care administration and management from the University of Phoenix and works in English and Bengali, with conversational Hindi.
Founder story
2
166
Care Guide employees, 2022 → today
Nusrat Shova was born in Chittagong, Bangladesh, and grew up in a middle-class family where discipline, hard work and responsibility were part of everyday life. Her father was a service holder, and she saw early how much stable work and opportunity can mean to a family.
In 2010, at about 16, she moved to the United States. She finished school in Brooklyn and built her career in New York home care — first in scheduling and eligibility, then Medicaid enrollment, then as Chief Operating Officer.
In 2021 she returned to Bangladesh with a clear goal: build a business that creates jobs, develops people and serves international clients. In 2022 she founded Care Guide with two employees.
“Build in Bangladesh. Work with the world.”
Leadership today
Chief Operating Officer
Freeport, New York · Since January 2019
Founder & Chief Executive Officer
Dhaka, Bangladesh · Founded July 2022
Care Guide
A back-office and digital-technology partner for international clients, serving from Dhaka since 2022.
Patient scheduling, medical billing, insurance-eligibility verification and intake records.
Lower administrative overhead for US healthcare providers.
Data processing, virtual assistance, customer support, transcription and document workflows.
Dedicated operational support under strict quality assurance.
Custom LLM integrations, robotic process automation, data extraction and intelligent chatbots.
Fewer manual steps and higher operational throughput.
Custom web applications, AWS and GCP cloud infrastructure, and CI/CD pipelines.
High-availability digital assets and reliable releases.
Technical SEO, PPC campaigns, content strategy and multichannel analytics.
Organic growth and lead generation for global clients.
Graphic design, UI/UX design, branding strategy and video production.
Consistent brand positioning across every touchpoint.
Leadership philosophy
Business growth should create real professional pathways, stronger careers and room for people to take on greater responsibility.
Sustainable scale needs process, accountability, documentation, technology and measurable standards — not dependence on one person.
A company gets stronger when employees grow into supervisors, managers and decision-makers who can carry it forward.
Career path
2010
Chittagong
2014
Brooklyn, NY
2015–17
Queens, NY
Ran shift scheduling, patient appointment logistics and eligibility inquiries for field staff.
2017–18
Brooklyn, NY
Kept a Medicaid managed long-term care plan’s enrollment database fully compliant and streamlined member intake.
2019
New York
Takes charge of operations, compliance and quality as the agency grows from one New York office to six states.
2022
Dhaka
Starts with a team of two.
Today
New York & Dhaka
Leads operations across six US states and a 166-person team in Dhaka.
Bachelor of Science, Health Care Administration & Management
University of Phoenix · GPA 3.50
Quick facts
Nusrat Shova is a healthcare operations executive. She is Chief Operating Officer of Cottage Home Care, a home-care agency serving six US states, and Founder & CEO of Care Guide, a 166-person operations and technology company in Dhaka, Bangladesh.
As COO since January 2019, she oversees operations, compliance and quality across the agency’s service states — New York, New Jersey, Maryland, Michigan, Florida and Connecticut.
She founded Care Guide in Dhaka in July 2022 with a team of two. It now employs 166 people across six divisions.
Care Guide provides healthcare and administrative support, back-office and BPO services, AI automation, DevOps and web engineering, SEO and digital marketing, and creative production for international clients.