Assistant Regional Director

Texas Health and Human Services; San Antonio (TX); On-site; USD 103,000 - 120,000; Full time

Benefits offered by this job

100% paid employee health insurance

Defined benefit pension

Generous time off

Career advancement opportunities

Job summary

Texas Health and Human Services Commission in San Antonio is seeking an experienced Manager V to serve as the Assistant Regional Director for Health Facility Compliance. You will oversee regional operations and ensure compliance with CMS standards and Texas regulations, guiding staff and supporting regulatory goals.

The role demands strong leadership, policy development, and collaboration across programs, with telework eligibility and up to 35% travel.

Qualifications

• Knowledge of local, state, and federal laws and regulations relevant to business functions.
• Ability to manage budgets and supervise staff effectively.
• Experience leading cross-functional teams in a regulatory environment.
• Strong written and verbal communication with stakeholders and licensees.
• Ability to develop policies, procedures, and performance standards.

Responsibilities

• Oversees scheduling and workload for health facility compliance staff in the region.
• Supervises administrative staff and manages licensure and Medicare certification processes.
• Develops statewide goals and coordinates with ARDs/RDs on priorities.
• Mentors staff, conducts performance evaluations, and coordinates training.
• Participates in enforcement referrals, reports, and interface with CMS requirements.
• Leads on-site surveys and complex regulatory activities across regions.
• Ensures compliance with agency policies and regulatory standards.

Skills

Public administration knowledge

Budget management

Leadership

Communication skills

Problem solving

Education

Bachelor's degree in relevant field

Tools

CMS SOM familiarity

CAPPS

RAS/VERSA

ASPEN

Job description

Date: Oct 5, 2026

Location: SAN ANTONIO, TX

Join the Texas Health and Human Services Commission (HHSC) and be part of a team committed to creating a positive impact in the lives of fellow Texans. At HHSC, your contributions matter, and we support you at each stage of your life and work journey. Our comprehensive benefits package includes 100% paid employee health insurance for full-time eligible employees, a defined benefit pension plan, generous time off benefits, numerous opportunities for career advancement and more. Explore more details on the Benefits of Working at HHS webpage.

Functional Title: Assistant Regional Director

Job Title: Manager V

Agency: Health & Human Services Comm

Department: HFC SAN ANTONIO - REGIONS 8_11

Posting Number: 22063

Closing Date: 12/04/2026

Posting Audience: Internal and External

Occupational Category: Management

Salary Range: $9,267.38 - $10,785.83

Pay Frequency: Monthly

Salary Group: TEXAS-B-26

Shift: Day

Additional Shift

Telework: Eligible for Telework

Travel: Up to 35%

Regular/Temporary: Regular

Full Time/Part Time: Full time

FLSA Exempt/Non-Exempt: Exempt

Facility Location:

Job Location City: SAN ANTONIO

Job Location Address: 6711 S NEW BRAUNFELS

Other Locations:

MOS Codes: 0203,0207,0302,0520,0602,0802,1802,5502,6302,6502,7202,7208,7210,7220,111X,112X,113X,114X,16GX,41AX
611X,612X,631X,632X,641X,648X,86M0,86P0,8U000,9G100,SEI15

Manager V General Description. Under the direction of the Regional Director (RD), this position performs complex managerial work as an Assistant Regional Director for Health Facility Compliance (HFC) in the Health Care Regulation (HCR) department of the Regulatory Services Division at the Texas Health and Human Services Commission (HHSC). This position administers daily operations and activities related to the regulation of licensed and certified health care facilities in Texas. Regulated facilities for this position include, but are not limited to, general and special hospitals, psychiatric hospitals, ambulatory surgical centers, end-stage renal disease (dialysis) facilities, special care facilities, birthing centers, and abortion facilities (legal), freestanding emergency medical centers, rural health clinics, and community mental health centers. The work involves assisting in establishing program goals and objectives; developing guidelines, procedures, policies, rules, and regulations; hiring and training staff; developing work schedules, priorities, and standards for achieving established statewide goals; and coordinating and evaluating state and federal workload targets. Plans, assigns, and monitors the work of regional Surveyor staff. Works under general supervision, with moderate latitude for the use of initiative and independent judgment.

Essential Job Functions

EJF #1, 30%: Oversees the scheduling of the work of the health facility compliance staff in the assigned region. Monitors the state and federal activities of professional staff related to the regulation of licensed and certified health care facilities in Texas. Evaluates facilities’ plans of correction for acceptability based on the CMS State Operations Manual (SOM) and established state standards. Ensures reports set for state and federal enforcement are also reviewed by the RD. Continuously monitors the state and federal workload databases, ASPEN and TULIP, for timeliness and completion of regional staff workload assignments. Assists the RD and Health Facility Compliance Director in establishing statewide goals and objectives consistent with the federal Centers for Medicare & Medicaid Services Mission and Priority document and the CLIA budget call letter that establish workload priorities for health facility compliance. Develops and approves schedules, priorities, and standards for achieving workload goals through complex and coordinated communication among other ARDs and RDs. Manages ongoing evaluation activities to determine completion of state or federal surveys of health facilities and coordinates efforts with other ARDs and RDs.

EJF #2, 20%: Supervises and monitors the work of the health facility compliance administrative staff assigned to the region. Works collaboratively with administrative staff in processing licensure and Medicare certification kits and makes recommendations to the RD to improve survey and administrative operations. Oversees the preparation of management and productivity workload reports. Routes supply orders as necessary for staff. Uses CAPPS to interview, select, and hire staff; approves staff time and leave; performs staff performance coaching and evaluations; and recommends merits, administrative leave awards, and disciplinary actions in accordance with department policy. Reviews and approves staff travel requests and travel vouchers.

EJF #3, 20%: Assists the RD in developing and implementing methods for evaluating the program’s state, and CMS compliance activities across the state, including coordinating the region’s quality assurance activities consistent with the CMS Texas State Performance Standards System (SPSS), and activities related to workload completion and use of the state Regulatory Automated System (RAS/VERSA) and federal ASPEN (ACO/ACTS) databases. Each ARD communicates and coordinates workload activities in conjunction with the process maintained by the HFC quality assurance coordinator for statewide monitoring. Monitors and makes recommendations for the SPSS reports and implementation of the SPSS plan of correction, if needed. Ensures compliance with agency and departmental policies and procedures.

EJF #4, 10%: Contributes to the statewide accomplishment of HFC-assigned workload by participating in ongoing compliance activity. Periodically conducts on-site surveys and investigations of licensed or Medicare-certified health care facilities to determine compliance with applicable state and federal laws, regulations, and rules. Leads survey teams on large surveys requiring complex coordination of staff from multiple regions.

EJF #5, 10%: Works collaboratively with survey staff on the preparation of enforcement referral packets for state enforcement and provides technical guidance to enforcement staff, including presenting complex cases to the Enforcement Review Committee for consideration. Works collaboratively with the RD to evaluate and recommend federal termination actions for Medicare to CMS, as appropriate. Ensures timely submission and follow-up of enforcement recommendations and provides briefings to senior-level and executive management regarding federal and state enforcement actions.

EJF #6, 5%: Oversees mentoring and precepting of new survey staff and coordinates the training of new surveyors with HFC surveyors and the HCR training team. Works in conjunction with the RD to orient new staff members and ensures completion of required training. Assist in determining whether staff in training are ready to work independently. Coordinates with the RD for periodic monitoring and evaluation of on-site survey activity by survey staff.

EJF #7, 5%: Performs other duties as assigned. Other assigned duties include, but are not limited to, actively participating in or serving in a supporting role to meet the agency’s obligations for disaster response, recovery, or continuity of operations plan activation. Such participation may require an alternate shift pattern or work location.

Knowledge, Skills, And Abilities

Knowledge of local, state, and federal laws and regulations relevant to business functions. Knowledge of the principles and practices of public administration and budget management. Skill in using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions, or approaches to problems. Skill in operating computers and applicable software. Ability to manage business functions and activities. Ability to establish goals and objectives. Ability to devise solutions to administrative problems. Ability to develop and evaluate administrative policies and procedures. Ability to organize and present information effectively, both orally and in writing. Ability to plan, assign, and supervise the work of others. Ability to prepare reports. Ability to communicate effectively with licensees, government officials, stakeholders, and the public.

Registration Or Licensure Requirements

Preferred: Texas-licensed RN, BSN, LMSW, MHA, or MPH degree, or certification in a related field.

Initial Selection Criteria

Graduation from an accredited four-year college or university with major coursework in a field relevant to the assignment is generally preferred. Experience and education may be substituted for one another. Regulatory experience required. Management or supervisory experience preferred.

Additional Information

Military occupations related to the initial selection criteria and registration or licensure requirements may include 68C, 66N/P/W, 290X, 46NX, and 46SX. Use the current system-generated military crosswalk and current HHSC standard posting notices. HR must verify the job location, approved salary range, travel requirement, telework status, position number, organizational department, systems, CLIA responsibilities, minimum qualifications, and current standard language before publication. Review our Tips for Success when applying for jobs at DFPS, DSHS and HHSC.

Active Duty, Military, Reservists, Guardsmen, And Veterans

Military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position may include, but not limited to those listed in this posting. All active‑duty military, reservists, guardsmen, and veterans are encouraged to apply if qualified to fill this position. For more information please see the Texas State Auditor’s Job Descriptions, Military Crosswalk and Military Crosswalk Guide at Texas State Auditor's Office - Job Descriptions.

ADA Accommodations

In compliance with the Americans with Disabilities Act (ADA), HHSC and DSHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview.

Pre-Employment Checks And Work Eligibility

Depending on the program area and position requirements, applicants selected for hire may be required to pass background and other due diligence checks. HHSC uses E-Verify. You must bring your I-9 documentation with you on your first day of work. Download the I-9 Form

Telework Disclaimer

This position may be eligible for telework. Please note, all HHS positions are subject to state and agency telework policies in addition to the discretion of the direct supervisor and business needs.

Nearest Major Market: San Antonio