Executive Director

Keller Executive Search; Texas City (TX); On-site; USD 200,000 - 220,000; Full time

Benefits offered by this job

Pension plan with 100% employer match

Health, dental, and vision insurance

Relocation assistance

Job summary

Keller Executive Search represents a prominent health district in Galveston County, Texas, seeking an Executive Director to provide comprehensive leadership across clinical services, EMS, and public health programs. The role emphasizes strategic planning, strong financial oversight, and building high-performance teams.

The candidate will drive grant strategy, ensure regulatory compliance, and foster collaborations with healthcare partners and government entities.

Qualifications

• Master's degree in Public Health Administration, Healthcare Administration, or related field plus 5+ years managerial experience in health services.
• Bachelor's degree in business/administrative field plus 7+ years managerial experience in health services.
• Equivalent combination of education and experience considered.
• Knowledge of HRSA programs, requirements, funding mechanisms, and sub-grant management.

Responsibilities

• Provide executive leadership and administration across all operations, including clinical services, public health programs, and EMS.
• Lead strategic planning and policy development in line with Strategic Health Plan and Board direction.
• Establish operational standards, budget discipline, and accountability across divisions.
• Lead organizational restructuring, including leadership assessments, pay structures, and departmental operations.
• Direct grant strategy and applications to federal, state, and private funders, including HRSA, and manage reporting.
• Oversee compliance, fiscal operations, and program performance, including HRSA requirements and clinic quality standards.
• Build partnerships with healthcare providers, hospitals, local governments, and underserved communities.
• Lead public health preparedness and disaster response.
• Support governance and reporting with the United Board of Health.

Skills

Strategic planning

Organizational leadership

Financial management

Grant management

Budget discipline

Compliance & HIPAA

Stakeholder collaboration

Public health knowledge

Education

Master's degree in Public Health Administration or Healthcare Administration

Bachelor's degree in business/administration with managerial experience

Tools

IT governance oversight

Job description

Overview

Galveston County, Texas is home to one of the Texas Gulf Coast's most comprehensive public health organizations. Serving the county and its thirteen member cities, this Tier 1 governmental health district delivers essential services across three areas: traditional public health, a Federally Qualified Health Center providing primary care and wellness services, and the county's largest EMS provider.

Reporting to the United Board of Health, the Executive Director holds full responsibility for the organization's operations, strategy, and roughly 251 employees. This is a hands‑on leadership role for someone ready to establish clear standards, strengthen accountability, and build a high‑performance, professional culture.

The Board is looking for a firm, structured leader with strong financial judgment, high integrity, and the resolve to set expectations, make difficult decisions, and align the organization to a shared direction. If you lead through consistency and earn trust by following through, this is a rare opportunity to shape both an organization and a community.

Key Responsibilities

• Provide executive leadership and administration across all GCHD operations, including clinical service delivery, public health programs, and EMS.
• Lead strategic planning and policy development in line with the organization's Strategic Health Plan and Board direction.
• Establish clear operational standards, budget discipline, and accountability across all divisions.
• Lead organizational restructuring, including assessment of divisional leadership, pay structures, and departmental operations.
• Direct grant strategy and applications to federal, state, and private funders, with particular emphasis on HRSA, and manage all funding‑agency reporting.
• Oversee compliance, fiscal operations, and program performance, including HRSA requirements and health clinic quality standards.
• Build and maintain strong partnerships with healthcare providers, hospitals, local governments, and underserved communities.
• Lead public health preparedness and disaster response.
• Partner with and support the United Board of Health on governance and reporting.

Required Qualifications

One of the following:

• Master's degree in Public Health Administration, Healthcare Administration, or a related field, plus 5+ years of managerial experience in a health services organization; or
• Bachelor's degree in a business or administrative field, plus 7+ years of managerial experience in a health services organization.

An equivalent combination of education and experience will also be considered.

• Demonstrated knowledge of HRSA programs, requirements, funding mechanisms, and sub‑grant management.
• Experience preparing and submitting grant applications to federal, state, and private funders, and reporting to funding agencies.
• Strong financial and budget management skills, including the ability to review and validate budgets, grant formulas, and funding allocations.
• Demonstrated change leadership: setting standards, holding teams accountable, and strengthening organizational culture.
• Demonstrated experience addressing community and public health issues.
• Outstanding communication skills, high ethical standards, and a commitment to HIPAA and confidentiality.
• Valid Texas driver's license, or the ability to obtain one upon hire.

Preferred Qualifications

• Seven or more years of progressive executive management within a public health or community health center organization.
• Direct experience overseeing outpatient clinics or Federally Qualified Health Center (FQHC) operations.
• Compliance and fiscal oversight experience, particularly with HRSA or similar federal programs.
• Nonprofit or government healthcare operations background.
• Familiarity with IT governance and organizational cybersecurity oversight.

Reporting and Team

The Executive Director reports directly to the United Board of Health and leads an executive team spanning Public Health, Nursing, Coastal Health & Wellness, EMS services, Finance, Grants, HR, and Communications. The role is supported by an Assistant Executive Director.

Salary: $200,000 to $220,000, commensurate with experience.

Pension: True defined‑benefit pension plan with 100% employer match and lifetime monthly payment (8-year vesting).

Health: Medical, dental, and vision coverage.

No-cost access to Coastal Health & Wellness clinics for employees.

Relocation assistance available for out‑of‑area candidates (receipt‑based reimbursement, typically capped at $10,000).

Equal Employment Opportunity and Non-Discrimination Policy

Equal Employment Opportunity Statement: Both Keller Executive Search and our clients are Equal Opportunity Employers. For all positions, whether with Keller Executive Search or our clients, qualified applicants will receive consideration for employment without regard to race, skin color, religion, sex, sexual orientation, gender identity, gender expression, national origin, age, protected veteran status, disability, genetic information, or any other legally protected status.

Commitment to Diversity: Keller Executive Search and its clients are committed to fostering a diverse and inclusive work environment where all individuals are valued and respected.

Reasonable Accommodations: Both Keller Executive Search and our clients are committed to providing reasonable accommodations to individuals with disabilities and pregnant individuals. We engage in an interactive process to determine effective, reasonable accommodations.

Compensation Information: For client positions, compensation information is available in the job post. If not provided, it will be shared during the interview process in accordance with applicable laws. When required by law, salary ranges will be included in job postings. Actual salary may depend on skills, experience, and comparison to current employees in similar roles. Salary ranges may vary based on role and location.

Compliance with Laws: Both Keller Executive Search and our clients comply with federal, state, and local laws governing nondiscrimination in employment. This policy applies to all employment terms and conditions, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.

Workplace Harassment: Both Keller Executive Search and our clients expressly prohibit any form of workplace harassment based on race, skin color, religion, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, or veteran status.

E-Verify Participation: Keller Executive Search and/or our clients may participate in E-Verify. Information about E-Verify participation will be provided during the application process where applicable.

Privacy and Pay Equity: Both Keller Executive Search and our clients are committed to pay equity and conduct periodic pay equity analyses in accordance with applicable laws.

California Residents: For more information about the categories of personal information we collect for recruiting and employment purposes, please review our Privacy Policy at www.kellerexecutivesearch.com.

Colorado, Nevada, New York City, California, and Washington Residents: Compensation information is available in the job post or will be provided during the interview process if not initially available.

Both Keller Executive Search and our clients are committed to pay equity and conduct periodic pay equity analyses in accordance with applicable laws.

State-Specific Information:

Rhode Island: We do not request or require salary history from applicants.

Connecticut: We provide wage range information upon request or before discussing compensation.

New Jersey: We do not inquire about salary history unless voluntarily disclosed.

Veteran Status: Both Keller Executive Search and our clients provide equal employment opportunities to veterans and comply with applicable state laws regarding veteran preference in employment. If you are a veteran, please inform us during the application process.

Genetic Information: In accordance with federal and state laws, both Keller Executive Search and our clients do not discriminate based on genetic information. We do not request or require genetic information from applicants or employees, except as permitted by law.

Local Laws: Both Keller Executive Search and our clients comply with all applicable local laws and ordinances regarding employment practices in the areas where we operate.

Use of Artificial Intelligence in Recruitment

Keller Executive Search and our clients may use artificial intelligence (AI) tools to assist in the recruitment and candidate evaluation process. These tools are used exclusively to support human decision‑making by helping to review and assess candidate qualifications and materials. AI is never used to automatically reject, disqualify, or make final hiring decisions about candidates. All AI‑assisted evaluations are reviewed by experienced recruitment professionals, and all hiring decisions are made by qualified human recruiters. Our use of AI is designed to enhance fairness, consistency, and efficiency while maintaining our commitment to equal employment opportunity and non‑discrimination principles.

Note

This job posting may be for a position with Keller Executive Search or one of our clients. The specific employer will be identified during the application and interview process. Employment laws and requirements may vary depending on the employer and location.