HCR Regional Director

Socket.dev; Waco (TX); Hybrid; USD 119,000 - 132,000; Full time

Benefits offered by this job

100% paid employee health insurance

Defined benefit pension

Generous time off

Telework eligible

Job summary

Texas Health and Human Services Commission is seeking a Regional Director for Health Facility Compliance in the Health Care Regulation division. The role oversees statewide survey and inspection activities, coordinates with CMS requirements, and directs staff in evaluating facilities for compliance with federal and state standards.

The position requires strategic planning, staff supervision, and collaboration with multiple offices.

Qualifications

• Bachelor's degree in a related field with administrative, management, or productivity improvement focus.
• Experience in large human services agencies preferred.
• Knowledge of public administration and budget management.

Responsibilities

• Supervise health facility compliance field staff in the region and monitor state and federal activities.
• Collaborate with other regional directors and managers on compliance programs and workload planning.
• Provide technical guidance to enforcement staff and participate in strategic policy development.
• Coordinate training and onboarding of new staff and manage staff performance.

Skills

Public administration

Budget management

Analytical thinking

Policy interpretation

Education

Bachelor's degree in public administration or related field

Job description

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:HCR Regional Director
Job Title:Director II
Agency:Health & Human Services Comm
Department:Substnc Use Disorder Cmpl-PA
Posting Number:21726
Closing Date:10/21/2026
Posting Audience:Internal and External
Occupational Category:Management
Salary Range:$10,673.02-$11,864.50
Pay Frequency:Monthly
Salary Group:TEXAS-B-27
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:WACO
Job Location Address:801 AUSTIN AVE STE B-30
Other Locations:
MOS Codes: 8003,8040,8041,8042,10C0,111X,112X,113X,114X,20C0,30C0,40C0,611X,612X,631X,641X,648X,90G0,91C0,91W0
97E0,SEI15

Under the direction of the Health Facility Compliance Director, this position performs complex managerial work as a Regional Director (RD) 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 and abortion facilities, freestanding emergency medical centers, rural health clinics, community mental health centers, and clinical laboratories (CLIA). The work involves collaborating in establishing program goals and objectives, developing guidelines, procedures, policies, rules, regulations, hiring staff, and training. The work entails the deployment of staff schedules, priorities, and standards for achieving established statewide goals related to federal and state survey and inspection/investigation activities of health care facilities. The work involves complex coordination and evaluation of state and federal workload targets for survey staff in the assigned regional office as well as coordination with the other regional offices across the state. Assists in planning, assigns, and monitors the work of the health facility compliance regional staff. Works under general supervision with latitude for the use of initiative and independent judgment.

The state of Texas offers many benefits to employees. HHSC is a qualifying organization for the Federal Public Service Loan Forgiveness Program, which forgives the remaining balance on college student Direct Loans after making 120 qualifying monthly payments. We also offer excellent health benefits, a lifetime monthly retirement annuity as well as 401(k) and 457 Programs under the Employees Retirement System of Texas.

Essential Job Functions (EJFs):

• 20% Supervises the completion of the work of the health facility compliance field staff in the assigned region. Monitors the state and federal activities of professional staff related to the regulation of the licensed and certified health care facilities in Texas. Oversees evaluating of the facility’s plans of correction for acceptability, based on the CMS State Operations Manual (SOM) and established state standards. Reviews reports set for state or federal enforcement for final approval. Monitors the state and federal workload for timeliness and completion of regional assignments. Assists the Health Facility Compliance Director (HFCD) and Deputy Associate Commissioner in establishing statewide goals and objectives consistent with the federal Centers for Medicare and Medicaid Services Mission and Priority document and CLIA budget call letter that establish workload priorities for health facility compliance. Manages ongoing evaluation activities to determine workload completion of state or federal surveys of health facilities in coordination with other RDs.
• 10% Oversees the ARD and regional administrative staff work involving workload organization, data entry, and quality assurance. 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; recommends merits, administrative leave awards and disciplinary actions per department policy. Reviews and approves staff travel requests and travel vouchers.
• 20% The RD works collaboratively with the other RDs and the HFCD on developing and implementing methods for evaluating the program’s (state, CMS, and CLIA) compliance activities across the state, including the region’s quality assurance activities to be consistent with the CMS Texas State Performance Standards System (SPSS), CMS Texas State Agency Performance Review standards (CLIA SAPR), and activities related to workload completion and utilization of the state Regulatory Automated System (RAS/VERSA) and federal ASPEN (ACO/ACTS) databases. Oversees the ARD and regional administrative staff work involving workload organization, data entry, and quality assurance. Monitors and makes recommendations for the SPSS/SAPR reports, as well as implementation of the SPSS/SAPR plan of correction if needed. Ensures compliance with agency and departmental policies and procedures.
• 20% Provides technical assistance and education to stakeholders and works closely with CMS regional office, HCR licensing , enforcement, legal, policy/pules/training, and other Health Facility Compliance managers regarding the daily and monthly planning, implementing, coordinating, monitoring, and evaluating of compliance activities across the state with state and federal CMS Medicare and CLIA guidelines, procedures, rules, and regulations.
• 10% Works collaboratively with the ARD on review and approval of enforcement referral packets for state and federal enforcement. Provides technical guidance to enforcement staff, including presenting complex cases to the Enforcement Review Committee for consideration. Responsible for monitoring recommendations for federal termination actions (Medicare and CLIA) to CMS as appropriate. This includes ensuring timely submission/follow up of enforcement recommendations as well as collaborating in briefings to senior level and executive management for federal and state enforcement actions.
• 10% Oversees the orientation of new survey staff and coordinates with the ARD on the training plan/timeline of new surveyors, and any continuing training for existing staff. Responsible for determining if staff in training are ready to work independently. This position coordinates with the periodic monitoring/evaluation of onsite survey activity of survey staff.
• 5% Works collaboratively with the HFC Director, Deputy Associate Commissioner, Policy, Rules, and Training team to evaluate and implement legislation. Works as assigned on policy, rules, and training development as required for HFC.
• 5% Performs other duties as assigned. Ensures the safe operation of either a state-owned vehicle, rental, or personal vehicle as necessary to conduct state business and an acceptable driving record must be maintained in accordance with HHSC Fleet Management Policy. Other duties as assigned include, but are not limited to, actively participating and/or serving in a supporting role to meet the agency’s obligations for disaster response and/or recovery or continuity of operations plan (COOP) activation. Such participation may require an alternate shift pattern assignment and/or location.

Knowledge, Skills and Abilities (KSAs):

Knowledge

Knowledge of the local, state, and federal laws and regulations relevant to business functions.

Knowledge of the principles and practices of public administration and budget management.

Skill

Skill in using logic and reasoning to identify the strengths and weaknesses of alternate solutions, conclusions, or approaches to problems.

Skill in operating computers and applicable computer software.

Ability

• 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.

Registrations, Licensure Requirements or Certifications:

• Driver’s License

Initial Screening Criteria:

Bachelor's degree from an accredited college or university with a major in public administration, health care administration, hospital administration, business administration, education, psychology, social work, sociology, nursing, medicine, or a discipline related to developmental disabilities and/or gerontology, plus three (3) years of work experience in an administrative, management, and/or productivity improvement role in the operation of a large human services delivery agency.

Experience in a Texas state agency long term care regulatory program may be substituted on a year for year basis for the required education, with a maximum substitution of four years.

Minimum four years full time experience in program and personnel management and administration.

Minimum 2 years’ experience in health facility regulation and/or health care administration in a program area regulated by HHSC Regulatory Services Division Long Term Care (nursing facilities, assisted living facilities, adult daycare facilities, ICF/IID facilities, home health and hospice agencies).

Additional Information:

Must be willing to work hours other than 8-5 M-F. Must be able to travel as needed to full regional service area as needed for job responsibilities.

All applicants must pass a fingerprint criminal background check and the SEMARC (Search Engine for Background Checks) check. Additional checks as applicable may include the NAR (Nurse Aide Registry) and LNFA (Licensed Nursing Facility Administrator) check.

If you are offered and accept the position, you will not be permitted to continue employment at any HHSC regulated facilities or providers. You will be required to disclose any potential conflicts of interest, secondary employment, volunteer activities, and friends/family who own, operate, or work at regulated providers.

If you are an active or former licensed nursing facility administrator, certified nurse aide, or medication aide, hiring will be pending until professional licensing and Employee Misconduct Registry checks are completed.

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 tothose 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.