Hospital Facilities Management Director

University Health; San Antonio (TX); On-site; USD 150,000 - 190,000; Full time

Job summary

University Health in San Antonio, Texas seeks a Director of Facilities to lead hospital facilities operations, plant operations, utilities, maintenance, and regulatory compliance across the system. This onsite leadership role partners with clinical and executive teams to ensure safe, reliable infrastructure that supports patient care and staff.

The ideal candidate has hospital facilities leadership experience, a degree in engineering or healthcare facilities management, and a track record of

Qualifications

• Hospital facilities leadership experience
• Bachelor’s degree in engineering, facilities management, healthcare administration, or related field
• Progressive leadership experience overseeing hospital plant operations and facilities teams
• Deep knowledge of healthcare regulatory standards (Joint Commission, CMS, NFPA, Life Safety Code)
• Demonstrated experience managing critical systems (HVAC, electrical, emergency power, medical gas, water systems)
• Proven ability to lead large teams and manage complex hospital environments

Responsibilities

• Lead all hospital facilities operations, including plant maintenance, utilities, and infrastructure systems
• Ensure full compliance with regulatory and accreditation standards (e.g., Joint Commission, CMS, NFPA)
• Oversee preventive and corrective maintenance programs to ensure uninterrupted hospital operations
• Direct capital planning, facility upgrades, and construction/renovation projects
• Partner with clinical and executive leadership to support patient care delivery and operational needs
• Manage vendor relationships, service contracts, and facilities-related budgets
• Drive emergency preparedness and response planning, including disaster readiness and utility contingencies
• Build and lead a high-performing facilities team, promoting accountability and service excellence
• Implement process improvements to enhance efficiency, safety, and cost control

Skills

Hospital facilities leadership

Regulatory compliance knowledge

Strategic planning

Team leadership

Budget management

Vendor management

Education

Bachelor's degree in Engineering, Facilities Management, Healthcare Administration, or related field

Job description

Director of Facilities – Hospital Operations

University Health – San Antonio, Texas (Onsite)

Drive the Environment That Powers Exceptional Patient Care

At University Health, our mission extends beyond clinical excellence—we are committed to maintaining a safe, reliable, and high-performing environment where care can thrive. We are seeking a seasoned Director of Facilities with proven hospital facilities leadership experience to oversee and elevate our facilities operations across the system.

This is a pivotal leadership opportunity for a professional who understands the critical nature of hospital infrastructure and is ready to ensure operational excellence in a complex healthcare setting.

Position Summary

The Director of Facilities is responsible for the strategic leadership, oversight, and performance of all hospital facilities operations, including plant operations, utilities, maintenance, and regulatory compliance.

This role ensures a safe, compliant, and fully operational environment of care, supporting both patients and staff while advancing system-wide efficiency and reliability.

Key Responsibilities

• Lead all hospital facilities operations, including plant maintenance, utilities, and infrastructure systems
• Ensure full compliance with regulatory and accreditation standards (e.g., Joint Commission, CMS, NFPA)
• Oversee preventive and corrective maintenance programs to ensure uninterrupted hospital operations
• Direct capital planning, facility upgrades, and construction/renovation projects
• Partner with clinical and executive leadership to support patient care delivery and operational needs
• Manage vendor relationships, service contracts, and facilities-related budgets
• Drive emergency preparedness and response planning, including disaster readiness and utility contingencies
• Build and lead a high-performing facilities team, promoting accountability and service excellence
• Implement process improvements to enhance efficiency, safety, and cost control

Required Qualifications

• Must have hospital facilities leadership experience
• Bachelor’s degree in Engineering, Facilities Management, Healthcare Administration, or related field
• Progressive leadership experience overseeing hospital plant operations and facilities teams
• Deep knowledge of healthcare regulatory standards (Joint Commission, CMS, NFPA, Life Safety Code)
• Demonstrated experience managing critical systems (HVAC, electrical, emergency power, medical gas, water systems)
• Proven ability to lead large teams and manage complex hospital environments

Why Join University Health?

• Join a Top Workplace dedicated to serving the San Antonio community
• Contribute to the development and support of new hospital facilities and system growth
• Collaborate with mission-driven leaders focused on quality, safety, and operational excellence
• Play a direct role in maintaining the infrastructure that supports life-saving care

Location Requirement

This is an onsite position based in San Antonio, Texas.
Candidates must be local or willing to relocate.