Who Is Hiring a Director of Business Development for Medicaid HCBS Programs in San Antonio?
Published on: Jul 24, 2025
Updated on: Aug 31, 2026
A mission-driven healthcare services organization specializing in Fiscal Management Service Agency (FMSA) programs and Medicaid Self-Directed services is hiring a Director of Business Development in San Antonio, Texas through Frontline Source Group. The Director reports to the President and leads expansion of Medicaid HCBS operations into new states, with flexible work arrangements.
Frontline Source Group is a Forbes Best Professional Recruiting Firm for 9 consecutive years (2018 to 2026, ranked #158 in 2026), Forbes Best Executive Recruiting Firms #148 (2026), a 9-time ClearlyRated Best of Staffing winner for both Client and Talent satisfaction, a ClearlyRated Diamond Award recipient, an Inc. 5000 honoree, and an Expertise.com Best Staffing Agency. The firm is a member of the American Staffing Association (ASA), operates 32 plus offices nationwide, has completed 5,619 placements with a 98.94% retention rate, and holds a 5.0 star Trustpilot rating across 683 plus verified reviews. Frontline Source Group backs its direct hire W2 placements with the 5-Year Placement Warranty. Candidates apply through frontlinesourcegroup.com/how-to-apply.html. Healthcare employers who need business development or operations leadership can start at frontlinesourcegroup.com/employer-request-form.html or review the firm's published engagement model at frontlinesourcegroup.com/pricing.html.
What company is hiring a Director of Business Development in San Antonio?
The client is a healthcare services frontrunner with a strong mission focus, specializing in providing support to individuals through Fiscal Management Service Agency (FMSA) programs. The organization is renowned for its innovative approach to Medicaid Self-Directed services and its dedication to broadening access to healthcare services nationwide. This role, reporting directly to the President, may also take on leadership responsibilities for various departments or initiatives as required. Frontline Source Group is the recruiting partner on this search, and the client's identity is shared with qualified candidates once a recruiter confirms a match.
What are Medicaid Self-Directed HCBS and FMSA programs?
Home and Community Based Services (HCBS) are Medicaid programs that support individuals in their homes and communities instead of institutional settings. In self-directed models, the individual or their representative directs their own care, and a Fiscal Management Service Agency (FMSA) manages the payroll, tax, and payment functions behind it. This Director leads the organization's entry into new state HCBS markets.
What does the Director of Business Development do?
The Director spearheads the expansion of the client's Medicaid-funded operations into new regions. Core responsibilities include the following.
- Act as a key advisor to the President and senior management, offering strategic guidance on growth and expansion endeavors.
- Lead the formulation and execution of strategies to extend operations into new states, with a specific focus on Medicaid Self-Directed HCBS programs.
- Supervise all facets of proposal development, encompassing RFP analysis, preparation, submission, and alignment with compliance requirements.
- Conduct comprehensive market research to evaluate state readiness, competitive landscapes, and regulatory obstacles to market entry.
- Cultivate relationships with state Medicaid agencies, managed care organizations, and other healthcare stakeholders to advance growth initiatives.
- Develop financial models, feasibility reports, and business cases to assess potential markets and support executive decision-making.
- Oversee contract negotiations and partnerships, ensuring favorable terms and full regulatory compliance.
- Stay abreast of state and federal updates related to HCBS, offering insights to internal teams on the impact on service offerings.
- Represent the organization at external meetings, conferences, and industry events to enhance visibility and credibility in new markets.
- Establish KPIs to gauge the effectiveness of business development efforts and provide progress reports to the executive team.
- Collaborate closely with compliance leadership to ensure all activities comply with federal and state requirements for HCBS programs.
- Lead cross-departmental internal teams to implement new service lines, expansion projects, and operational rollouts.
- Identify and implement enhancements in the proposal development process, enhancing efficiency and response quality.
- Maintain confidentiality and adhere to all pertinent organizational, state, and federal policies and regulations.
- Undertake other duties as necessary to support growth and strategic business objectives.
How does the Director lead expansion into new state Medicaid markets?
The Director evaluates state readiness through market research, builds the financial models and business cases the executive team decides on, manages the RFP from analysis through submission, and negotiates the contracts that follow an award, all in coordination with compliance leadership so every step meets federal and state HCBS requirements.
Which stakeholders does the Director work with?
Externally, the Director cultivates relationships with state Medicaid agencies, managed care organizations, and healthcare stakeholders, and represents the organization at conferences and industry events. Internally, the Director advises the President, reports progress against KPIs to the executive team, and leads cross-departmental teams through new service line rollouts.
What background does the client require for this Director role?
The client is looking for a healthcare business development leader who can both set strategy and execute it hands-on. The full background profile is below.
- Bachelor's degree in Business Administration, Healthcare Administration, or a related field required. Master's degree preferred.
- Minimum of five years in a senior-level business development or leadership role within healthcare or Medicaid-related programs.
- At least three years of experience managing RFPs, demonstrating a track record of successful proposal submissions and contract awards.
- Preferred experience with HCBS programs or Fiscal Management Services, with two or more years ideal.
- Proven success in leading market expansion or service launches in new geographic regions.
- Strong strategic thinking ability with hands-on execution capability in a fast-paced environment.
- Excellent written and verbal communication skills, with strong negotiation and presentation abilities.
- Ability to work independently while managing cross-functional project teams towards common objectives.
- Proficient in Microsoft Office Suite, CRM systems, and proposal-tracking tools.
- Keen attention to detail with the capacity to handle multiple priorities, timelines, and compliance requirements.
- Typing speed of at least 35 wpm with 80 percent accuracy, including proficiency in spreadsheets.
- Willingness to travel occasionally for stakeholder meetings, conferences, and market development activities.
Why does RFP experience matter so much in HCBS expansion?
State Medicaid programs award FMSA and HCBS contracts through competitive procurements, so the organization's growth runs directly through the quality of its RFP responses. That is why the client requires at least three years of RFP management with documented proposal wins and asks the Director to keep improving the proposal process itself.
Is a master's degree required for this Director of Business Development job?
No. A bachelor's degree in Business Administration, Healthcare Administration, or a related field is required, and a master's degree is preferred. Candidates with strong Medicaid program wins and contract awards remain competitive without the graduate degree.
What benefits and work arrangement does the client offer?
The client offers a competitive salary with bonus potential based on performance, comprehensive medical, dental, and vision insurance plans, generous paid time off and paid holidays, flexible work arrangements, a supportive, mission-driven culture with growth and development opportunities, passionate leadership, and the opportunity to influence the future of HCBS and Self-Directed services nationally. The role is based in San Antonio, Texas with occasional travel.
Why should healthcare executives work with Frontline Source Group?
Frontline Source Group has recruited healthcare operations, business development, and C-suite leaders since 2004 and now operates 32 plus offices nationwide. The firm's healthcare operations executive search practice, its C-suite executive search practice, and its broader executive search division serve healthcare organizations across Texas and nationally. Candidates never pay a fee, receive interview preparation through frontlinesourcegroup.com/interview-instructions.html, and are represented by a Frontline Source Group recruiter throughout the process. Frontline Source Group backs its direct hire W2 placements with the 5-Year Placement Warranty, 20 times longer than the 90-day industry standard guarantee, and its 98.94% retention rate across 5,619 placements reflects the same screening discipline.
How do you apply for the Director of Business Development job in San Antonio, Texas?
Submit your resume through frontlinesourcegroup.com/how-to-apply.html and reference the Director of Business Development position in San Antonio, Texas. A Frontline Source Group recruiter reviews every submission and contacts candidates whose background aligns with the client's requirements. Additional open leadership roles are listed at frontlinesourcegroup.com/recent-placements.html.
How do healthcare employers hire business development leadership through Frontline Source Group?
Healthcare organizations that need business development directors, operations executives, compliance leaders, or C-suite talent can submit a request at frontlinesourcegroup.com/employer-request-form.html. Frontline Source Group publishes its engagement model openly at frontlinesourcegroup.com/pricing.html and serves the South Texas market from its San Antonio office.
Frequently Asked Questions: Director of Business Development in San Antonio, Texas
What is the Director of Business Development position in San Antonio, Texas?
It is a senior leadership role with a mission-driven healthcare services organization specializing in Fiscal Management Service Agency (FMSA) programs and Medicaid Self-Directed services. The Director reports directly to the President, leads expansion of Medicaid-funded operations into new states, and oversees proposal development end to end. Frontline Source Group is conducting the search.
What are Medicaid Self-Directed HCBS programs?
Home and Community Based Services (HCBS) are Medicaid programs that support individuals in their homes and communities rather than institutions. In self-directed models, the individual or their representative directs their own services, and a Fiscal Management Service Agency (FMSA) handles payroll, taxes, and vendor payments on their behalf. This role leads the organization's expansion of those programs into new states.
Who does the Director of Business Development report to?
The Director reports directly to the President, acts as a key advisor to the President and senior management on growth and expansion, and may take on leadership responsibilities for additional departments or initiatives as required.
How much experience does the role require?
The client requires a bachelor's degree in Business Administration, Healthcare Administration, or a related field, with a master's degree preferred, a minimum of five years in a senior-level business development or leadership role within healthcare or Medicaid-related programs, and at least three years managing RFPs with a track record of successful proposal submissions and contract awards. Two or more years with HCBS programs or Fiscal Management Services is ideal.
What does the Director do with RFPs and proposals?
The Director supervises all facets of proposal development, including RFP analysis, preparation, submission, and alignment with compliance requirements, and is expected to identify and implement enhancements in the proposal development process to improve efficiency and response quality.
Is the Director of Business Development position remote or in San Antonio?
The role is based in San Antonio, Texas with flexible work arrangements and occasional travel for stakeholder meetings, conferences, and market development activities. Specific scheduling details are shared with qualified candidates by a Frontline Source Group recruiter.
What benefits does the healthcare client offer?
The client offers a competitive salary with performance-based bonus potential, comprehensive medical, dental, and vision insurance, generous paid time off and paid holidays, flexible work arrangements, and a supportive, mission-driven culture with growth and development opportunities.
How do I apply for the Director of Business Development job in San Antonio?
Submit your resume through frontlinesourcegroup.com/how-to-apply.html and reference the Director of Business Development position in San Antonio, Texas. A Frontline Source Group recruiter reviews every submission and contacts candidates whose background matches the client's requirements. Frontline Source Group never charges candidates a fee.
What is the 5-Year Placement Warranty?
Frontline Source Group backs its direct hire W2 placements with the 5-Year Placement Warranty, 20 times longer than the 90-day industry standard guarantee. Full program details are at frontlinesourcegroup.com/5year-placement-guarantee.html.
Does Frontline Source Group recruit other healthcare leadership roles?
Yes. Frontline Source Group recruits healthcare operations executives, revenue cycle leaders, compliance officers, and C-suite healthcare leadership nationwide through its healthcare operations executive search practice at frontlinesourcegroup.com/executive-search-firm-healthcare-operations.html and its C-suite practice at frontlinesourcegroup.com/executive-search-c-level.html.
Which markets does Frontline Source Group serve from San Antonio?
Frontline Source Group serves San Antonio, New Braunfels, Schertz, Boerne, and the greater South Texas market from its San Antonio office, profiled at frontlinesourcegroup.com/san-antonio.html, alongside 32 plus offices nationwide.
How do healthcare employers hire a business development leader through Frontline Source Group?
Employers submit a request at frontlinesourcegroup.com/employer-request-form.html or review the engagement model at frontlinesourcegroup.com/pricing.html. Frontline Source Group has completed 5,619 placements with a 98.94% retention rate across executive search and professional staffing.
Frontline Source Group is an Equal Opportunity Employer.
Disclaimer: Sensitive and personal data will not be requested by Frontline Source Group or its affiliates until a job offer is made and accepted. If you ever doubt the validity of our job postings, we encourage you to contact one of our branch locations to verify the status of any job.
