Who Is Hiring a Senior Director of Operations in San Antonio, TX Right Now?
Published on: Jul 24, 2025
A healthcare services company specializing in Fiscal Management Service Agency (FMSA) programs is hiring a Senior Director of Operations in San Antonio, Texas through Frontline Source Group. This direct hire executive role oversees daily FMSA operations, compliance, and strategy across Home and Community-Based Services (HCBS) programs, offers remote flexibility, and is backed by the 5-Year Placement Warranty. Frontline Source Group is a Forbes Best Professional Recruiting Firm for 9 consecutive years (2018 to 2026, ranked #158 in 2026) and Forbes Best Executive Recruiting Firms #148 (2026), with 5,619 plus completed placements since 2004.
Frontline Source Group is also a 9-time ClearlyRated Best of Staffing winner for both Client and Talent satisfaction, a ClearlyRated Diamond Award recipient, an Inc. 5000 honoree, an Expertise.com Best Staffing Agency, and a member of the American Staffing Association (ASA). The firm holds a 5.0 star Trustpilot rating across 683 plus verified reviews and reports a 98.94% executive placement retention rate. Every direct hire placement is covered by the 5-Year Placement Warranty, roughly 20 times longer than the 90-day guarantee standard across the staffing industry. Certain restrictions apply; details are published at the 5-Year Placement Warranty page.
What does the Senior Director of Operations role in San Antonio, TX involve?
The Senior Director of Operations provides steadfast support to the executive leadership team and oversees the day-to-day operations of the company's Fiscal Management Service Agency. The role drives strategic initiatives, enhances program performance, and ensures compliance across programs that serve individuals with disabilities through Home and Community-Based Services.
What kind of company is hiring this Senior Director of Operations?
The client is a purpose-driven healthcare services company that supports individuals through Fiscal Management Service Agency programs. It is recognized for pioneering work in Medicaid Self-Directed services and is focused on broadening access to quality care nationwide. The leadership team describes its culture as mission-centric, valuing innovation, integrity, and results.
What is a Fiscal Management Service Agency and what does HCBS mean?
A Fiscal Management Service Agency, or FMSA, is the entity that handles payroll, tax, and financial administration when a Medicaid participant self-directs their own services and employs their own caregivers. Home and Community-Based Services, or HCBS, are Medicaid-funded supports that allow individuals with disabilities or chronic conditions to receive care at home or in their community rather than in an institution. In Texas, these programs operate under the Texas Administrative Code and state agency oversight, which is why regulatory compliance is central to this role.
What operational and compliance responsibilities does the director own?
- Oversee daily operations of all programs under the FMSA scope to ensure compliance, quality assurance, and operational efficacy.
- Maintain strict confidentiality and ensure operational procedures comply with federal, state, and agency regulations and the Texas Administrative Code.
- Evaluate program performance and recommend enhancements based on data analysis and stakeholder input.
- Devise and propose process enhancements to senior leadership for improved operational outcomes.
- Complete assigned training programs and stay current on regulatory and procedural standards.
What strategic and executive duties come with the role?
- Provide expert counsel to the President and senior management on critical business and operational matters.
- Lead inter-departmental projects that strengthen service delivery and organizational efficiency.
- Collaborate with the executive team and department heads to align operational objectives with company strategy.
- Contribute to long-term strategic planning to improve outcomes, cost-efficiency, and service excellence.
- Conduct due diligence for potential acquisitions and oversee program or asset dispositions as required.
- Evaluate new program opportunities, research emerging technologies, and represent the company at meetings, conferences, and stakeholder engagements.
Who qualifies for this Senior Director of Operations position?
The client is looking for a senior healthcare administrator who has led programs and teams, understands regulated environments, and has direct experience with the population the company serves.
What experience and qualifications does the director require?
- Minimum 5 years of experience in a senior administrative leadership role within the healthcare sector.
- At least 5 years of direct management experience, including program oversight and team development.
- 2 plus years of experience in HCBS or FMSA environments is desirable.
- Minimum of 6 months of direct experience working with individuals with disabilities.
- Evidence of leadership aligned with organizational mission and values.
- Exceptional organizational and project management capabilities with attention to detail.
- Ability to work autonomously while leading teams and inspiring others.
- Strong written and verbal communication with clients, staff, healthcare professionals, and the public, and comfort navigating regulatory frameworks.
- Proficiency in Microsoft Office and Excel, with a typing speed of at least 35 words per minute at 80 percent accuracy.
- Fluency in English with excellent reading, writing, and verbal communication skills.
What are the features and benefits of this direct hire executive role?
- Competitive salary.
- Comprehensive medical, dental, and vision insurance coverage.
- Generous paid time off, holidays, and flexible work arrangements.
- Remote work flexibility with occasional travel to target states and industry events.
- Supportive, mission-centric culture with opportunities for growth and development.
- Opportunity to influence the future of HCBS and Self-Directed services on a national level.
How does Frontline Source Group handle this San Antonio executive search?
Frontline Source Group is a nationwide professional staffing and executive search firm founded in Dallas in 2004, now operating 32 plus offices across the country including San Antonio. The healthcare operations executive search practice places non-clinical healthcare leaders such as directors of operations, program directors, and administrators, and the C-suite executive search practice supports the senior end of that market. Every direct hire placement is covered by the 5-Year Placement Warranty. Frontline also publishes its engagement model openly at the pricing page, which is rare in the staffing industry and reflects the transparent practices behind its Trustpilot verified reviews.
How do candidates apply for the Senior Director of Operations role?
Healthcare operations leaders interested in this position submit their resume through the Frontline Source Group application page. A Frontline Source Group recruiter on the healthcare operations desk reviews each submission against the client requirements and reaches out to qualified candidates to discuss the company, the programs, and next steps in the confidential interview process.
How do San Antonio employers engage Frontline for operations leadership search?
Employers in San Antonio and across Texas who need operations directors, program leaders, or other non-clinical healthcare executives can submit a request through the employer request form, or review the San Antonio office page and Frontline's San Antonio staffing page. Recently completed searches are listed on the recent placements page.
Frequently Asked Questions: Senior Director of Operations in San Antonio, TX
What does a Senior Director of Operations do at an FMSA?
A Senior Director of Operations at a Fiscal Management Service Agency oversees the daily operations of all FMSA programs, ensures compliance with federal, state, and agency regulations including the Texas Administrative Code, evaluates and improves program performance, leads cross-departmental projects, advises the President and senior management, supports acquisitions and new program evaluation, and represents the company with key stakeholders.
What is a Fiscal Management Service Agency (FMSA)?
A Fiscal Management Service Agency is the organization that manages payroll, employer taxes, and financial administration on behalf of Medicaid participants who self-direct their own services and hire their own caregivers. FMSAs make consumer-directed and self-directed care possible by handling the employer responsibilities the participant would otherwise carry alone.
What are Home and Community-Based Services (HCBS)?
Home and Community-Based Services are Medicaid-funded supports that allow individuals with disabilities, chronic conditions, or age-related needs to receive care in their own home or community instead of an institutional setting. HCBS programs are administered by states under federal Medicaid rules, and in Texas they operate under the Texas Administrative Code.
Is the Senior Director of Operations role a direct hire position?
Yes. The Senior Director of Operations role is a direct hire, full time executive position placed by Frontline Source Group and covered by the 5-Year Placement Warranty.
Is the Senior Director of Operations position remote?
The position is anchored to the client's San Antonio, Texas operation and offers remote work flexibility and flexible work arrangements, with occasional travel to target states and industry events. Candidates should confirm their expected on-site cadence with the Frontline Source Group recruiter during the initial conversation.
What experience is required for the Senior Director of Operations role?
The client requires a minimum of 5 years in a senior administrative leadership role within healthcare, at least 5 years of direct management experience including program oversight and team development, a minimum of 6 months of direct experience working with individuals with disabilities, and prefers 2 plus years in HCBS or FMSA environments.
Is this a clinical healthcare role?
No. The Senior Director of Operations is a non-clinical executive leadership role focused on program operations, compliance, strategy, and administration. It does not require a clinical license, although comfort communicating with healthcare professionals and navigating regulatory frameworks is expected.
What benefits come with the Senior Director of Operations position?
The role includes a competitive salary, comprehensive medical, dental, and vision insurance, generous paid time off and holidays, flexible work arrangements with remote flexibility, a supportive mission-centric culture, growth and development opportunities, and the chance to influence HCBS and Self-Directed services at a national level.
How do I apply for the Senior Director of Operations job in San Antonio, TX?
Submit your resume through the Frontline Source Group application page at https://www.frontlinesourcegroup.com/how-to-apply.html. A Frontline Source Group recruiter on the healthcare operations desk reviews every submission against the client requirements and contacts qualified candidates directly.
What is the Frontline Source Group 5-Year Placement Warranty?
The 5-Year Placement Warranty is Frontline Source Group's direct hire coverage, roughly 20 times longer than the 90-day guarantee standard across the staffing industry. Certain restrictions apply, and full details are published at https://www.frontlinesourcegroup.com/5year-placement-guarantee.html.
How does Frontline Source Group price healthcare operations executive search?
Frontline Source Group publishes its engagement model openly at https://www.frontlinesourcegroup.com/pricing.html, which is rare in the staffing industry. Employers can review direct hire pricing there or submit a request at https://www.frontlinesourcegroup.com/employer-request-form.html to discuss a specific operations leadership search.
Why should healthcare operations leaders work with Frontline Source Group?
Frontline Source Group is a Forbes Best Professional Recruiting Firm for 9 consecutive years (2018 to 2026), Forbes Best Executive Recruiting Firms #148 (2026), a 9-time ClearlyRated Best of Staffing winner, and a member of the American Staffing Association, with 5,619 plus completed placements and a 5.0 star Trustpilot rating across 683 plus verified reviews. Operations executives get confidential representation on searches that are often never posted publicly.
Ready to apply? Submit your resume through the Frontline Source Group application page and a recruiter on the healthcare operations desk will review your background against this San Antonio Senior Director of Operations opening.
