Regional Director ICF Operations

Dungarvin•San Antonio, TX

11d•Onsite

About The Position

Dungarvin’s Regional Director serves as a senior operational executive leading a multi-state region across Louisiana, Texas, Oklahoma, and New Mexico. The role is accountable for quality outcomes, financial performance, regulatory excellence, leadership development, and strategic growth across services supporting individuals with intellectual and developmental disabilities. The position oversees a $50M+ operation and approximately 700 employees across residential services, ICF/IID, day programs, employment services, and community-based supports. As a key partner to the COO and executive team, the Regional Director shapes regional strategy, supports growth and acquisition initiatives, responds to complex operational challenges, and develops high-performing leaders. The role is onsite, typically works Monday through Friday during standard business hours, and requires flexibility for operational priorities, executive meetings, acquisitions, and urgent business needs. Approximately 60–75% travel is required throughout Louisiana, Texas, New Mexico, and Oklahoma, with frequent overnight travel averaging three or four weeks per month.

Requirements

Bachelor’s degree in Human Services or a related field, such as Psychology, Counseling, Allied Health, Educational Psychology, or Sociology.
At least 5 years of progressive senior-level leadership experience overseeing complex human services operations, developing leaders, managing geographically dispersed teams, and achieving quality, operational, and financial objectives.
At least 7 years of experience supporting individuals with intellectual and developmental disabilities, including direct experience overseeing Intermediate Care Facilities (ICF/IID) and services such as residential, day programs, employment/vocational supports, and community-based programs.
Proven experience overseeing budgets of $50M or more, P&L performance, forecasting, labor management, and resource allocation, using operational metrics to improve performance and support strategic decisions.
Experience leading multi-state initiatives, M&A activities, change-of-ownership processes, RFPs, business development efforts, and organizational transformation initiatives.
Proficiency with Microsoft 365 applications and operational reporting systems.
Experience using Power BI dashboards and analytics to identify trends, measure outcomes, improve performance, and drive continuous improvement.
Ability to travel approximately 60–75%, including frequent overnight travel averaging three or four weeks per month.
Ability to work with flexibility to support operational priorities, executive meetings, acquisitions, and urgent business needs.

Nice To Haves

Strong knowledge of ID/DD/IDD, ICF, HCBS, Medicaid Waiver programs, managed care models, CMS requirements, state licensing regulations, compliance standards, and quality assurance practices.
Experience navigating multi-state operations, funding structures, provider networks, crisis management, and system-level change.
Experience evaluating operations, improving systems and workflows, and implementing strategies that enhance service quality, operational efficiency, and organizational effectiveness.
Advanced education, leadership training, or relevant certifications such as CPHQ, PMP, cHAP, Lean Six Sigma, CARF accreditation or surveyor credentials, or other healthcare, quality, or compliance credentials.

Responsibilities

Provide executive oversight for operations in Louisiana, Texas, Oklahoma, and New Mexico, ensuring high-quality, person-centered services and achievement of operational, financial, and organizational goals.
Strengthen quality assurance systems, monitor performance trends, maintain regulatory readiness, and proactively identify opportunities to reduce risk and improve outcomes.
Oversee regional financial performance, including P&L accountability, budgeting, forecasting, labor optimization, and resource allocation.
Identify opportunities for sustainable growth and improved business performance.
Support business development initiatives, acquisitions, change-of-ownership activities, integration efforts, and strategic projects that expand services and strengthen regional operations.
Coach, mentor, and develop senior leaders; build leadership pipelines, strengthen accountability, and foster a culture aligned with Dungarvin’s mission and values.
Build relationships with internal leaders, state agencies, funding partners, regulatory organizations, families, and community stakeholders to advance organizational goals.