Regional Director ICF Operations

Dungarvin•San Antonio, TX
•Onsite

About The Position

Dungarvin’s Regional Director is a senior operational executive responsible for a multi-state region spanning Louisiana, Texas, Oklahoma, and New Mexico. The role drives quality outcomes, financial performance, regulatory excellence, leadership development, and strategic growth across services for people 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, navigates complex operational challenges, and develops high-performing leaders. The role is onsite and typically follows a Monday–Friday schedule during standard business hours, with flexibility to support operational priorities, executive meetings, acquisitions, and urgent business needs. It requires approximately 60–75% travel 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 people with intellectual and developmental disabilities, including direct experience overseeing ICF/IID and residential, day program, employment/vocational, and community-based services.
  • Proven experience overseeing budgets of $50M or more, P&L performance, forecasting, labor management, and resource allocation, using operational metrics to improve performance and inform 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, and experience using Power BI dashboards and analytics.
  • Ability to manage competing priorities and complex challenges in a dynamic, travel-intensive environment.

Nice To Haves

  • 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 regional operations in Louisiana, Texas, Oklahoma, and New Mexico, ensuring person-centered services and achievement of operational, financial, and organizational goals.
  • Strengthen quality assurance systems, monitor performance trends, ensure regulatory readiness, and 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, acquisitions, change-of-ownership activities, integration efforts, and strategic projects.
  • 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.
  • Use operational metrics and analytics to identify trends, measure outcomes, improve performance, and support strategic decision-making.

Benefits

  • 401(k) plan with employer match after one year of service.
  • Company-provided equipment and a monthly cell phone stipend.
  • PTO that increases with tenure, PTO donation options, and paid sick leave.
  • Medical, dental, and vision coverage.
  • Pet insurance and supplemental insurance options.
  • Flexible spending and health savings accounts (FSA and HSA).
  • Company-paid long-term disability and life insurance.
  • National brand discounts.
  • Employee referral program.
  • Employee Assistance Program.
  • Internal job mobility nationwide.
  • Mileage reimbursement of $0.50 per mile.
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