Director of Business Development (San Antonio)

Director of Business Development

Our client is seeking a Director of Business Development leader to expand their Medicaid-funded operations into new regions. This position reports to the President and may assume leadership of departments or initiatives as needed.

Company Profile

This organization is a mission-driven leader in the healthcare services space, specializing in supporting individuals through Fiscal Management Service Agency (FMSA) programs. They are recognized for their innovation in Medicaid Self-Directed services and their commitment to expanding access to care across the country.

Director of Business Development Role :

Serves as a key advisor to the President and senior leaders, providing strategic input on growth and expansion efforts.

Leads the development and execution of plans to expand operations into additional states, specifically targeting Medicaid Self-Directed HCBS programs.

Oversees all aspects of proposal development, including RFP analysis, preparation, submission, and compliance alignment.

Conducts detailed market research to assess state readiness, competitive environments, and regulatory barriers to entry.

Cultivates relationships with state Medicaid agencies, managed care organizations, and other healthcare stakeholders to support growth initiatives.

Develops financial models, feasibility reports, and business cases to assess potential markets and support executive decision-making.

Manages contract negotiations and partnerships, ensuring favorable terms and full regulatory compliance.

Monitors state and federal updates related to HCBS and advises internal teams on implications for service offerings.

Represents the organization at external meetings, conferences, and industry events to increase visibility and credibility in new markets.

Establishes KPIs to measure the effectiveness of business development efforts and reports progress to the executive team.

Works closely with compliance leadership to ensure all activities adhere to federal and state requirements for HCBS programs.

Leads internal teams across departments to implement new service lines, expansion projects, and operational rollouts.

Identifies and implements improvements in the proposal development process, increasing efficiency and response quality.

Maintains confidentiality and adherence to all applicable organizational, state, and federal policies and regulations.

Performs other duties as needed to support growth and strategic business objectives.

Director of Business Development Background Profile :

Bachelors degree in Business Administration, Healthcare Administration, or a related field required; Masters degree preferred.

At least 5 years in a senior-level business development or leadership role within healthcare or Medicaid-related programs.

Minimum of 3 years managing RFPs, with a proven record of successful proposal submissions and contract awards.

Experience with HCBS programs or Fiscal Management Services is strongly preferred (2+ years ideal).

Demonstrated success leading market expansion or service launches in new geographic regions.

High-level strategic thinking with the ability to execute hands-on work in a fast-paced environment.

Skilled communicator, both written and verbal, with strong negotiation and presentation capabilities.

Ability to work independently while managing cross-functional project teams toward shared goals.

Proficient in Microsoft Office Suite and comfortable with CRM and proposal-tracking tools.

Strong attention to detail and the ability to manage multiple priorities, timelines, and compliance requirements.

Able to type a minimum of 35 wpm with at least 80% accuracy, including spreadsheet proficiency.

Willing to travel periodically for stakeholder meetings, conferences, and market development.

Features and Benefits :

Competitive salary with bonus potential based on performance

Comprehensive medical, dental, and vision insurance plans

Generous PTO, paid holidays, and flexible work arrangements

Supportive, mission-focused culture with growth and development opportunities

Opportunity to shape the future of HCBS and Self-Directed services on a national scale

Passionate leadership team that values innovation, integrity, and results

Remote flexibility with required travel to target states and industry events