Chief Executive Officer (CEO)
Job Details
Kerrville Administration - Kerrville, TX
Graduate Degree

Hill Country MHDD Centers is headquartered in the heart of the scenic Texas Hill Country, Hill Country MHDDC is a unit of local government with 501 (C)(3) status that serves its own Board of Trustees; comprised of 11 members appointed by the governing bodies of serviced counties for the purpose of operating a community mental health and intellectual and developmental disabilities center (CMHDDC).

We provide a broad array of publicly funded behavioral health, intellectual and developmental  services within a diverse 19 county, 23,000 square mile region of Central-West Texas. The catchment area includes three of the fastest growing counties in the United States in terms of population growth. Bisected by the beautiful Guadalupe River, Kerrville is located on Interstate Highway 10 one-hour northwest of San Antonio and an hour and 40 minutes to the heart of the Texas wine country and Austin, Tx.  Known for breath-taking views, beautiful parks and abundant recreational activities, our unique city has long been recognized as one of the healthiest areas of Texas, offering an active lifestyle with many fun and exciting things to do. It is the home to a Regional medical center, a large VA hospital, Schreiner University, and an excellent school system.

To be credible in this role, the CEO should be a seasoned executive with extensive executive leadership experience within program and service delivery management across Mental Health and IDD communities, strategic planning, financial management, human resource management, coaching and mentoring staff.  The CEO will be a values-driven leader with an unwavering level of integrity and a track record of success, while achieving strong financial, operational, and quality performance.

The CEO must perpetuate the strategic and operational leadership required to both drive and absorb significant growth in the coming years. Reporting to the Board of Directors, and leading a dedicated, cohesive and effective senior leadership team the CEO should be viewed as a highly effective communicator and trusted relationship builder, articulating and promoting a culture of person-centered principles.


Essential Duties and Responsibilities:


  • Lead and confirm accurate Governing Board reporting and meetings, ensuring transparency, open communications, and continuous training for new and existing Board Members.
  • Lead and maintain positive stakeholder relationships with individuals receiving services, family members, advocacy groups, governmental entities, donors, and other public and private human services agencies.
  • Works closely with elected and appointed state and local government officials, and participates in various planning, coordinating, and advocacy activities at state, regional, and local levels.
  • Participates in the legislative process, drafts legislation that advances service capabilities and testifies on legislative initiatives.
  • Attends/participates in speaking, educational, and networking opportunities on behalf of HCMHDDC, to further the organizational mission and goals.
  • Hands on leadership ensuring face to face interaction across our large catchment area. 
  • Provides overall leadership and professional direction while overseeing day-to-day operations of HCMHDDC programs, services, and administrative operations, ensuring smooth, efficient, and effective operations.
  • Cultivate internal leaders and ensures a well-rounded Executive Management Team

Finance and Quality Management

  • Directs and participates in the preparation and presentation of an annual operating budget to the Board of Trustees for review, ensuring all financial services comply with generally accepted accounting practices.
  • Seeks additional sources of funding while maintaining existing funding and monitoring/planning for changes in funding streams.
  • Maintains a comprehensive continuous quality improvement plan utilizing data to guide organizational improvement and maintain operational compliance, ensure evidence-based practices, program integrity, service satisfaction, and employee morale.
  • Oversees the development and maintenance of interagency agreements, memorandums of understanding, and contracts, ensuring adequate safeguards are in place to comply with statutes and regulatory requirements, and to protect HCMHDDC service recipients, and the integrity of financial resources and programs.

Program Operational Management

  • Provides and ensures the vision, strategic planning, direction, and administration of all aspects of the organization’s activities to ensure compliance with established laws, policies, procedures, objectives, and with the realization of high quality, person-centered care.
  • Serves as the chief personnel officer and hiring authority for all HCMHDDC employees.
  • Maintains an inclusive and approachable management style at all levels of the organization, including with the board, physicians, leadership team, and employees.
  • Directs the development, implementation, and maintenance of human resources, employee benefits management systems, policies, and procedures.
  • Maintains a consistent evaluation system for all staff including 360° review for employees with supervisory duties.
  • Oversees the human rights system for HCMHDDC and responds promptly and appropriately to complaints from individuals receiving services, their families, or other internal and external sources.
  • Understand and develop relevant high level policy maintaining knowledge of the impact on the programs and planning of HCMHDDC; as they align at the Federal, and State level

Education and Experience Requirements

  • Master’s degree in Management, Business, Administration, or another related field.
  • Minimum five plus (5+) years as a senior executive in behavioral health or similar field.
  • Minimum two plus (2+) years of managing or maintaining compliance within a budget in excess of $20 million.
  • Working knowledge of behavioral health practices and clinical operations.
  • Advanced knowledge of state and federal regulatory requirements, healthcare and behavioral healthcare policy, and various accreditation requirements related to behavioral health management. 

Preference will be given to individuals with:

  • Experience with Certified Community Behavioral Health Clinics (CCBHCs).
  • Experience with Home and Community  Based Services
  • Leadership experience with Non-Profit Organizations or similar.

Core Competencies Required

  • A visionary servant leader who will partner with the Board to establish long-term goals to continue to grow the organization and respond to the changing needs within behavioral healthcare.
  • Able to provide strong leadership in implementation, tactics, budgets and goals.
  • A charismatic and sophisticated communicator who will be a strong advocate in promoting the mission of the center within the community and outreach events.
  • Keen analytic, critical thinking and problem-solving abilities that enable sound decision- making.
  • Strong professional ethics, integrity and accountability in all actions; respect and appreciation for diversity.
  • Capable of directing and coaching staff and successfully managing conflict.
  • Success in recruiting, developing, and coaching high performing teams.
  • Able to build strategic business partnerships.
  • Capable of interpersonal influence with media, government and regulators.
  • Capable of building consensus among a variety of groups.
  • Comfortable with speaking diplomatically in front of large groups of people internally and externally.
  • Willingness to listen to learn and accept feedback from others.

Work Schedule: Full Time

Salary: Commensurate with experience

Interview Schedule:  Will be conducted in person 


Retirement Plan: 403(b) Plans, 457 and 457 Roth with Company Match

Benefits: BCBS of Texas health insurance, Vision, Dental, Short-term and Long-term Disability, Aflac to name a few.

Paid time off