Administrative Director of Surgical Services

This is a director-level seat with real weight behind it. A San Antonio health system is seeking a permanent Administrative Director of Surgical Services to take full 24-hour operational ownership of a surgical services platform. That means budget authority — both operating and capital — daily oversight of department performance, staffing accountability, medical staff coordination, and regulatory compliance. For an OR leader who has been ready to step up, this role carries the scope to define the next chapter.

The position comes with a comprehensive benefits package, and relocation assistance is available for the right candidate. As a permanent, direct-hire placement, this role offers the kind of stability and organizational backing that supports long-term career growth, including a trajectory toward VP-level leadership. Compensation is competitive based on experience.

Candidates must hold a BSN and an active Texas RN license. AHA Healthcare Provider BLS is required within 60 days of hire, with active BLS on the day you start. A minimum of five years of experience in surgical services is required, with three to five years of progressively responsible management experience strongly preferred. An MSN or advanced degree in business or a related field is preferred, as is specialty or administration certification. Proficiency in clinical systems — HED, HPF, STAR, HEV, and Accudose — and MS Office (Word, Excel, PowerPoint) is expected.

If your surgical services background and leadership experience align with what's described here, reach out directly or book a confidential call. We'll give you the full picture of the opportunity and help you determine whether this is the right move.

San Antonio delivers a quality of life that genuinely surprises people who haven't spent real time there. The city carries a distinct cultural identity — rooted in deep Spanish colonial history and expressed through a thriving culinary scene, vibrant neighborhoods, and the iconic River Walk threading through the heart of downtown. The Pearl District has become a destination in its own right, with local restaurants, weekend markets, and a riverfront energy that sets this city apart from comparably sized metros. Hill Country sits 30 minutes from the city limits, offering state parks, vineyards, and open terrain for weekends that don't require a flight. Winters are mild, summers run warm, and the outdoor season stretches well beyond what most of the country enjoys.

For families and professionals making a relocation decision, San Antonio makes a strong case. Texas has no state income tax, and the city's cost of living runs meaningfully below the national average — housing especially. That combination means a director-level income goes considerably further here than in most major metros. The metro area is served by a range of school districts with solid reputations, and the city's healthcare economy, major university system, and significant military presence support a broad, established professional community. Commutes across most of the metro are manageable. For healthcare leaders coming from higher-cost markets, San Antonio offers a rare combination: genuine career advancement alongside a measurable improvement in everyday quality of life.