Program Director Jobs in San Antonio, TX
Program Director jobs in San Antonio are concentrated in the Medical Center, downtown, and the South Texas Medical Center corridor, with strong demand across healthcare, defense contracting, and nonprofit services. Employers actively hiring include University Health, UT Health Science Center at San Antonio, and USAA. See the openings below and apply to the ones that match your experience.
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Who We Are:
Symetria Recovery is the #1 outpatient rehab in Illinois and Texas. It started with three simple, yet game-changing core beliefs: Addiction is a disease; co-occurring mental health conditions should be addressed, and patients deserve respect, not judgement. Symetria Recovery provides comprehensive substance abuse treatment with a focus on Medication-Assisted Treatment (MAT) in a welcoming outpatient setting. Unlimited clinical services are available to our patients under our bundled-service delivery model. Key services delivered through our Opioid Treatment Program (OTP) licensure include MAT, medically monitored psychiatric care, individual therapy, group therapy (IOP), 6-day-per-week nursing care, and ongoing aftercare. Most of our patients being provided medication receive Buprenorphine products, but they can also receive Methadone, and any other FDA-approved medication for addiction.
Position Summary:
The Program Director functions with considerable autonomy on matters relating to his/her facility. The Program Director receives individual supervision from the Chief Operating Officer. The Program Director also participates in group supervision with other Company Program Directors and the Chief Operating Officer. Finally, the Program Director facilitates his/her own clinic's weekly multidisciplinary staffing.
What You Will Do:
- Provide leadership and strategic direction of the clinic's employee's performance.
- Recruit and hire clinic staff. Ensure all new hires complete Company's onboarding process.
- Provide performance monitoring of clinic employees, and complete annual performance evaluations.
- Address and resolve employee concerns and conflicts promptly and within the established company policies
- Responsible for meeting key performance indicators (“KPI's”) including patient satisfaction, quality of care, regulatory requirements, chart audit compliance, achievement of service delivery guidelines, overtime and expense management.
- Supervise facility staff; support, motivate and create a high-performing team and cultivate an open, collaborative and positive work environment.
- Ensures the care provided to patients is evidence-based and consistent with company policy and is delivered in an effective, patient-centered manner.
- Able and willing to perform all of the duties of a licensed clinician, including facilitating group therapy sessions, family sessions, performing intake assessments, providing individual therapy and/or case-management services and supervising clinical staff.
- Enforce code of conduct / ethics for clinical as well as company policy.
- Ensure HIPAA guidelines are followed.
- Maintain a clinic environment that aligns with the Symetria philosophy including clinical language, clinical decision making, clinic decor, and facility management.
- Works with the Admissions and Marketing teams to develop community relationships and promote the company's reputation and standing in the community and treatment field.
- Works to develop relationships with patient referral sources to drive calls and admissions into the facility.
- Serves as company ambassador and is available to represent the company in community and professional networking events; conferences and various public relations activities.
- Resolves internal and external complaints and conflict with input from Chief Operating Officer, as needed.
- Attends job-specific trainings offered within and outside of organization to enhance job skills and knowledge
- Develops and utilizes knowledge of federal and state rules and regulations governing operations.
- Stays abreast of developments in the field, behavioral health and Medication-Assisted Therapy, to ensure patients are receiving the best treatment possible.
- Participates in performance improvement activities as appropriate.
Who You Are:
- Prior supervisory or management experience is required.
- Must possess and maintain a current, valid driver's license to travel between assigned sites within the state of employment.
- Current independent licensure or certification in the state of Texas is required for positions based in Texas (LCDC, LPC, LPC-S, LMFT, or LCSW).
- Advanced communication skills; and knowledge of group and individual dynamics, conflict resolution, intervention and motivational interviewing; at a level normally acquired though completion of a master's degree in psychology, social work, mental health counseling, or substance abuse counseling; or equivalent education and life experience.
- Ability to perform direct patient services, individual, group, and family, at a level normally acquired through two or more years' prior experience in the behavioral health field.
- Experience in SUD treatment, though not required, is very much preferred.
- Experience with Medication-Assisted Treatment is preferred.
- Master's degree in psychology, social work, counseling, or related field preferred—or equivalent education and experience.
- Strong leadership skills with the ability to manage clinic operations, make decisions independently, and take ownership of performance metrics.
- Proficiency in evidence-based practices, motivational interviewing, conflict resolution, and group/individual dynamics.
- Excellent interpersonal and communication skills to support patients, engage families, motivate staff, and build professional relationships.
- Analytical and problem-solving abilities to evaluate staff performance, ensure regulatory compliance, and drive continuous improvement.
Benefits Available to You:
- Medical, dental, and vision insurance for you and your family
- 401(k) with company match
- Life insurance
- Pet insurance
- CEU reimbursement and paid time for continuing education
- Licensure fee reimbursement
- Paid vacation and sick time
- Closed and paid major holidays
Compensation for this position is based on market analysis and will be determined by additional factors such as location/state, skills, years of experience, relevant credentials, and education. The posted compensation range for this role is $75,000 to $85,000 annually. We are committed to offering a competitive compensation and benefits package that reflects all the factors previously outlined in conjunction with current market trends.
Come join a team that believes in and has a passion for providing personalized care to each individual that is a part of Symetria Recovery!
See All 180+ Program Director Jobs in San Antonio
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Find Program Director JobsProgram Director Job Market in San Antonio
Who's Hiring
- University Health28

- UT Health Science Center at San Antonio28

- USAA14

- Sevita14

- Westcare14

Program Director Jobs in San Antonio: Frequently Asked Questions
How do I get a program director job in San Antonio?
Focus your search on San Antonio's largest hiring sectors: military and defense contractors clustered near Joint Base San Antonio, healthcare systems in the Medical Center, and nonprofits throughout the urban core. Candidates who demonstrate experience managing multi-site operations or federal contracts gain a clear edge locally. Connecting with organizations in Bexar County's public health and workforce development networks also opens doors that a standard application alone won't.
Which companies hire program directors in San Antonio?
Companies currently hiring program directors in San Antonio include University Health, UT Health Science Center at San Antonio, and USAA, per current listings on Migrate Mate as of September 2026. San Antonio's employer base skews heavily toward large health systems, defense and government contractors, and established nonprofits, all of which maintain ongoing program director openings rather than hiring only seasonally.
Are there remote program director jobs in San Antonio?
Yes, though availability depends on the sector. Program director roles tied to direct service delivery, clinical oversight, or on-site operations are rarely fully remote. About 50% of program director openings tied to San Antonio are remote or hybrid as of September 2026, with the strongest remote concentration in workforce development, grant administration, and technology-adjacent program management roles.
How can I get a program director job in San Antonio with little or no experience?
The most realistic entry path in San Antonio is through program coordinator or case management roles at local nonprofits, health systems, or city-funded agencies, where internal promotion to program director is common. Organizations connected to Bexar County's social services contracts and COSA workforce programs frequently hire coordinators who grow into director roles. Demonstrating measurable outcomes from even small projects matters more locally than a formal management title.
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