Director of DeNovo Growth

About the role

The Director of DeNovo Growth is responsible for overseeing all real estate project underwriting, leading and project managing new medical facility build-outs and existing facility remodeling projects across the organization.

Responsibilities

• Perform detailed financial underwriting and valuation of real estate investments.
  • Build and analyze cash flow models, operating expenses, and returns.
  • Conduct sensitivity analyses and scenario modeling to assess risk and downside exposure.
  • Prepare investment memos and underwriting summaries for internal review and investment committees.
  • Cook up and coordinate with brokers, lenders, and internal teams to gather diligence materials and assumptions.
• Lead all new medical facility build-outs, expansions, and remodel projects from concept through completion.
  • Develop and present new facility and expansion business cases, including financial, operational, and strategic analyses.
  • Create, manage, and track project timelines, budgets, and milestones to ensure successful project delivery.
  • Identify risks and proactively develop mitigation strategies throughout the project lifecycle.
• Select, contract with, and manage architects, engineers, general contractors, and other construction-related vendors.
  • Oversee design development to ensure compliance with clinical, operational, regulatory, and brand standards.
  • Manage construction progress, change orders, quality control, and closeout activities.
• Develop and manage detailed project budgets, capital expenditure plans, and cost forecasts.
  • Monitor expenditures and approve invoices, ensuring projects remain within approved budgets.
  • Evaluate cost-saving opportunities without compromising quality or compliance.
• Negotiate real estate leases and lease amendments / renewals for all existing facilities, facility expansions and new facilities.
  • Track and manage all lease renewals, critical dates, and lease compliance requirements.
• Coordinate all municipal, zoning, building, and equipment-based permitting requirements.
  • Manage setup of utilities and infrastructure, including power, water, gas, telecom, and internet services.
  • Ensure all facilities meet applicable healthcare regulations, codes, and accreditation requirements.
• Coordinate with IT and clinical teams to support technology infrastructure, systems installation, and connectivity.
  • Oversee procurement of furniture, fixtures, supplies, and medical and non-medical equipment for new and remodeled facilities.
  • Ensure timely delivery and installation aligned with project schedules and go-live dates.
• Oversee ongoing facilities management issues, repairs, and maintenance needs across the portfolio.
  • Serve as the escalation point for facility-related issues impacting operations or patient care.
  • Manage vendor contracts related to facilities services as needed.

Requirements

• Bachelor’s degree in Finance, Business, Construction Management, Engineering, Architecture, Real Estate, Business, or a related field (Master’s degree preferred).
• Financial modeling experience.
• 5-10+ years of experience managing healthcare facility development, construction, or real estate projects.
• Strong knowledge of medical facility design, construction processes, permitting, and healthcare regulations.
• Demonstrated experience negotiating commercial real estate leases.
• Proven ability to manage multiple complex projects simultaneously.
• Strong financial acumen, including budgeting and capital planning.
• Excellent communication, negotiation, and stakeholder management skills.
• Highly organized, detail-oriented, and proactive problem solver.
• Comfortable working cross-functionally with clinical, operational, finance, and executive teams.