Director of Real Estate

Key Responsibilities

• Develop and execute real estate strategy supporting new builds, relocations, expansions, and portfolio optimization
• Proactively source and identify new site opportunities through market analysis, broker relationships, and direct outreach
• Build and maintain a strong pipeline of development opportunities across priority markets
• Partner with executive leadership and Operations to prioritize market entry and expansion strategy
• Lead all real estate transactions in partnership with Legal, including lease negotiations, renewals, restructures, and terminations
• Structure creative, financially sound deals that optimize returns and maintain flexibility
• Manage landlord negotiations, including tenant improvements, subleases, assignments, and dispositions
• Perform real estate financial analysis, including basic ROI and investment evaluations, at times in partnership with Finance on higher complexity projects
• Collaborate cross-functionally throughout the transaction lifecycle
• Oversee the full development lifecycle from LOI through hospital opening
• Own strategy, budgets, and timelines for new builds, relocations, and expansions
• Provide direction to construction and development partners responsible for day-to-day execution
• Translate operational needs into effective facility layouts, workflow design, and space planning
• Partner with architects, engineers, contractors, Facilities, Equipment, and Operations teams to ensure seamless execution
• Ensure projects are delivered on time, within budget, and aligned with company standards
• Identify opportunities to optimize cost, scope, and design without compromising quality
• Support integration and diligence of newly acquired hospitals from a real estate, facilities, and equipment perspective
• Evaluate portfolio performance to improve efficiency and long-term value
• Build and refine scalable processes, templates, and playbooks across Real Estate, Facilities, and Equipment functions
• Manage external brokers, consultants, contractors, and development partners
• Provide leadership and direction to internal real estate, construction, and facilities resources
• Serve as a strategic advisor to executive leadership on real estate and development initiatives

Qualifications

• Minimum 8 years of experience in commercial real estate, development, corporate real estate, or related field
• Proven track record sourcing and executing multi-site development and growth initiatives
• Strong lease negotiation and transaction structuring experience, including complex deal structures
• Experience leading development and construction projects from site selection through delivery
• Strong financial and analytical skills, including real estate math and deal evaluation
• Demonstrated ability to own project budgets, timelines, and execution across multiple initiatives
• Experience building processes, templates, and scalable frameworks in a growth environment
• Experience working at a large brokerage firm preferred, with strong exposure to multi-site portfolios
• Experience in healthcare, retail, hospitality, veterinary, dental, urgent care, or similar multi-site environments preferred
• Experience in high-growth or private equity-backed environments preferred
• Bachelor’s degree in Real Estate, Finance, Architecture, Construction Management, or related field preferred
• Ambitious, self-starter with a strong “hunter” mentality and ability to operate autonomously
• Strong communication and leadership skills with the ability to influence cross-functional stakeholders

Benefits

• Competitive base salary and annual bonus
• Best-in-class health, vision, and dental insurance
• Short-term and long-term disability insurance
• 401k with match
• Free continuing education through our own learning institute
• Mental health support with a licensed social worker on staff
• Paid time off
• And much more!