Senior Director, Real Estate & Development

Accountabilities

• Develop and execute the real estate and facilities strategy, including long-term roadmaps, operating plans, budgets, decision-making processes, and executive reporting in partnership with Finance and senior leadership.

• Lead market planning, site identification, due diligence, financial analysis, letters of intent, lease negotiations, renewals, expansions, relocations, dispositions, and portfolio optimization.

• Oversee end-to-end clinic development, including design, permitting, landlord coordination, construction, furniture, fixtures and equipment, technology dependencies, commissioning, handover, and opening stabilization.

• Build scalable infrastructure for real estate and development operations, including facility prototypes, playbooks, standard operating procedures, project controls, dashboards, stage gates, cost benchmarks, quality standards, and performance metrics.

• Improve the speed, cost efficiency, predictability, and quality of new clinic openings while maintaining effective oversight of project schedules, budgets, risks, and change orders.

• Oversee facilities operations, including maintenance standards, work-order management, vendor performance, landlord relationships, inspections, permits, business licenses, certificates of insurance, annual fire inspections, and fire and life-safety requirements.

• Ensure compliance with applicable laws, lease obligations, internal standards, OSHA guidelines, accessibility requirements, licensing-related facility needs, and other relevant regulatory requirements.

• Manage lease administration and portfolio controls, including critical dates, rent and common-area maintenance reconciliations, landlord charge audits, tenant improvement allowance collection, capital planning, forecasting, and risk mitigation.

• Partner with Operations, Clinical, Growth, Credentialing, Payer Relations, Compliance, IT, People, Legal, and Finance to coordinate construction, licensing, payer enrollment, hiring, technology, staffing, and billing readiness for new locations.

• Recruit, lead, develop, and hold internal team members and external partners accountable, including brokers, architects, engineers, contractors, project managers, consultants, landlords, and service providers.

• Monitor key performance indicators, including opening timelines, project costs, pipeline coverage, facilities response times, preventive maintenance completion, stakeholder satisfaction, and lease administration accuracy.

• Maintain sufficient site pipeline coverage to support annual opening targets and future market priorities while ensuring disciplined execution and long-term portfolio health.

Requirements:

• Bring 8+ years of progressively responsible experience across corporate or healthcare real estate, multi-site development, construction, and facilities operations, including at least 3 years managing people or programs.

• Demonstrate success building and scaling real estate and facilities functions within a growth-oriented, multi-state organization.

• Have a proven track record in site selection, lease transactions, design and construction programs, capital planning, and portfolio optimization, including delivering 15 or more new locations annually in a relevant multi-site environment.

• Possess strong knowledge of commercial lease structures and landlord negotiations, including tenant improvement allowances, free rent, work letters, renewal and expansion options, assignment and change-of-control rights, and contractual risk provisions.

• Bring experience coordinating complex facility development projects and managing schedules, budgets, contractors, vendors, and multiple stakeholders.

• Experience with outpatient healthcare, pediatric, education, or childcare facilities is strongly preferred, particularly familiarity with licensing, zoning, life-safety, ADA accessibility, environmental, workplace-safety, and facilities compliance requirements.

• Demonstrate experience collaborating with Operations, Clinical, Finance, Legal, Compliance, IT, Credentialing, Payer Relations, and People teams to deliver successful site openings.

• Experience in private equity-backed or high-growth organizations, including real estate due diligence and acquisition integration, is preferred.

• Have experience leading internal teams and managing external brokers, architects, contractors, project managers, consultants, landlords, and service providers.

• Hold a bachelor's degree in Real Estate, Business, Finance, Engineering, Construction Management, Architecture, or a related field.

• An advanced degree or professional credential such as an MBA, CCIM, PMP, or FMP is preferred.

• Be comfortable traveling approximately 40–50% of the time to markets, construction sites, and operating clinics, and hold a valid driver's license.

• Be prepared to visit active construction sites and occupied clinics, including walking, climbing stairs, standing for extended periods, and using appropriate safety equipment.

• Demonstrate strong leadership, financial and analytical judgment, organizational discipline, cross-functional communication, and the ability to balance urgency with quality, compliance, and cost control.

Benefits:

• Annual base salary of $150,000–$180,000 USD.

• Eligibility for an annual bonus of 20%.

• Healthcare and employee benefits package.

• Opportunity to lead real estate strategy and multi-site expansion across a growing healthcare clinic network.

• Senior-level partnership with executive leadership and cross-functional teams.

• Responsibility for shaping scalable development processes, facilities operations, and long-term portfolio strategy.

• Opportunity to lead internal teams and collaborate with a broad network of external real estate, design, construction, and facilities professionals.

• Hybrid/remote work arrangement with regular travel to markets, construction sites, and clinics.