Director of Real Estate

Reports to: Chief Growth Officer Direct Reports: 3 Construction Managers

Location: [Insert — HQ-based with regional travel]

About the Role: We are opening approximately 25 new de novo practices per year, and we’re building out the team responsible for taking each site from initial market identification through a successful opening. The Director of Real Estate & Facilities Development owns the full physical development lifecycle of every de novo location — site selection, lease negotiation, construction oversight, and equipment procurement — ensuring each practice opens on time, on budget, and fully coordinated with Operations and Training.

What You’ll Do: Site Selection & Real Estate: Partner with our national real estate firm to evaluate and select sites that meet clinical, demographic, and financial criteria; participate directly in lease negotiations to protect timeline, cost, and flexibility. Construction Oversight: Manage a team of 3 Construction Managers across concurrent projects nationally; ensure consistent standards, timelines, and budgets across all active builds with local general contractors. Procurement: Own equipment and FF&E procurement, ensuring orders are timed to construction milestones and arrive ready for install ahead of opening. Cross-Functional Timing: Build and maintain a master project timeline for each de novo, ensuring Operations and Training teams are engaged at the right points (staffing, systems setup, pre-opening training) so nothing is rushed or missed at the finish line. Portfolio Management: Maintain visibility and reporting across all active projects (target ~25/year) using a standardized project tracking system; flag risks early and drive resolution. Vendor & Partner Management: Serve as a key point of contact for the national real estate firm and local general contractors, holding partners accountable to timeline and quality standards. Process Development: Continuously refine the site-to-open playbook as volume scales, reducing variability and surprises across the portfolio.

What We’re Looking For: 7–12 years of experience in multi-unit real estate/facilities development — healthcare de novo/franchise development, retail, restaurant/QSR, urgent care, veterinary, or similar rollout-driven environments. Direct experience negotiating leases and selecting sites — not just supporting the process, but sitting across the table and owning outcomes. Proven construction/GC oversight at a portfolio level — managed multiple concurrent projects, not a single flagship build. People management experience, ideally leading project managers or construction managers. Procurement coordination experience, timing equipment/FF&E delivery against hard opening dates. Comfort operating in a fast-paced, high-volume environment (~25 projects/year) with strong organizational systems (Smartsheet, Procore, or similar) rather than tribal knowledge. Track record of cross-functional coordination — you understand that a construction-ready site isn’t a successful opening if staffing and training aren’t aligned to the same date. Strong communicator who can manage vendor relationships and internal stakeholders with equal effectiveness.

What Success Looks Like: De novo sites consistently open on time and on budget across the portfolio. Operations and Training teams have reliable, advance visibility into site timelines — no last-minute scrambles. Construction Managers are supported, standardized, and scaling effectively as volume grows. Real estate and GC partners are held to consistent performance standards.

Why Join Us: You’ll be a core part of a growth engine adding ~25 new locations a year, working alongside a Chief Growth Officer with firsthand de novo experience and a Recruitment team dedicated to surgeon success. This role has real ownership, real visibility, and a direct line to executive leadership.