Director of Real Estate and Facilities

National Oral Surgery Expansion

Director of Real Estate & Facilities Development

• Department: Growth / De Novo Development
• 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.

This is a high-volume, high-accountability role. You'll manage a team of three Construction Managers, work directly with

our national real estate partner on site sourcing and lease terms, and serve as the connective tissue between the real

estate/construction timeline and the operational readiness of every new location.

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.

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