Appalachian Regional Healthcare

Director of Real Estate

Job Locations US-KY-Lexington
Requisition ID
2026-37736
# of Openings
1
Category
Business Professional
Community
System Lexington
Position Type
Regular Full-Time
Department
Design And Construction
Shift
Day Shift

Overview

The Director of Real Estate provides strategic and operational leadership over all real estate activities across the healthcare system. This includes oversight of real estate transactions, portfolio management, lease administration, FMV processes, CAM reconciliations, property management operations, and governance structures such as a systemwide Real Estate Committee. The role ensures real estate decisions support system growth, compliance, risk mitigation, and financial stewardship.

Responsibilities

  1. Real Estate Strategy & Portfolio Leadership

- Direct and oversee all real estate activities including acquisitions, dispositions, leasing, and site selection.

- Develop and maintain a systemwide strategic real estate plan.

- Evaluate properties and market conditions to ensure organizational needs are met.

 

  1. Real Estate Transactions & Negotiations

- Lead negotiations for leases, renewals, acquisitions, and restructuring.

- Manage FMV assessments for regulatory compliance.

- Direct preparation and review of financial modeling.

 

  1. Lease Administration & Compliance

- Oversee systemwide lease administration including CAM reconciliations, rent payments, and TI reimbursements.

- Track critical dates, renewals, and compliance elements.

- Optimize lease agreements through benchmarking.

 

  1. Property & Asset Management

- Oversee third‑party property managers and internal teams.

- Review and approve operational expenses and budgets.

- Maintain portfolio performance standards.

 

  1. Financial Management

- Oversee financial statements and real estate accounting functions.

- Conduct budgeting, forecasting, and ROI assessments.

 

  1. Governance & Real Estate Committee Leadership

- Lead the System Real Estate Committee and standardize review processes.

- Prepare presentations and reports for leadership.

 

  1. Cross‑Functional Collaboration

- Partner with Facilities Planning, Finance, Operations, Legal, Strategy, and Construction.

- Coordinate with brokers, landlords, and developers.

 

  1. Regulatory & Risk Management

- Ensure compliance with healthcare real estate regulations.

- Review environmental and engineering due diligence.

 

  1. Data, Systems & Process Optimization

- Oversee real estate data systems.

- Improve standardization of lease workflows.

 

 

 

Qualifications

 

Education:

Bachelor's degree required in Real Estate, Business, Finance, Management, Business Administration, Accounting, Marketing, or Economics. Master's preferred.

 

Experience:

7–10+ years in real estate leadership roles.

 

Certifications: CPA, PMP, LEED, IFMA, BOMA, CPM preferred.

 

Skills: Negotiation, financial analysis, real estate law, communication.

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