Adventist Health System Sunbelt, Inc

Regional Director, Real Estate

Real Estate & Construction
8 - 10 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's Degree in Real Estate, Business, Finance, or related field required
  • Master's Degree preferred
  • Ten years' progressive experience in healthcare real estate or asset management preferred
  • Experience in portfolio strategy and asset optimization in complex environments preferred
  • Experience supporting complex real estate transactions with external service providers preferred

Responsibilities

  • Set regional real estate strategy in alignment with enterprise objectives
  • Build and maintain executive-level relationships as a primary real estate advisor
  • Monitor and report on portfolio KPIs, developing multi-year plans
  • Develop asset business plans with performance targets and advise on tenant mix
  • Negotiate key deal terms to support portfolio strategy and track financial performance

Benefits

  • Full-time position with 8-hour day shifts
  • Regular travel to various healthcare markets for site visits
  • Opportunity to work onsite or from corporate offices in CA or OR
  • Engagement with a multi-site healthcare real estate portfolio
  • Commitment to safety and wellbeing, requiring vaccinations for employment
Full Job Description
Job Description

Job Summary:

Adventist Health is seeking a Regional Director, Real Estate for a full-time position with 8-hour day shifts. We are looking for a qualified and dedicated individual who can work onsite and support our multi-site locations, which will require regular travel to Adventist Health markets to meet operational needs and conduct site visits. This role may be based at our St. Helena location or at our corporate office in Roseville, CA or our administrative office in Portland, OR.

The Regional Director of Corporate Real Estate leads relationship-driven portfolio and asset management for a regional healthcare real estate portfolio. The role serves as a trusted advisor to regional executives, aligning real estate strategy with operational needs, optimizing asset performance, and delivering actionable insights on portfolio health and market conditions.

Job Requirements:

Education and Work Experience:
  • Bachelor's Degree in Real Estate, Business, Finance, or related field: Required
  • Master's Degree: Preferred
  • Ten years' of progressive experience in healthcare real estate, asset management, or related field: Preferred
  • Previous experience in portfolio strategy, asset optimization, and stakeholder alignment in healthcare or similarly complex environments: Preferred
  • Previous experience supporting complex real estate transactions in partnership with legal and external service providers: Preferred


Essential Functions:
  • Set regional real estate strategy aligned with enterprise and market objectives. Partner with regional leaders to translate business priorities into portfolio plans and real estate recommendations. Use market and demographic insights to guide site, space, and investment decisions. Identify opportunities to improve utilization and performance across owned and leased assets.
  • Build and sustain executive-level relationships across regional clinical and administrative leadership. Serve as the primary real estate advisor, providing clear options and recommendations. Lead stakeholder communication on portfolio performance, risks, and priorities.
  • Maintain deep knowledge of the regional portfolio, including space utilization and clinical/operational needs. Track and report portfolio KPIs (occupancy, financial performance, and key risks). Develop multi-year portfolio plans to support growth, access, and service-line strategy. Proactively manage lease events (expirations, options, terminations) and recommended actions. P&L accountability and capital project management for the real estate portfolio in the region.
  • Develop asset business plans with measurable performance targets. Advise on tenant mix and leasing priorities for multi-tenant healthcare properties. Partner with Property Management on capital planning to protect competitiveness and asset value. Monitor market benchmarks (occupancy, rents, TI/allowances) and recommend leasing strategies and concessions.
  • Negotiate and recommend key deal terms (leases, purchases, service contracts) to support portfolio strategy and performance. Work with outsourced transaction management team and AH legal on transaction documentation. Ensure data integrity for quarterly/annual reporting and portfolio dashboards. Monitor financial performance and escalate issues, risks, and opportunities with recommendations.
  • Performs other job-related duties as assigned.


Organizational Requirements:

Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply.

About Adventist Health System Sunbelt, Inc

Adventist Health System Sunbelt, Inc. is a non-profit healthcare organization that operates hospitals and other healthcare facilities in the southern United States. The organization is affiliated with the Seventh-day Adventist Church and is one of the largest non-profit healthcare providers in the country. Adventist Health System Sunbelt, Inc. was founded in 1973 and is headquartered in Altamonte Springs, Florida.
Learn more about Adventist Health System Sunbelt, Inc
Size
80,000 employees
Industry
Founded
1973

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