POSITION PURPOSE:

The Director of Real Estate is responsible for the national real estate strategy for USOSM, supporting practices across the United States. Reporting to the SVP Field Operations this role leads all aspects of site selection, de novo development, lease negotiations, landlord and vendor relationships, construction oversight, and long term portfolio planning.

This role builds, scales, and continuously improves USOSM’s real estate platform to support organic growth, operational execution, surgeon experience, and financial performance. The Director partners closely with Field Operations, Finance, Development, Legal, and executive leadership to ensure real estate decisions support efficient execution in the field and long term business objectives.

PRINCIPAL RESPONSIBILITIES AND DUTIES:

• Strategic Leadership and Program Development
  • Own and evolve the national real estate strategy supporting de novo growth, relocations, expansions, and renewals.
  • Build and lead a scalable real estate program including policies, playbooks, templates, governance, and reporting.
  • Serve as the primary internal advisor on real estate matters, providing clear guidance to executive leadership.
  • Establish and track KPIs related to growth timelines, occupancy costs, project execution, and portfolio performance.
• Site Selection and De Novo Development
  • Lead all site selection efforts for new de novo practices in partnership with brokers, operations, and clinical leadership.
  • Evaluate markets, trade areas, and specific sites to ensure alignment with growth strategy and operational needs.
  • Oversee letters of intent and lease negotiations to drive favorable economics and consistent deal structures.
  • Ensure new locations meet brand, clinical, and operational standards while maintaining speed to open.
• Lease Negotiations and Portfolio Management
  • Own landlord and tenant relationships across the national portfolio.
  • Lead lease negotiations, renewals, amendments, expansions, and exits in coordination with Legal and Finance.
  • Develop strategies to manage occupancy costs, mitigate risk, and preserve long term flexibility.
• Construction, Facilities, and CapEx Oversight
  • Provide executive oversight of construction, facility planning, and maintenance programs.
  • Drive standardization of design, materials, and processes to improve predictability and cost control.
  • Lead the CapEx planning and approval process in alignment with annual budgets.
  • Ensure projects are delivered on time, on budget, and with minimal disruption to field operations.
• Vendor, Broker, and Partner Management
  • Build and manage a national network of brokers, developers, landlords, general contractors, and facility vendors.
  • Lead RFP processes, vendor selection, contract negotiations, and ongoing performance management.
  • Establish regional and national agreements that support consistent service levels and cost efficiency.
• Cross Functional and Field Collaboration
  • Partner closely with the Senior Vice President of Field Operations, Surgeon Recruiting teams, and regional operations directors to support execution in the field.
  • Work collaboratively with Finance, Surgeon Recruiting, Legal, and Clinical leadership to align priorities and timelines.
  • Act as a trusted resource to surgeons and practice leaders on real estate and facility related matters.
  • Communicate clearly with stakeholders to manage expectations and drive alignment.
• Team Leadership
  • Build, lead, and mentor a high performing real estate team, including internal staff and external partners.
  • Set clear expectations, develop talent, and create accountability across the function.

MINIMUM QUALIFICATIONS

Basic Knowledge & Competencies:

• Strategic and execution focused, with the ability to operate at both levels.
• Comfortable in a fast paced, high growth environment.
• Comfortable presenting to board members of a PE backed company.
• Strong negotiator with a practical, relationship driven approach.
• Clear communicator who can influence across all levels of the organization.
• Highly organized and able to manage multiple complex initiatives at once.
• Data informed decision maker with strong problem solving skills.
• Hands on leader who builds trust with field teams and external partners.
• Willing and able to travel extensively.

Previous Experience/Education:

• Bachelor’s degree in real estate, business, finance, or a related field required. MBA or advanced degree preferred.
• 10 plus years of progressive corporate real estate experience with leadership responsibility.
• Demonstrated success building or scaling a real estate program in a multi site environment.
• Proven experience leading de novo development across multiple markets.
• Extensive experience negotiating leases and working directly with landlords, brokers, and developers.
• Experience supporting healthcare, dental, medical, or similar multi site operations strongly preferred.
• Strong background in vendor management, RFPs, and national or regional service agreements.
• Solid financial acumen with experience managing CapEx, budgets, and ROI analysis.
• Compensation for this role may be /- based on individual candidate qualifications and experience.

PHYSICAL REQUIREMENTS

• Ability to travel nationally on a regular basis.
• Ability to work in a standard office environment.
• Ability to lift up to 10 pounds as needed.

ABOUT US ORAL SURGERY MANAGEMENT:

By joining US Oral Surgery Management (USOSM), you become part of a dynamic and forward-thinking organization made up of best-in-class Oral and Maxillofacial practices. Together, we have the POWER to achieve more, by creating a positive impact on the communities we serve and reinforcing our position as a top leader in the industry. We believe in the POWER of teamwork, where every member contributes to our collective success. Whether you're in clinical operations, administration, support services, etc., your role is crucial to achieving our shared mission: fueling innovation and clinical excellence, while driving worthwhile outcomes for our practices.

Our POWER Values form the foundation of our ability to deliver exceptional healthcare experiences and achieve sustainable growth.

Passion for Patient Care

Outstanding Results

Winning Attitude

Embracing Continuous Improvement

Respect for Self and Others

Please note, this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Salary : $135,000 - $145,000