[Hiring] Director of Real Estate @Metro Vein Centers

Role Description

The Director of Real Estate owns every step from market selection to signed lease, and the lease portfolio thereafter. This is a builder's role in a lean organization. You will be the first dedicated real estate hire, working directly with the CEO, the VP of Business Development, and the Board.

• Own a function outright and define how it runs
• Report up to the VP of Business Development
• Set the pace of a national expansion moving from 20 to 30 clinics a year
• Build the site criteria and the market model the company will use for years
• Lean organization with opportunity to take on significant responsibility quickly

Responsibilities

• New markets and densification:
  • Analyze and rank new metro opportunities using demographics, payer landscape, competitive density, and labor supply; recommend where to go next and defend it to leadership and the Board
  • Assess densification in markets we already serve — where a second or third clinic adds revenue/EBITDA rather than splitting the ones we have
  • Build and maintain the scoring model and site criteria behind those recommendations
• Site selection and transactions:
  • Source and virtually tour sites, manage the broker network, and maintain a pipeline deep enough to sustain 30 openings a year
  • Negotiate letters of intent
  • Negotiate leases and the documents that go with them: commencement terms, tenant improvement reimbursement, move-in allowance, options, and renewal rights
  • Hand each signed site to Clinic Development with the delivery condition, TI allowance, and landlord obligations documented
• Portfolio and asset management:
  • Own the lease portfolio: the critical-date calendar, option notice deadlines, renewals, estoppels, and CAM reconciliation
  • Analyze the current clinic footprint — square footage against clinic productivity — and recommend where to expand, contract, sublease, or relocate
  • Lead exits: lease termination, assignment, and subleasing when a site closes or moves
• Partnership:
  • Work with Recruiting so market selection matches physician supply; a site we cannot staff is a site we should not sign
  • Work with Revenue Cycle on payer access in a prospective market before we commit to it
  • Report pipeline, cycle times, and lease economics to leadership and the Board

Qualifications

• Bachelor's degree
• 5 to 7+ years in commercial real estate, with direct ownership of site selection and lease negotiation for a multi-site operator
• A track record of closing sites at volume, personally running a pipeline of 15+ locations a year
• Fluent in lease economics: TI allowances, base rent and escalations, CAM, options, delivery condition, landlord work letters
• Strong analytical skills; able to build the market model independently
• Excellent written and verbal communication; able to present site recommendations to a CEO and Board
• Demonstrated proficiency with AI tools; able to show real examples of usage
• Comfortable operating without a team, working through brokers, counsel, and internal partners
• Willing to travel to tour markets and sites
• Applicants must be authorized to work in the U.S.

Nice to Have

• Healthcare real estate, or experience with another regulated multi-site operator (dental, veterinary, urgent care, dialysis, physical therapy)
• Experience standing up a real estate function rather than joining an established one
• Tenant representation background, or time on the brokerage side
• GIS, site-scoring, or trade-area tools — Buxton, Placer.ai, Esri, CoStar
• Experience with a national tenant-rep relationship at scale

Compensation & Benefits

• $130k to $190k (based on experience) plus 15% yearly performance bonus
• Comprehensive benefits package
• Flexible paid time off
• 401K
• Compensation varies based on years of experience, skill set, and alignment with position requirements

Hiring Process

• Phone screening interview
• Formal hour-long interview
• Case study: assess a prospective market and a specific site, and present the recommendation

The Metro Vein Centers Difference

Healthy legs. Happier lives. At Metro Vein Centers, we believe exceptional care begins with an exceptional experience. Our mission is to make vein care approachable, empowering, and connected to overall well-being.

• Patients First, Always
• Stronger Together
• A Can-Do Spirit
• Results That Make a Difference
• Commitment to Growth