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About the Role

Metro Vein Centers is seeking a Director of Real Estate to own the entire real estate process from market selection to lease negotiation and portfolio management. This is a critical "builder's role" in a lean organization, reporting directly to the VP of Business Development, and will be the first dedicated real estate hire. The role is instrumental in supporting the company's expansion from 20 to 30 clinics annually.

Responsibilities

Analyze and rank new metro opportunities using demographics, payer landscape, competitive density, and labor supply.
Assess densification in existing markets to identify opportunities for additional clinics.
Build and maintain the scoring model and site criteria for market recommendations.
Source and virtually tour sites, manage the broker network, and maintain a sufficient pipeline for 30 annual openings.
Negotiate letters of intent.
Negotiate leases and associated documents, including commencement terms, tenant improvement reimbursement, move-in allowance, options, and renewal rights.
Document delivery conditions, TI allowances, and landlord obligations for each signed site.
Manage the lease portfolio, including critical dates, option notices, renewals, estoppels, and CAM reconciliation.
Analyze the current clinic footprint to recommend expansion, contraction, subleasing, or relocation strategies.
Lead lease exits, including termination, assignment, and subleasing.
Partner with Recruiting to ensure market selection aligns with physician supply.
Collaborate with Revenue Cycle on payer access in prospective markets.
Report on pipeline, cycle times, and lease economics to leadership and the Board.

Requirements

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.
Proven track record of closing sites at volume, personally managing a pipeline of 15+ locations annually.
Fluent in lease economics, including TI allowances, base rent and escalations, CAM, options, delivery condition, and landlord work letters.
Strong analytical skills with the ability to build market models.
Excellent written and verbal communication skills, capable of defending site recommendations to executives and the Board.
Demonstrated proficiency with AI tools, including large language models and AI-assisted tooling in daily workflows.
Comfortable operating independently and working through brokers, counsel, and internal partners.
Willingness to travel to tour markets and sites.
Must be authorized to work in the U.S.

Skills

Commercial real estate
Site selection
Lease negotiation
Market analysis
Financial modeling
AI tools
Large language models
Communication
Analytical skills

Location

Remote

Work Type

Full-time

Experience Level

5 to 7+ years

Education Level

Bachelor's degree

Salary/Compensations

$130k to $190k plus 15% yearly performance bonus

Benefits

Comprehensive benefits package
Flexible paid time off
401K

About the Company

Metro Vein Centers is a rapidly growing healthcare practice specializing in state-of-the-art vein treatments.
Our mission is to improve people’s quality of life by relieving the painful, yet highly treatable symptoms of vein disease.
With over 70 clinics across 9 states, we are building the future of vein care in a modern, patient-first environment.
We proudly maintain a Net Promoter Score (NPS) of 93, the highest patient satisfaction in the industry.
Our values include Patients First, Always; Stronger Together; A Can-Do Spirit; Results That Make a Difference; and Commitment to Growth.

Equal Opportunity

Metro Vein Centers is an Equal Opportunity Employer.
We are committed to creating a workplace where everyone feels seen, heard, and supported.
We do not discriminate based on race, color, religion, sex, national origin, age, disability, genetics, gender identity or expression, sexual orientation, veteran status, or any other protected status in accordance with applicable federal, state, and local laws.
This policy applies to all aspects of employment, including recruitment, hiring, promotion, compensation, benefits, and termination.
Metro Vein Centers complies with all applicable federal, state, and local employment laws, including those related to nondiscrimination, equal opportunity, and pay transparency.