Director of Real Estate

Paradigm Oral Health; Idaho; Hybrid; USD 140,000 - 220,000; Full time

Job summary

Paradigm Oral Health seeks a Director of Real Estate to own the full development lifecycle for de novo locations, from site identification to opening. You will lead real estate, construction, and procurement initiatives with a clear ownership mindset.

You will manage 3 Construction Managers, coordinate with Operations and Training, and ensure openings meet time and budget targets while maintaining standardized processes across the portfolio.

Qualifications

• 7–12 years of experience in multi-unit real estate/facilities development.
• Direct experience negotiating leases and selecting sites with ownership outcomes.
• Proven construction/GC oversight across a portfolio of projects.

Responsibilities

• Site Selection & Real Estate: evaluate sites and participate in lease negotiations to protect timeline and cost.
• Construction Oversight: manage a team across multiple concurrent projects nationwide.
• Procurement: own equipment and FF&E procurement aligned with opening milestones.
• Cross-Functional Timing: maintain master project timelines for de novo openings.
• Portfolio Management: provide visibility and reporting across active projects (~25/year).
• Vendor & Partner Management: coordinate with national real estate firm and local GCs.

Skills

Lease negotiations

Construction oversight

Procurement coordination

Vendor management

Project management

Cross-functional coordination

Staff training coordination

Portfolio reporting

People management

Tools

Smartsheet

Procore

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Director of Real Estate

Full Time Professional US

11 days ago Requisition ID: 4356

National Oral Surgery Expansion

Director of Real Estate

• Reports to: Chief Growth Officer
• Direct Reports: 3 Construction Managers
• Location: [Insert — HQ-based with regional travel]

About the Role

We are opening approximately 25 new de novo practices per year, and we’re building out the team responsible for

taking each site from initial market identification through a successful opening. The Director of Real Estate & Facilities

Development owns the full physical development lifecycle of every de novo location — site selection, lease negotiation,

construction oversight, and equipment procurement — ensuring each practice opens on time, on budget, and fully

coordinated with Operations and Training.

What You’ll Do

• Site Selection & Real Estate: Partner with our national real estate firm to evaluate and select sites that meet clinical, demographic, and financial criteria; participate directly in lease negotiations to protect timeline, cost, and flexibility.
• Construction Oversight: Manage a team of 3 Construction Managers across concurrent projects nationally; ensure consistent standards, timelines, and budgets across all active builds with local general contractors.
• Procurement: Own equipment and FF&E procurement, ensuring orders are timed to construction milestones and arrive ready for install ahead of opening.
• Cross-Functional Timing: Build and maintain a master project timeline for each de novo, ensuring Operations and
• Training teams are engaged at the right points (staffing, systems setup, pre-opening training) so nothing is rushed or missed at the finish line.
• Portfolio Management: Maintain visibility and reporting across all active projects (target ~25/year) using a standardized project tracking system; flag risks early and drive resolution.
• Vendor & Partner Management: Serve as a key point of contact for the national real estate firm and local general contractors, holding partners accountable to timeline and quality standards.
• Process Development: Continuously refine the site-to-open playbook as volume scales, reducing variability and surprises across the portfolio.

What We’re Looking For

• 7–12 years of experience in multi-unit real estate/facilities development — healthcare de novo/franchise development, retail, restaurant/QSR, urgent care, veterinary, or similar rollout-driven environments.
• Direct experience negotiating leases and selecting sites — not just supporting the process, but sitting across the table and owning outcomes.
• Proven construction/GC oversight at a portfolio level — managed multiple concurrent projects, not a single flagship build.
• People management experience, ideally leading project managers or construction managers.
• Procurement coordination experience, timing equipment/FF&E delivery against hard opening dates.
• Comfort operating in a fast-paced, high-volume environment (~25 projects/year) with strong organizational systems (Smartsheet, Procore, or similar) rather than tribal knowledge.
• Track record of cross-functional coordination — you understand that a construction-ready site isn’t a successful opening if staffing and training aren’t aligned to the same date.
• Strong communicator who can manage vendor relationships and internal stakeholders with equal effectiveness.

What Success Looks Like

• De novo sites consistently open on time and on budget across the portfolio.
• Operations and Training teams have reliable, advance visibility into site timelines — no last-minute scrambles.
• Construction Managers are supported, standardized, and scaling effectively as volume grows.
• Real estate and GC partners are held to consistent performance standards.

Why Join Us

You’ll be a core part of a growth engine adding ~25 new locations a year, working alongside a Chief Growth Officer with

firsthand de novo experience and a Recruitment team dedicated to surgeon success. This role has real ownership, real

visibility, and a direct line to executive leadership.