Real Estate Transaction Manager

VCU Health; Richmond (VA); On-site; USD 120,000 - 170,000; Full time

Job summary

VCU Health is seeking an experienced Real Estate Transaction Manager to oversee the strategic lifecycle of a healthcare property portfolio, including land acquisitions, complex lease negotiations, and asset dispositions.

You will direct due diligence, valuation, zoning, title work, and casualty loss recovery while ensuring regulatory compliance and financial integrity across all health system facilities.

Qualifications

• Five years of progressively more responsibility in real estate portfolio management in the healthcare industry.
• Knowledge of Stark Law, AKS, FMV standards and related regulatory considerations.
• Experience with land development, zoning, environmental reviews, and PSAs.
• Ability to lead multidisciplinary due diligence teams to meet deadlines.

Responsibilities

• Lease portfolio management across acute care, ambulatory, and admin spaces.
• Direct regulatory compliance for lease terms and healthcare regulations.
• Participate in end-to-end acquisitions and dispositions including market research and asset sales.
• Direct due diligence: FMV assessments, environmental reviews, surveys, and title work.
• Negotiate leases, PSAs, and renewals for favorable terms.
• Collaborate with Finance on CAM, taxes, and long-term budgeting.
• Liaise with landlords, developers, and internal stakeholders to resolve issues.
• Oversee third-party managers through site inspections and audits.
• Coordinate internal/external audits and implement corrective actions.
• Lead casualty loss response and landlord default management with counsel.

Skills

Lease management

Regulatory compliance

Acquisition & dispositions

Due diligence

Contract negotiation

Financial oversight

Stakeholder liaison

Vendor oversight

Audit & risk

Casualty recovery

Landlord default

Stark Law compliance

FMV analysis

PSA negotiation

CoStar

GIS mapping

Education

Bachelor’s degree in Business Administration, Real Estate, or related field

10 years commensurate experience considered in lieu of degree

Tools

CoStar

GIS mapping

Job description

ThisReal Estate Transaction Manageroversees the strategic lifecycle of a healthcare property portfolio, managing land acquisitions, complex lease negotiations, and asset dispositions. The role ensures operational continuity by directinglandlord default resolutionsand casualty loss recoveries while maintaining strict financial and regulatory compliance across all health system facilities.

Essential Job Statements

• Lease Portfolio Management:Oversees a comprehensive real estate portfolio including acute care, ambulatory, and administrative spaces to ensure alignment with organizational goals.

• Regulatory Compliance:Maintains strict adherence to lease terms and healthcare-specific regulations, includingStark LawandAnti-Kickback Statutes, to mitigate legal and financial risk.

• Acquisition & Dispositions:Participates in the end-to-end process for new lease acquisitions, land purchases, and property dispositions. This includes identifying opportunities, conducting market research, and executing the sale of non-core assets.

• Comprehensive Due Diligence:Directs investigative efforts for potential transactions, includingFair Market Value (FMV)assessments, environmental reviews, surveys, zoning analysis, and title encumbrances to ensure informed decision-making.

• Contract Negotiation:Serves as the negotiator for leases, purchase and sale agreements (PSAs), and renewals, ensuring favorable terms that prioritize the health system’s strategic and operational needs.

• Financial Oversight:Collaborates with Finance teams to manageCAM (Common Area Maintenance)reconciliations, real estate tax payments, and long-term budget forecasting for both leased and owned assets.

• Stakeholder & Vendor Liaison:Acts as the primary point of contact for landlords, developers, and internal stakeholders to resolve operational issues, including maintenance, casualty losses, and facility alterations.

• Third-Party Oversight:Manages performance and enforces compliance for contracted building managers and third-party managed assets through routine inspections and site visits.

• Audit & Risk Management:Coordinates internal and external real estate audits to identify vulnerabilities and implements corrective actions to safeguard health system assets.

• Casualty Loss & Recovery Management:Directs the response to property damage events (fire, flood, etc.) by coordinating with landlords, risk management, and insurance adjusters to ensure timely restoration of healthcare operations.

• Landlord Default Management:Identifies and manages instances of landlord non-performance or breach of contract. This includes issuing formal notices of default, overseeing the “self-help” remedy process if applicable, and collaborating with legal counsel to enforce lease obligations and recover associated costs.

Patient Population: N/A

Employment Qualifications

Required Education

Bachelor’s degree; 5 years total commensurateexperience considered in lieu of degree.

Preferred Education

Bachelor’s degree in Business Administration, Real Estate, or related field required; 10 years total commensurateexperience considered in lieu of degree.

Licensing/ Certification

Licensure/Certification Required:N/A

Licensure/Certification Preferred:CCIM, CPM

Minimum Qualifications

Years and Type of Required Experience

Five years of progressively more responsibility in real estate portfolio management in the healthcare industry necessary.

Other Knowledge, Skills and Abilities Required

• Comprehensive understanding ofStark Law, theAnti-Kickback Statute (AKS), andFair Market Value (FMV)standards as they apply to medical office buildings and clinical space.

• In-depth familiarity withzoning ordinances, municipal approval processes,permitting, and environmental regulations (e.g., Phase I/II ESAs) necessary for land development.

• Deep expertise in the end-to-endacquisition and disposition process, including title examination, surveys, easements, andPurchase and Sale Agreements (PSAs).

• Proven ability to leadmultidisciplinary due diligence teams—including legal counsel, engineers, and architects—to meet strict closing deadlines.

• Skilled inhigh-level negotiationsfor complex land deals, ground leases, and tenant improvements while maintaining professional stakeholder relationships.

• Demonstrated ability to identifyregulatory “red flags”in lease structures and property ownership to ensure all transactions remain “commercially reasonable.”

• Experiencecollaborating with city planners or government officials to secure project approvals and entitlements.

• Deep understanding oflease indemnity, insurance requirements, and casualty provisionsto determine financial responsibility and abatement rights following a loss.

• Expert understanding oflease enforcement mechanisms, includingdefault notification requirements, cure periods, and the rights of a tenant to offset rent or terminate for cause.

• Competency in using industry-standard tools (e.g., CoStar, GIS mapping) to performcomparable market analysisand justify site selection for new healthcare facilities.

Working Conditions

Periods of high stress and fluctuating workloads may occur.

General office environment.

Required to car travel to off-site locations, occasionally in adverse weather conditions.

May have periods of constant interruptions.

Prolonged periods of working alone.

Physical Requirements

Physical Demands: Lifting/ Carrying (0-50 lbs.), Stoop, Kneel

Work Position: Sitting, Walking, Standing

Additional Physical Requirements/ Hazards

Physical Requirements: Reach above shoulder, Repetitive arm/hand movements

Hazards: N/A

EEO Employer/Disabled/Protected Veteran