Regional Director, Real Estate

Job description

Located in one of the most beautiful regions in the United States, St. Helena Hospital was founded in 1878 and has a rich history of innovative medical care. We are comprised of a 151-bed hospital, emergency department and medical offices with centers of excellence in specialty care, including Adventist Heart and Vascular Institute, Coon Joint Replacement Institute, Martin-O'Neil Cancer Center and Behavioral Health units. In the heart of Napa Valley, St. Helena is a charming place, and the quality of life is unsurpassed with outdoor adventure, rejuvenation at luxurious spas, popular restaurants, as well as perfect weekend getaways to San Francisco or the coast.
Job Summary:
Adventist Health is seeking a Regional Director, Real Estate for a full‑time position with 8‑hour day shifts. We are looking for a qualified and dedicated individual who can work onsite and support our multi‑site locations, which will require regular travel to Adventist Health markets to meet operational needs and conduct site visits. This role may be based at our St. Helena location or at our corporate office in Roseville, CA or our administrative office in Portland, OR.
The Regional Director of Corporate Real Estate leads relationship-driven portfolio and asset management for a regional healthcare real estate portfolio. The role serves as a trusted advisor to regional executives, aligning real estate strategy with operational needs, optimizing asset performance, and delivering actionable insights on portfolio health and market conditions.
Job Requirements:
Education and Work Experience:
• Bachelor's Degree in Real Estate, Business, Finance, or related field: Required
• Master's Degree: Preferred
• Ten years' of progressive experience in healthcare real estate, asset management, or related field: Preferred
• Previous experience in portfolio strategy, asset optimization, and stakeholder alignment in healthcare or similarly complex environments: Preferred
• Previous experience supporting complex real estate transactions in partnership with legal and external service providers: Preferred

Essential Functions:
• Set regional real estate strategy aligned with enterprise and market objectives. Partner with regional leaders to translate business priorities into portfolio plans and real estate recommendations. Use market and demographic insights to guide site, space, and investment decisions. Identify opportunities to improve utilization and performance across owned and leased assets.
• Build and sustain executive-level relationships across regional clinical and administrative leadership. Serve as the primary real estate advisor, providing clear options and recommendations. Lead stakeholder communication on portfolio performance, risks, and priorities.
• Maintain deep knowledge of the regional portfolio, including space utilization and clinical/operational needs. Track and report portfolio KPIs (occupancy, financial performance, and key risks). Develop multi-year portfolio plans to support growth, access, and service-line strategy. Proactively manage lease events (expirations, options, terminations) and recommended actions. P&L accountability and capital project management for the real estate portfolio in the region.
• Develop asset business plans with measurable performance targets. Advise on tenant mix and leasing priorities for multi-tenant healthcare properties. Partner with Property Management on capital planning to protect competitiveness and asset value. Monitor market benchmarks (occupancy, rents, TI/allowances) and recommend leasing strategies and concessions.
• Negotiate and recommend key deal terms (leases, purchases, service contracts) to support portfolio strategy and performance. Work with outsourced transaction management team and AH legal on transaction documentation. Ensure data integrity for quarterly/annual reporting and portfolio dashboards. Monitor financial performance and escalate issues, risks, and opportunities with recommendations.
• Performs other job-related duties as assigned.

Organizational Requirements:
Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply.
Adventist Health participates in E-Verify. Visit https://adventisthealth.org/careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein.