Director Real Estate Operations Jobs in Missouri

Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled our WELL-certified campus—a rejuvenating place for associates systemwide to collaborate, innovate and connect.

Adventist Health Roseville and shared service teams have access to enjoy a welcoming space designed to promote well‑being and inspire your best work.

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.

• 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

• 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 elevate issues, risks, and opportunities with recommendations.
• Performs other job‑related duties as assigned.

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.

Adventist Health is a faith‑based, nonprofit, integrated health system serving more than 100 communities on the West Coast and Hawaii with over 440 sites of care, including 27 acute care facilities. Founded on Adventist heritage and values, Adventist Health provides care in hospitals, clinics, home care, and hospice agencies in both rural and urban communities. Our compassionate and talented team of more than 38,000 includes employees, physicians, Medical Staff, and volunteers driven in pursuit of one mission: living God's love by inspiring health, wholeness and hope.

• Job Identification 67527
• Job Category Director
• Posting Date 06/23/2026, 04:33 PM
• Locations 10 Woodland Rd, Saint Helena, CA, 94574, US