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This Real Estate Transaction Manager oversees the strategic lifecycle of a healthcare property portfolio, managing land acquisitions, complex lease negotiations, and asset dispositions. The role ensures operational continuity by directing landlord default resolutions and 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, including Stark Law and Anti-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, including Fair 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 manage CAM (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 Populatio n: N/A Employment Qualifications Required Education: Bachelor's degree; 5 years total commensurate experience considered in lieu of degree. Preferred Education: Bachelor's degree in Business Administration, Real Estate, or related field required; 10 years total commensurate experience 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 of Stark Law, the Anti-Kickback Statute (AKS), and Fair Market Value (FMV) standards as they apply to medical office buildings and clinical space. In-depth familiarity with zoning ordinances, municipal approval processes, permitting, and environmental regulations (e.g., Phase I/II ESAs) necessary for land development. Deep expertise in the end-to-end acquisition and disposition process, including title examination, surveys, easements, and Purchase and Sale Agreements (PSAs). Proven ability to lead multidisciplinary due diligence teams-including legal counsel, engineers, and architects-to meet strict closing deadlines. Skilled in high-level negotiations for complex land deals, ground leases, and tenant improvements while maintaining professional stakeholder relationships. Demonstrated ability to identify regulatory "red flags" in lease structures and property ownership to ensure all transactions remain "commercially reasonable." Experience collaborating with city planners or government officials to secure project approvals and entitlements. Deep understanding of lease indemnity, insurance requirements, and casualty provisions to determine financial responsibility and abatement rights following a loss. Expert understanding of lease enforcement mechanisms, including default 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 perform comparable market analysis and 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