We are Emerus, the leader in small-format hospitals. We partner with respected and like-minded health systems who share our mission: To provide the care patients need, in the neighborhoods they live, by teams they trust. Our growing number of amazing partners includes Allegheny Health Network, Ascension, Baptist Health System, Baylor Scott & White Health, ChristianaCare, Dignity Health St. Rose Dominican, The Hospitals of Providence, INTEGRIS Health, MultiCare and WellSpan. Our innovative hospitals are fully accredited and provide highly individualized care. Emerus' commitment to patient care extends far beyond the confines of societal norms. We believe that every individual who walks through our doors deserves compassionate, comprehensive care, regardless of their background, identity, or circumstances. We are committed to fostering a work environment focused on teamwork that celebrates diversity, promotes equity and ensures equal access to information, development and opportunity for all of our Healthcare Pros.

The Real Estate Transaction Manager will be responsible for coordinating and managing the end-to-end real estate acquisition process for new hospital sites across multiple U.S. markets. In addition to acquisition, this position will oversee lease renewals/extensions (both AP and AR leases), and support leasing efforts for vacant space within the portfolio. The individual will work closely with internal leadership (VP, Real Estate), external real-estate brokers, third-party developers, and cross-functional teams (legal, facilities, finance) to develop and execute timelines, monitor deliverables, and present updates to executive leadership.

Site Acquisition & Broker Coordination

• Develop and maintain site-selection criteria (market, zoning, access, footprint, parking, cost targets) to support new hospital developments.
• Establish acquisition timelines (milestones: broker engagement, developer engagement, site identification, LOI, due diligence, purchase/lease negotiation, closing) and hold external brokers and development partners accountable to those schedules.
• Coordinate with brokers in multiple U.S. markets: distribute selection criteria, track progress, monitor broker deliverables and ensure timelines are met.
• Use real-estate tools (e.g., CoStar, market data platforms) and internal project tools (e.g., Smartsheet, BlueBeam, MS Office) to track progress, status, risks and present dashboards/updates to the VP and leadership team.
• Prepare regular status reports, highlight delays/risks, propose mitigation plans, and drive accountability.
• Coordinate internal review meetings with development, legal, finance, and operations to align site acquisition strategy.

Lease Renewal & Portfolio Support

• Coordinate with third-party lease administration team, landlords, and brokers as applicable to ensure timely renewal, extension, or disposition of AP and AR leases.
• Support the brokerage efforts to lease any vacant space within the portfolio: coordinate with leasing brokers, track status, provide internal analytics (market comps, vacancy rates, lease-up timelines) and report to leadership.
• Ensure lease transactions (renewals/extensions/new leases) are fully documented and executed per corporate standards.

Communication & Reporting

• Present acquisition status, lease portfolio dashboards and key metrics to executive leadership (VP, Real Estate) and other stakeholders (CEO, CFO, JV partners, operations).
• Craft clear executive-level summaries, dashboards and visualizations using Smartsheet, Excel and/or PowerPoint.
• Serve as central point of communication among brokers, developers, internal stakeholders and external vendors.

Process & Tools

• Develop and refine standardized processes, templates and checklists for broker engagement, site-acquisition tracking, lease‐renewal/extension workflow.
• Leverage Smartsheet to build and maintain timeline-tracking sheets, dashboards, alerts/tasks and vendor accountability tracking.
• Use CoStar or similar market tools to perform early real-estate market research, site screening, comp analysis and generate market reports

• Attend staff meetings or other company sponsored or mandated meetings as required
• Travel to markets as required to meet with partners and/or transaction teams and review sites. Maximum expected travel is 25-30%.
• Perform additional duties as assigned
• Ability to work off-hours and on call when needed

Education & Experience

• Bachelor’s degree in Real Estate, Finance, Business Administration, Urban Planning or related field, required.
• Approximately 3+ years of relevant real-estate transaction, acquisitions or lease-administration experience, required.
• Prior experience coordinating brokers, managing multiple markets, and driving timelines required.

Technical Skills

• Proficiency in Smartsheet (or equivalent project/timeline-tracking software), strongly preferred.
• Experience with CoStar or similar real-estate market data tools, strongly preferred.
• Strong Excel skills (pivot tables, dashboards), PowerPoint presentation ability, required.
• Experience managing and tracking leases: database maintenance, key dates, renewal strategy, required.

Communication & Organizational Skills

• Excellent verbal and written communication skills; capable of presenting to executive audience.
• Highly organized, detail-oriented with proven ability to manage multiple projects/markets concurrently.
• Strong stakeholder management skills: internal (operations, finance, legal) and external (brokers, developers, vendors).
• Proven ability to hold brokers/partners accountable, escalate issues when appropriate, and drive results.

Personal Attributes

• Self-starter with initiative and ability to work both independently and collaboratively.
• Comfortable working in a fast-paced, high-growth environment with multiple geographies.
• Strong analytical mindset and ability to translate real-estate metrics into meaningful insights for leadership.