US Oral Surgery Management · 18 hours ago
Director of Real Estate
Irving, TX
Full-time
Onsite
Director/Executive
10+ years expUS Oral Surgery Management (USOSM) is a specialty management services company that partners with oral and maxillofacial surgeons across the United States. The Director of Real Estate is responsible for leading the national real estate strategy, overseeing site selection, lease negotiations, and construction oversight to support the company's growth and operational objectives.
CollaborationDentalHealth CareProfessional Services
Responsibilities
Own and evolve the national real estate strategy supporting de novo growth, relocations, expansions, and renewals
Build and lead a scalable real estate program including policies, playbooks, templates, governance, and reporting
Serve as the primary internal advisor on real estate matters, providing clear guidance to executive leadership
Establish and track KPIs related to growth timelines, occupancy costs, project execution, and portfolio performance
Lead all site selection efforts for new de novo practices in partnership with brokers, operations, and clinical leadership
Evaluate markets, trade areas, and specific sites to ensure alignment with growth strategy and operational needs
Oversee letters of intent and lease negotiations to drive favorable economics and consistent deal structures
Ensure new locations meet brand, clinical, and operational standards while maintaining speed to open
Own landlord and tenant relationships across the national portfolio
Lead lease negotiations, renewals, amendments, expansions, and exits in coordination with Legal and Finance
Develop strategies to manage occupancy costs, mitigate risk, and preserve long term flexibility
Provide executive oversight of construction, facility planning, and maintenance programs
Drive standardization of design, materials, and processes to improve predictability and cost control
Lead the CapEx planning and approval process in alignment with annual budgets
Ensure projects are delivered on time, on budget, and with minimal disruption to field operations
Build and manage a national network of brokers, developers, landlords, general contractors, and facility vendors
Lead RFP processes, vendor selection, contract negotiations, and ongoing performance management
Establish regional and national agreements that support consistent service levels and cost efficiency
Partner closely with the Senior Vice President of Field Operations, Surgeon Recruiting teams, and regional operations directors to support execution in the field
Work collaboratively with Finance, Surgeon Recruiting, Legal, and Clinical leadership to align priorities and timelines
Act as a trusted resource to surgeons and practice leaders on real estate and facility related matters
Communicate clearly with stakeholders to manage expectations and drive alignment
Build, lead, and mentor a high performing real estate team, including internal staff and external partners
Set clear expectations, develop talent, and create accountability across the function
Qualification
Required
Bachelor's degree in real estate, business, finance, or a related field required
10 plus years of progressive corporate real estate experience with leadership responsibility
Demonstrated success building or scaling a real estate program in a multi site environment
Proven experience leading de novo development across multiple markets
Extensive experience negotiating leases and working directly with landlords, brokers, and developers
Strong background in vendor management, RFPs, and national or regional service agreements
Solid financial acumen with experience managing CapEx, budgets, and ROI analysis
Strategic and execution focused, with the ability to operate at both levels
Comfortable in a fast paced, high growth environment
Comfortable presenting to board members of a PE backed company
Strong negotiator with a practical, relationship driven approach
Clear communicator who can influence across all levels of the organization
Highly organized and able to manage multiple complex initiatives at once
Data informed decision maker with strong problem solving skills
Hands on leader who builds trust with field teams and external partners
Willing and able to travel extensively
Ability to travel nationally on a regular basis
Ability to work in a standard office environment
Ability to lift up to 10 pounds as needed
Preferred
MBA or advanced degree
Experience supporting healthcare, dental, medical, or similar multi site operations strongly preferred
Company
US Oral Surgery Management
(USOSM) – a specialty management services company – partners with premier oral and maxillofacial surgeons throughout the United States to offer a partnership solution for continued, and accelerated, practice success as the healthcare landscape becomes more competitive and the regulatory complexities increase.
501-1000 employees
Funding
Current Stage
Late StageTotal Funding
$325M2024-12-19Debt Financing· $175M
2023-08-17Debt Financing· $150M
2021-11-11Acquired
Leadership Team
Doug Drew
Chief Executive Officer
Erik Pahl
General Counsel, Chief Compliance Officer and Secretary
Recent News
U.S. Oral Surgery Management (USOSM)
2025-12-04
U.S. Oral Surgery Management (USOSM)
2025-11-14
U.S. Oral Surgery Management (USOSM)
2025-10-01
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