If you're ready to be part of our legacy of hope and innovation, we encourage you to take the first step and explore our current job openings. Your best is waiting to be discovered. Day - 08 Hour (United States of America) **This is a Stanford Health Care job.** Shape the future of our clinical footprint by guiding where and how we grow. In this strategic role, you'll turn complex market insight into clear, high impact decisions that directly influence access to care. This role leads real estate transactions from end to end, managing negotiations, acquisitions, and complex site evaluations. You drive deal flow-structuring terms, partnering across functions, assessing risk, and ensuring the organization secures the right sites at the right time. You handle multifaceted real estate scenarios with autonomy, speed, and strategic judgment. **You will:** + Lead acquisitions, negotiations & deal structuring + Manage real estate transactions across clinical & administrative portfolios + Conduct site evaluations, feasibility assessments & due diligence + Partner with executives, facilities, legal & finance to drive deal closure + Translate market conditions into tactical recommendations **You bring:** + 7-10years' experiencein consulting, development, brokerage, or healthcare real estate + Strength in analysis, storytelling through data, and strategic thinking + Ability to simplify ambiguity and build trusted partnerships The  **Facilities Services**  division enhances health through leadership, collaboration, and innovation. Our team offers essential non-clinical support 24/7, ensuring safe operations and planning for future needs. We represent the intersection of planning, construction, general services, and facilities of operations. Learn more about Facilities Services at: Facilities Services | Stanford Health Care (https://stanfordhealthcare.org/about-us/facilities-services-and-planning.html) . The  **Real ** **Estate,** ** Transportation & Strategy**  business unit oversees the strategic management of real estate, transportation services, exterior management, and facilities business and strategic initiatives at Stanford Health Care. By managing a diverse real estate portfolio and providing essential transportation solutions, they enhance operational efficiency and support the organization's mission through effective budgeting and strategic initiatives.  **Real Estate & Transactions**  manages the real estate strategy and portfolio for Stanford Health Care. This team negotiates real estate deals, oversees property leases, and ensures compliance with legal requirements, supporting the organization's growth and operational needs.  For more _details, scroll down to the full job description._ **A Brief Overview** The Lead Real Estate Specialist serves as a subject-matter expert and strategic advisor on complex, high-value transactions that shape Stanford Medicine's real estate portfolio. The role leads negotiations, drives market and portfolio intelligence, influences strategic decision-making, and ensures enterprise-wide governance and compliance across multiple entities. **Locations** Stanford Health Care **What you will do** + Transaction Management + Lead complex, high-value lease, acquisition, disposition, and amendment negotiations across Stanford Medicine entities, representing organizational strategic, financial, and operational interests. + Assess transaction structures, financial models, legal implications, and long-term portfolio impacts to shape negotiation strategy and influence decision-making. + Coordinate with Legal, Finance, Operations, and external consultants to resolve sophisticated issues and remove barriers to execution. + Prepare and present clear recommendations, risk assessments, and decision frameworks for senior leadership, governance bodies, and capital committees. + Provide functional leadership and expert guidance to Real Estate Specialists on negotiation approach, due diligence, compliance requirements, and transaction best practices. + Stakeholder & Relationship Management + Build and maintain senior-level relationships with landlords, brokers, legal counsel, and other external partners to advance Stanford Medicine's real estate objectives. + Serve as Stanford Medicine's primary representative in high-stakes negotiations, mediations, and discussions requiring advanced judgement and strategic communication. + Align transaction strategy with broader organizational priorities and operational needs across Stanford Medicine entities. + Guide cross-functional partners and internal clients through complex real estate issues, ensuring stakeholders understand risks, options, requirements, and decision pathways. + Market & Portfolio Intelligence + Lead analysis of market conditions, rent trends, concessions, submarket dynamics, and competitive activity to anticipate opportunities and emerging risks. + Integrate market intelligence with portfolio performan