Director of DeNovo Growth

Director Of DeNovo Growth

The Director of DeNovo Growth is responsible for all real estate project underwriting, leading and project managing all new medical facility build-outs and existing facility remodeling projects across the organization. This role oversees the full lifecycle of de novo and expansion initiatives from business case development and site selection through design, construction, occupancy, and ongoing facilities management. The Director of DeNovo Growth serves as the primary point of coordination between internal stakeholders and external partners, ensuring projects are delivered on time, within budget, and aligned with operational and clinical requirements.

Responsibilities

The following duties and responsibilities generally reflect the expectations of this job but are not intended to be all-inclusive. The essential functions include the most significant tasks and are the essence of why the role exists; removing an essential duty would fundamentally alter the role.

Real Estate Underwriting

• Perform detailed financial underwriting and valuation of real estate investments.
• Build and analyze cash flow models, operating expenses, and returns.
• Conduct sensitivity analyses and scenario modeling to assess risk and downside exposure.
• Prepare investment memos and underwriting summaries for internal review and investment committees.
• Coordinate with brokers, lenders, and internal teams to gather diligence materials and assumptions

De Novo & Expansion Project Management

• Lead all new medical facility build-outs, expansions, and remodel projects from concept through completion.
• Develop and present new facility and expansion business cases, including financial, operational, and strategic analyses.
• Create, manage, and track project timelines, budgets, and milestones to ensure successful project delivery.
• Identify risks and proactively develop mitigation strategies throughout the project lifecycle.

Design, Construction & Vendor Management

• Select, contract with, and manage architects, engineers, general contractors, and other construction-related vendors.
• Oversee design development to ensure compliance with clinical, operational, regulatory, and brand standards.
• Manage construction progress, change orders, quality control, and closeout activities.

Budgeting & Financial Oversight

• Develop detailed project budgets, capital expenditure plans, and cost forecasts.
• Monitor expenditures and approve invoices, ensuring projects remain within approved budgets.
• Evaluate cost-saving opportunities without compromising quality or compliance.

Real Estate & Lease Management

• Negotiate real estate leases and lease amendments / renewals for all existing facilities, facility expansions and new facilities.
• Manage relationships with external real estate brokers and oversee site selection activities.
• Track and manage all lease renewals, critical dates, and lease compliance requirements.

Permitting, Utilities & Compliance

• Coordinate all municipal, zoning, building, and equipment-based permitting requirements.
• Manage setup of utilities and infrastructure, including power, water, gas, telecom, and internet services.
• Ensure all facilities meet applicable healthcare regulations, codes, and accreditation requirements.

IT, Equipment & Procurement

• Coordinate with IT and clinical teams to support technology infrastructure, systems installation, and connectivity.
• Oversee procurement of furniture, fixtures, supplies, and medical and non-medical equipment for new and remodeled facilities.
• Ensure timely delivery and installation aligned with project schedules and go-live dates.

Facilities Management & Repairs

• Oversee ongoing facilities management issues, repairs, and maintenance needs across the portfolio.
• Serve as the escalation point for facility-related issues impacting operations or patient care.
• Manage vendor contracts related to facilities services as needed.

Qualifications

Required Education, Experience, and Skills:

• Bachelor's degree in Finance, Business, Construction Management, Engineering, Architecture, Real Estate, Business, or a related field (Master's degree preferred).
• Financial modeling experience.
• 5–10+ years of experience managing healthcare facility development, construction, or real estate projects.
• Strong knowledge of medical facility design, construction processes, permitting, and healthcare regulations.
• Demonstrated experience negotiating commercial real estate leases.
• Proven ability to manage multiple complex projects simultaneously.
• Strong financial acumen, including budgeting and capital planning.
• Excellent communication, negotiation, and stakeholder management skills.
• Highly organized, detail-oriented, and proactive problem solver.
• Comfortable working cross-functionally with clinical, operational, finance, and executive teams.

Why Together Women's Health (TWH)?

Because we do things a bit differently here. We're a rapidly growing network of OBGYN clinics, and while it's important to know what we are, it's more important to know what drives us - our mission to improve the lives of our healthcare partners and their patients. Our actions speak louder than those words. We invest in our talented teams and our connection to our core values last longer than a quick glance through the employee handbook - we live them every day! TWG is a place where careers thrive for those who believe the right team can achieve anything.

What's in it for you?

We offer competitive compensation, a comprehensive benefits package including medical, dental, vision, PTO, and generous 401K plan...not to mention a team of smart and friendly coworkers!

Together Women's Health (TWH) is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.