AVP Real Estate Strategy & Operations

Join a team that shares your calling At MultiCare, you’re more than just a job title — you’re part of a team built on trust that cares for each other, our patients and our communities. Belonging here means living our mission and values every day. If your purpose and passions align with ours, you’ll find a place to grow, do meaningful work and build a career you love in a community that feels like home. FTE: 1.0, Shift: Day, Schedule: Mon-Fri Business Hours The Pay Scale is $186,742.40 to $268,715.20 Position Summary The Associate Vice President (AVP), Real Estate Strategy & Operations is an executive responsible for providing strategic leadership and operational oversight for MultiCare Health System’s real estate portfolio. The AVP supports enterprise-wide planning, acquisition, leasing, development, and management activities across the system. This role is essential to guiding MultiCare’s real estate strategy, ensuring that facilities and properties support clinical, operational, and growth objectives. The AVP oversees functions related to property evaluation, transaction execution, space planning and utilization, land planning and entitlement, and long term master planning. The position collaborates closely with executive leadership, operational stakeholders, and external partners to ensure coordinated and well-informed real estate decision-making. This role is a hybrid work environment with frequent on-site visits across MultiCare’s facilities and project locations. Responsibilities: Partner with the VP & Chief Real Estate Officer to develop and implement systemwide real estate strategies aligned with organizational priorities. Provide executive-level insight on real estate implications of strategic initiatives, clinical expansion, ambulatory growth, and capital investments. Develop executive briefings, board materials, and strategic analyses to inform system decisions. Represent the real estate function in multidisciplinary forums, committees, and leadership councils. Partner with CREO to evaluate potential real estate acquisitions, leases, and dispositions, including market assessments, feasibility studies, zoning reviews, and cost analyses. Oversee leasing strategy, negotiations, term evaluations, and compliance across the system’s leased and owned portfolio. Oversee due diligence activities for transactions, coordinating appraisals, environmental assessments, legal review, and internal stakeholders. Oversee enterprise space planning and utilization programs, ensuring efficient, cost‑effective use of existing facilities. Oversee development and implementation of systemwide space standards, programming guidelines, and planning tools. Lead or manage consultant teams responsible for master planning, feasibility studies, campus plans, and development scenarios. Oversee the entitlement and permitting strategies for new development, expansion, and redevelopment projects. Partner with CREO to serve as liaison with municipal planning departments, regulatory agencies, and external legal counsel related to land-use and zoning. Provide oversight of environmental review processes, site feasibility assessments, and site development planning. In partnership with the CREO, establish and refine operational processes, governance structures, financial analyses, and reporting tools to support a high-performing real estate department. Oversee real estate analytics platforms, portfolio dashboards, lease management systems, and internal reporting. Mentor staff, manage external consultants and brokers, and promote a culture of collaboration, accountability, and excellence. Support annual capital planning efforts and ongoing alignment with Finance, Strategy, Facilities, and Planning & Construction. Requirements: Bachelor’s degree required; preferred fields include real estate, business administration, finance, urban planning, architecture, or related areas. Master’s degree (MBA, MRED, MHA, MSRED, or related) preferred. Minimum 10 years of progressive experience in commercial real estate, healthcare real estate, development, portfolio management, facilities planning, or related fields. Strong understanding of real estate valuation, leasing, entitlements, development of lifecycles, and financial analysis. Experience working within MultiCare Health System or a comparable integrated healthcare provider strongly preferred. Proven ability to lead multidisciplinary teams, manage complex projects, and collaborate at executive levels. Advanced experience preparing financial models, market analyses, and decision-support documentation. Requires periodic travel, public meeting attendance, and coordination with governmental and regulatory bodies. Why MultiCare? Rooted in the local community Partnering with patients, families and neighbors across the Pacific Northwest for more than 140 years. Growth and education Competitive tuition assistance, award-winning residencies, fellowships and career development to invest in you. Well-being and support Generous PTO, Code Lavender and Employee Assistance Programs to help you maintain balance and feel cared in your work and life. Living our values Respect, integrity, kindness and collaboration guide how we care for patients, communities and each other. Belonging for all Resource Groups and outreach programs help ensure every team member feels safe, seen, heard and valued. Pacific Northwest lifestyle Work and live where natural beauty, adventure and strong community connections are part of everyday life. Pay and Benefit Expectations We provide a comprehensive benefits package, including competitive salary, medical, dental and retirement benefits and paid time off. As required by various pay transparency laws, we share a competitive range of compensation for candidates hired into each position. Pay is influenced by factors specific to applicants, including but not limited to: skill set, level of experience, and certification(s) and/or education. If this position is associated with a union contract, pay will be reflective of the appropriate step on the pay scale to which the applicant’s years of experience align. Associated benefit information can be viewed here. MultiCare is a not-for-profit health care organization with more than 28,000 team members, including employees, providers and volunteers. MultiCare has been caring for our community for well over a century, since the founding of Tacoma’s first hospital and today is the largest community-based, locally governed system of health in the state of Washington, serving communities across Washington and Northern Idaho. MultiCare’s comprehensive system of health includes numerous primary care, urgent care and specialty services — including Mary Bridge Children’s Hospital & Health Network; MultiCare Indigo Urgent Care; Pulse Heart Institute; MultiCare Medical Associates, affiliated physicians; MultiCare Rockwood Clinic, the largest multispecialty clinic in the Inland Northwest region; and MultiCare Connected Care, our Accountable Care Organization. Thirteen hospitals complete the organization: Allenmore Hospital, Auburn Medical Center, Capital Medical Center, Covington Medical Center, Deaconess Hospital, Good Samaritan Hospital, Mary Bridge Children’s Hospital — the Puget Sound region’s only children’s hospital and state-designated Level II Pediatric Trauma Center for Western Washington — Overlake Medical Center, Navos Behavioral Health Hospital, Valley Hospital, Yakima Valley Hospital, Tacoma General Hospital — which is home to the South Puget Sound region’s only Level IV Neonatal Intensive Care Unit — and Wellfound Behavioral Health Hospital. Our core values of Respect, Integrity, Stewardship, Excellence, Collaboration, Kindness and Joy, serve as our guiding principles and impact every aspect of our organization, including how we provide patient care and what we expect from each other. MultiCare is also proud of our commitment to workforce diversity and culturally competent care. This commitment is led by our CEO and supported through employee education and community outreach. Join our talent network by creating a simple profile with us and we'll see if you're a fit for any current openings! Don't see an opening that fits your current preferences? Create a job alert for the type of job you're looking for, and we'll notify you when one gets posted! Click here to create a Job Alert. MultiCare provides equal employment opportunity to all employees and job applicants. We do not tolerate discrimination or harassment based on race, color, religion, age, sex, national origin, disability status, genetic information, protected veteran status, sexual orientation, gender identity or expression or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. If you are an external job applicant who requires reasonable accommodation in the job application process, please contact the Employee Resource Center (ERC) at View phone number on click.appcast.io and we will assist you with submitting a ticket to initiate your request for accommodation. If you are a current employee, you can submit an ERC ticket or call the ERC for assistance.