The VP will be responsible for overseeing a multi-billion-dollar real estate and facilities portfolio, ensuring that assets are in line with clinical, operational, and financial priorities. This role presents the opportunity to drive standardization, operational efficiency, and long-term value within a rapidly expanding enterprise. Reporting to the Executive Vice President of Ambulatory & Business Development, the VP will lead all real estate, facilities, engineering, and construction functions across the organization, including facilities operations, maintenance, construction, and real estate strategy for hospitals, ambulatory sites, and corporate properties. The VP will work closely with executive leadership to align capital investments with system priorities and manage the full lifecycle of construction projects.The VP will be responsible for standardizing processes, streamlining vendor relationships, enforcing disciplined procurement practices, and providing strategic guidance on site selection and portfolio planning. Additionally, the VP will represent the organization on major capital initiatives and engage with senior leadership and the board. This role offers the opportunity to make a significant impact on the organization by driving operational efficiency and long-term value through effective management of the real estate and facilities portfolio.