Real Estate Management Principal presso VCU Health

The Real Estate Project Management Principal leads the planning and design of complex, high-value healthcare real estate projects less than and greater than $5 million up to $1 billion. This role is responsible for aligning capital development initiatives with organizational strategy, ensuring regulatory compliance, and delivering state-of-the-art, healthcare-built environments that enhance patient care, team experience and operational efficiency for high reliability.

Essential Job Statements 

Strategic Capital Planning 

• Lead the development and execution of long-range capital plans for healthcare facilities. 

• Partner with C-suite executives, clinical leaders, supply chain, legal and finance teams to align infrastructure investments with strategic goals. 

• Partner with the Vice President of Real Estate on the Strategic Growth Council recommended projects and the Request for Development Executive Committee to prioritize and active approved projects.   

Program & Project Leadership 

• Direct and lead multiple concurrent projects across the full lifecycle— leading in design and transition and assist with construction to occupancy. 

• Manage program budgets up to $1B, ensuring cost control, risk mitigation, and schedule adherence. 

• Lead the process for collaboration with supply chain, legal, and finance for initiation of approved projects.  

• Lead the design and transition of projects in the real estate portfolio.   

• Serves as a subject matter expert on design and construction regulations for the real estate team.   

• Assist project managers to initiate projects to ensure real estate projects are on time and on budget and meet the needs of the organization.  

Governance & Stakeholder Engagement 

• Serve as the primary liaison to executive leadership, and external partners. 

• Lead governance processes for significant transactions directed by the board of directors, including steering committees, capital review boards, and regulatory agencies. 

• Facilitate transparent communication and decision-making across all levels of the organization. 

Compliance & Risk Management 

• Ensure all projects meet healthcare regulatory standards (e.g., CMS, Joint Commission, NFPA, ADA). 

• Implement robust risk management frameworks to address financial, operational, and construction risks. 

• Maintain rigorous documentation and audit readiness throughout the project lifecycle. 

• Serve as the subject matter on Facility Guideline Institute guidelines.  

Team & Vendor Oversight 

• Lead internal teams and external consultants including architects, engineers, and collaborate with construction managers.  

• Negotiate and manage contracts in collaboration with legal for selected vendors, ensuring performance and accountability. 

• Foster a culture of safety, innovation, and continuous improvement to ensure high reliability 

Patient Population 

Not applicable to this position. 

Employment Qualifications 

Required Education: 

Bachelor’s in Architecture, Engineering, Construction Management, Healthcare Administration, or related field. 

Preferred Education: 

Master’s degree in Architecture, Engineering, Construction Management, Healthcare Administration, or related field. 

Licensure/Certification Required: 

PMP certification, Lean, Six Sigma Green Belt or Black Belt certification   

Licensure/Certification Preferred: 

Minimum Qualifications 

Years and Type of Required Experience 

15+ years of progressive experience in healthcare real estate or capital project management. 

Proven leadership of projects exceeding $100M; experience with $500M+ programs strongly preferred. 

Deep knowledge of healthcare operations, regulatory environments, and capital finance. 

Other Knowledge, Skills and Abilities Required: 

Other Knowledge, Skills and Abilities Preferred: 

Executive-level communication and leadership. 

Strategic thinking and financial acumen. 

Mastery of project delivery methods (e.g., IPD, CMAR, Design-Build). 

Proficiency in tools like MS Project, Procore, Bluebeam, and BIM platforms. 

Ability to lead through complexity and ambiguity. 

Working Conditions 

Periods of high stress and fluctuating workloads may occur. 

General office environment. 

Required to car travel to off-site locations, occasionally in adverse weather conditions.

May be exposed to high noise levels and bright lights. 

May have periods of constant interruptions.

Physical Requirements 

Physical Demands: Lifting/ Carrying (0-50 lbs.), Lifting/ Carrying (50-100 lbs.), Lifting/ Carrying (100+ lbs.), Push/ Pull (0-50 lbs.), Push/ Pull (50-100 lbs.), Stoop, Kneel, Squat, Crawling, Bending  

Work Position: Sitting, Walking, Standing  

Additional Physical Requirements/ Hazards    

Physical Requirements: Hear alarms/telephone/tape recorder, Reach above shoulder

Hazards: Exposure to dust/fumes, Exposure to high pitched noises

Mental/Sensory – Emotional     

Mental / Sensory: Strong Recall, Reasoning, Problem Solving, Hearing, Speak Clearly, Write Legibly, Reading, Logical Thinking 

Emotional: Fast-paced environment, Able to Handle Multiple Priorities, Frequent and Intense Customer Interactions, Noisy Environment, Able to Adapt to Frequent Change 

EEO Employer/Disabled/Protected Veteran/41 CFR 60-1.4.

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