Our Mission: 

MDpanel is one of the largest providers of expert medical opinions in the United States. We are committed to being the most coveted partner for physicians, carriers, attorneys, and patients by connecting those in need of medical opinions with the most qualified and highly regarded medical professionals in the U.S. MDpanel allows our member healthcare professional partners to maximize their time and produce unparalleled revenue opportunities. In return, our carrier and attorney clients receive timely, complete, thorough, and easy-to-understand opinions to support the medical legal inquiry. 

MDpanel is revolutionizing the medical opinion space by creating the first true marketplace to connect those in need of medical opinions to those capable of providing them. Unlike traditional, services-based models, we are devoted to our healthcare professionals and are relentless about removing the burden of administration, securing exam volume, preparing for and supporting physical examinations, backend processing, report submissions, and billing. At the heart of MDpanel, our team is committed to delivering an unparalleled experience for all stakeholders. We think big, start small, and move fast. Our culture is built on supporting each other with accountability, transparency, and passion for our mission. 

Position Summary: 

The Director of Real Estate & Revenue Strategy is the senior leader responsible for MDpanel's entire physical site portfolio across California: 70+ flagship evaluation centers under direct lease and 230+ per diem sub-lease locations. This is a strategic leadership role with multi-million dollars in annual real estate budget authority.

This role operates at the intersection of real estate strategy and revenue growth. The Director of Real Estate & Revenue Strategy leads strategically while empower their team to directly manage day-to-day facility maintenance or per diem site operations. This role focuses on flagship site expansion into high-demand zip codes, strategic portfolio consolidation to drive EBITDA improvement, site-level ROI modeling with FP&A, physician experience as a retention lever, and geographic market development that directly enables physician panel growth and evaluation revenue.

Reporting to the SVP & GM, this role manages a small team and partners cross-functionally with Finance/FP&A, Legal, Growth, Scheduling, Customer Success, and Technology teams. The ideal candidate combines commercial real estate expertise with a revenue-minded operating approach, using data to connect site decisions to physician retention, evaluation volume, and financial performance.

Essential Duties and Responsibilities:  

Flagship Site Strategy & Geographic Expansion

• Own MDpanel's flagship site expansion strategy, using DWC paneling data, zip-code-level evaluation volume, specialty demand (orthopedic, neurology, pain medicine, psychiatry, etc), and physician panel density to identify and prioritize new flagship locations.

• Lead the full site acquisition lifecycle for new flagships: market analysis, site identification, LOI negotiation, lease execution, build-out oversight, and go-live activation, targeting 6-10 new flagship openings annually in top-paneled zip codes.

• Develop and maintain a rolling 12-month site expansion roadmap aligned with the Growth team's physician recruitment pipeline and the company's revenue targets.

• Evaluate emerging market opportunities across California and potential national expansion, building business cases that quantify projected evaluation volume, revenue contribution, and payback period for each site investment.
• Monitor competitor site footprints (ExamWorks, Proficient, Arrowhead, Guardian, etc) and secure premium locations in high-demand markets before competitors establish presence.

Strategic Portfolio Consolidation & EBITDA Optimization

• Drive ongoing portfolio rationalization to maximize EBITDA contribution: identify underperforming sites for renegotiation, downsizing, consolidation, or exit.

• Lead all major lease negotiations and renewals across the flagship portfolio, driving favorable economics on base rent, tenant improvement allowances, escalation caps, renewal options, and early termination flexibility.

• Build and own a site-level ROI model in partnership with FP&A, ensuring every major lease renewal, termination, and new site decision is backed by clear financial rationale with revenue attribution.

• Deliver measurable annual cost savings targets through lease renegotiation, space optimization, and vendor consolidation, with full transparency into occupancy cost trends for leadership.

Site Infrastructure, Security & Technology Systems

• Own the strategic direction of MDpanel's site access and security infrastructure and centralize inventory controls across flagships and applicable per diem locations.

• Drive ongoing Flagship improvement: standardized exam tables, equipment, furniture, amenities, signage, and brand presentation across all flagship offices to ensure consistent physician and applicant experience.

• Evaluate and implement technology solutions that improve site operations: smart access systems, remote monitoring, digital signage, automated work order tracking, and centralized asset management.

• Establish and enforce facility standards and SOPs covering the full lease lifecycle, key/inventory management, site activation protocols, and brand standards.

Physician Experience & Retention Through Real Estate

• Position real estate as a measurable physician retention and satisfaction driver, targeting less than 5% of evaluation days impacted by access, facility, or equipment issues across the entire network.

• Drive improvement in physician and applicant facility-experience satisfaction scores through site upgrades, equipment standardization, and operational reliability.

• Align site strategy with physician preferences and specialty requirements, ensuring flagships in high-value specialties have the appropriate exam room configurations, equipment, and amenities.

Per Diem Portfolio Strategy & Oversight

• Set the strategic direction and conduct annual review for the 230+ per diem sub-lease portfolio: site selection/replacement criteria, pricing parameters, vendor qualification standards, and geographic coverage requirements.

• Oversee the Real Estate Operations Administrator who manages day-to-day per diem site relationships, quality audits, vendor scheduling, and maintenance coordination.

• Negotiate and structure new per diem site commitments as needed with full security/access infrastructure, targeting 12+ new per diem agreements annually in markets that complement the flagship footprint.

Insurance, Risk Management & Compliance

• Manage property insurance and general liability coverage across the entire site portfolio, coordinating with brokers and carriers on policy renewals, claims management, and coverage optimization.

• Ensure all flagship and per diem sites maintain compliance with DWC paneling requirements, ADA accessibility standards, OSHA workplace safety, infection control protocols, and healthcare facility regulations.

• Own risk assessment and mitigation across the portfolio, including lease liability exposure, environmental compliance, and operational continuity planning.

Team Leadership & Cross-Functional Collaboration

• Manage and develop the Real Estate Operations Administrator, with the potential to scale the team as the portfolio grows nationwide.

• Establish proactive communication rhythms with Growth, Scheduling, TMA, Finance, and Customer Success: weekly real estate briefs, structured portfolio updates, and zero-surprise site changes for cross-functional partners.

• Partner with FP&A on site economics modeling, with Legal on lease structures and compliance, and with Growth on aligning site expansion to physician recruitment campaigns.

Required Experience:

• 4+ years of progressive experience in commercial real estate, portfolio management, or healthcare site strategy

• Demonstrated track record of commercial lease negotiation with measurable cost savings, including lease restructuring, consolidation, and portfolio rationalization.

• Experience managing a real estate or facilities budget of $3M+ annually and site-level financial analysis.

• Proven ability to connect real estate decisions to revenue outcomes, using data-driven site selection, ROI modeling, and geographic coverage analysis.

• Strong project management skills with experience managing concurrent build-out, renovation, and site activation projects on time and on budget.

• Knowledge of healthcare facility compliance requirements, including ADA accessibility, OSHA safety standards, and healthcare-specific regulatory environments.

• Excellent strategic communication and stakeholder management skills, with the ability to partner credibly with Finance, Legal, Operations, and executive leadership.

• Proficiency with real estate analytics, lease administration platforms, and portfolio management tools.

Nice to have:

• Bachelor's degree in Real Estate, Business Administration, Finance, or related field. MBA or Master's a plus.

• California Real Estate License or professional certifications such as RPA, CFM, or CCIM.

• Direct experience in the California workers' compensation or med-legal industry, including familiarity with DWC QME paneling site requirements and evaluation facility standards.
• Experience with site access/security technology (Nexkey, Igloo, or similar smart lock/access control platforms).

• Deep familiarity with Southern California commercial real estate markets, medical office inventory, and landlord relationships.

Work Setting:

Hybrid - Remote Home Office with regular on-site presence at flagship evaluation centers across California, primarily Southern California.

Regular travel required across California for site tours, lease negotiations, build-out oversight, and portfolio reviews (30% - 50%). Primarily within Southern California with periodic travel to Northern California and Central Valley locations.

Additional Information:

The salary range for this position is provided as an estimate based on current market conditions and company benchmarks. Actual compensation may vary depending on factors such as experience, qualifications, skills, location, and internal equity.  Please note that we are unable to provide sponsorship assistance currently.  All applicants must have a valid work authorization for the country in which they are applying.

Please note that this compensation range is subject to change at any time and may not be applicable to all candidates. We are committed to ensuring fair and equitable pay practices and encourage applicants to discuss any questions or concerns regarding compensation during the interview process.

MDpanel is an Equal Opportunity Employer. We are committed to creating a diverse and inclusive workplace where all associates feel valued, respected, and supported. We do not discriminate based on race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national origin, age, disability, genetic information, veteran status, or any other legally protected characteristic.

We are dedicated to fostering a culture of inclusion and belonging and encourage applicants of all backgrounds to apply. If you require accommodations during the application or interview process, please contact hr@mdpanel.com

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