System Manager Real Estate Transactions

estate transactions across CommonSpirit Health (CSH). Reporting to the System Director of Real Estate Transactions, this role is a key member of the National Real Estate Services (NRES) team and plays a critical part in advancing

CommonSpirit’s real estate initiatives. The System Manager works remotely and manages and supports a range of transaction types, including leasing, acquisitions, dispositions, development, and joint ventures, ensuring alignment with system-wide strategic, operational, and financial goals.

This role will collaborate closely with internal stakeholders, external partners, and market leaders to help execute real estate strategies that support clinical growth, optimize portfolio performance, and contribute to long-term capital reinvestment objectives. The System Manager will ensure that transactions are executed efficiently, consistently, and in compliance with all regulatory requirements and internal governance standards. This position contributes to building a leading healthcare real estate portfolio that supports the Integrated Delivery Network (IDN) across all CommonSpirit markets.

Essential Key Job Responsibilities

• Support execution of real estate transactions across the CommonSpirit portfolio, including leasing, acquisitions, dispositions, joint ventures, and related contract negotiations.
• Coordinate with internal stakeholders and external brokers to align transaction scope and deliverables with approved business plans and capital program objectives.
• Prepare, track, and maintain key transaction documents including letters of intent, legal requests, approval memos, estoppels, and lease abstracts.
• Partner with the legal team to support contract negotiations and ensure alignment with internal policy and external regulatory requirements, including Stark Law and Anti-Kickback compliance.
• Manage day-to-day communication with markets, regions, and business units to ensure alignment between real estate transactions and clinical or operational objectives.
• Contribute to the development and refinement of real estate transaction workflows, templates, and tools to promote consistency and efficiency across markets.
• Assist in gathering and analyzing real estate and market data to inform transaction strategy and decisionmaking.
• Track and report on key performance indicators (KPIs) related to transaction cycle time, leasing outcomes, and financial performance.
• Support transaction due diligence efforts, including coordination of site evaluations, financial analysis, and documentation reviews.
• Collaborate with peers in Real Estate Strategy, Growth, Planning, and Project Delivery to ensure real estate transactions support the broader strategic vision of NRES and CommonSpirit Health.
• Assist with the implementation of governance protocols and ensure required documentation is maintained and archived per NRES and organizational policy.
• Maintain effective relationships with third-party brokers, legal counsel, and internal functional leaders.
• Participate in ongoing process improvement initiatives to increase operational efficiency and transparency across the transaction lifecycle.
• Support the System Director of Transactions with strategic initiatives, special projects, and reporting as needed.
• Travel as required to support real estate transactions and team coordination across CommonSpirit Health markets.

Job Requirements

Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation’s largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 137 hospital-based locations, in addition to its home-based services and virtual care offerings. CommonSpirit has more than 157,000 employees, 45,000 nurses and 25,000 physicians and advanced practice providers across 24 states and contributes more than $4.2 billion annually in charity care, community benefits and unreimbursed government programs. Together with our patients, physicians, partners, and communities, we are creating a more just, equitable, and innovative healthcare delivery system.