Healthcare Business Banking Relationship Manager

Healthcare Business Banking RM

At U.S. Bank, our Healthcare Business Banking Relationship Managers (BBRMs) don't just manage portfolios — they build businesses, shape strategy, and drive growth for healthcare clients navigating today's complex financial landscape.

In this high-impact role, you'll serve as the primary advisor to healthcare practices and organizations with revenues generally between $5MM and $50MM, owning the full client relationship from origination through long-term expansion. You'll bring a consultative, entrepreneurial mindset—leveraging the full capabilities of a leading financial institution to deliver sophisticated credit structures, treasury solutions, and integrated financial strategies that fuel client success.

Key responsibilities

• Own and grow a portfolio of Healthcare and Practice Finance relationships, serving as the trusted advisor for clients with revenues between $5MM and $50MM, including physician groups, ambulatory surgery centers (ASCs), dental service organizations (DSO), specialty practices, and other healthcare businesses.
• Drive new client acquisition and revenue growth through proactive business development, COIs, and industry networking within the healthcare ecosystem
• Lead complex financial conversations and structure credit solutions including cashflow lending, acquisition financing, recapitalizations, buyouts, commercial real estate, ground up construction, and enterprise value-based lending structures.
• Deliver holistic financial solutions by coordinating seamlessly across:
• Treasury Management
• Payments
• Credit Cards
• Personal Wealth and Advisory partners
• Capital Markets
• Equipment Finance
• Advise healthcare clients on growth initiatives including de novo expansion, acquisitions, physician ownership transitions, and healthcare real estate financing.
• Maintain full accountability for the client relationship while orchestrating internal partnerships in a large, matrixed organization
• Apply strong credit judgment and risk discipline while balancing growth, profitability, and client experience
• Anticipate client needs by staying ahead of healthcare industry trends, regulatory shifts, and market conditions

Who You Are

You're a seasoned relationship manager with a hunter-mentor mindset —equally comfortable opening new doors, navigating complex credit, and acting as a strategic advisor to healthcare owners and executives. You thrive in roles where influence matters, autonomy is earned, and success is measured by lasting client relationships and growth.

Basic Qualifications

• Bachelor's degree, or equivalent work experience
• Ten or more years of relevant experience

Preferred Skills & Experience

• Healthcare and Practice Finance banking experience, including complex credit structuring
• Experience with clinic- and center-based Commercial Real Estate transactions
• Proven success developing new business and COIs within the healthcare industry
• Experience managing loan structures larger than $2.5MM and complex credit requests
• Background serving companies and practices with revenues up to $50MM
• Demonstrated ability to partner across Treasury Management, Payments, and Wealth Management, Capital Markets, and other special banking teams.
• Strong knowledge of commercial credit and credit quality standards
• Proficiency with MS Office, Salesforce, and nCino
• Agile, innovative problem-solver with sound judgment
• Executive-level communication, presentation, and relationship-building skills
• Knowledge of healthcare ownership structures, reimbursement dynamics, and industry trends affecting physician practices and lower middle markets healthcare organizations.

The role offers a hybrid/flexible schedule, which means there's an in-office expectation of 3 or more days per week and the flexibility to work outside the office location for the other days.

If there's anything we can do to accommodate a disability during any portion of the application or hiring process, please refer to our disability accommodations for applicants.

Benefits:

• Healthcare (medical, dental, vision)
• Basic term and optional term life insurance
• Short-term and long-term disability
• Pregnancy disability and parental leave
• 401(k) and employer-funded retirement plan
• Paid…