Director, Debt Management & Capital Markets

Director, Debt Management - Hybrid Opportunity

This is a hybrid position based at our corporate office in Brentwood, TN, with on-site work required Monday through Wednesday.

The Director, Debt Management leads the Company’s debt capital markets activities, financial risk management strategy, and the full lifecycle of the facility loan program. This role is responsible for optimizing capital structure, managing the Company’s debt portfolio, and overseeing the origination, diligence, documentation, and servicing of facility‑level loans.

The ideal candidate partners closely with Fin Ops, Operations, Legal, Accounting, lenders, and senior executives to drive strong financial performance, ensure compliance, support center‑level growth, and deliver a best‑in‑class experience for ASC partners.

• Lead the end‑to‑end facility loan program, including RFPs, lender selection, legal review, funding, compliance, and operational handoff.
• Partner with Regional CFOs and Operations leaders to evaluate lender bids, communicate updates, and guide financing decisions.
• Maintain a pipeline of centers needing financing, oversee new loan originations, and develop new banking relationships.
• Review analyses, term sheets, diligence materials, and covenant requirements to ensure sound financial decision‑making.
• Provide training and process leadership to regional teams and serve as the primary escalation and support resource for Treasury Analysts.

• Lead strategic planning and execution of corporate debt transactions, including new issuances, refinancings, amendments, and restructurings.
• Manage relationships with lenders, bondholders, rating agencies, and investment banks.
• Oversee all corporate debt service, covenant compliance, and related reporting.
• Maintain financial models, forecasts, and scenario analyses to support capital structure decisions.
• Monitor market trends and recommend strategies to optimize cost of capital, leverage, and liquidity.
• Partner with Accounting, FP&A, and Legal to ensure accurate reporting, SOX‑compliant processes, and timely deliveries.

• Develop and implement strategies to manage exposure to interest rate, liquidity, and credit risk.
• Evaluate and execute hedging strategies (e.g., interest rate swaps, caps) in coordination with external financial partners.
• Support working capital improvement initiatives and broader Treasury optimization efforts.
• Maintain strong governance, internal controls, and policy compliance.

• Serve as a key business partner to Finance, Accounting, Legal, and Operations leaders on matters related to capital structure and risk management.
• Provide thought leadership and analysis to support executive decision‑making and Board‑level reporting.
• Mentor and guide treasury and finance team members fostering functional depth, analytical capability and operational excellence.

• Bachelor’s degree in Finance, Accounting, Economics, or related field required; MBA or CTP preferred.
• 8–10+ years of progressive corporate finance, treasury, or investment banking experience with a focus on debt capital markets and risk management.
• Experience managing loan programs, partnership financing structures, corporate debt portfolios, and multi‑entity credit portfolios strongly preferred.
• Healthcare, leveraged environments, or ASC experience is a plus.

• Deep understanding of capital markets, credit agreements, and financial instruments.
• Strong financial modeling, analytical, and quantitative skills.
• Excellent written and verbal communication skills; ability to interact effectively with executive leadership and external partners.
• Strong organizational skills and attention to detail, with the ability to manage multiple priorities in a fast‑paced environment.
• Demonstrated leadership, integrity, and business acumen.

• Hybrid work environment with limited travel.
• Extended hours may be required during transaction‑heavy periods.

• Comprehensive health, dental, and vision insurance
• Health Savings Account with an employer contribution
• Life Insurance
• PTO
• 401(k) retirement plan with a company match
• And more!

Normal busy office environment with much telephone work. Possible long hours as needed. The description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities and working conditions may change as needs evolve.

• If you are viewing this role on a job board such as  or Linked In, please know that pay bands are auto assigned and may not reflect the true pay band within the organization.
• No Recruiters Please