Healthcare Business Banking Relationship Manager

At U.S. Bank, we’re on a journey to do our best. Helping the customers and businesses we serve to make better and smarter financial decisions and enabling the communities we support to grow and succeed. We believe it takes all of us to bring our shared ambition to life, and each person is unique in their potential. A career with U.S. Bank gives you a wide, ever-growing range of opportunities to discover what makes you thrive at every stage of your career.

Try new things, learn new skills and discover what you excel at—all from Day One.

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.