Healthcare Business Banking Relationship Manager

U.S. Bank · United States

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. Job Description Job Description 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

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

• 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 vacation (from two to five weeks depending on salary grade and tenure)
• Up to 11 paid holiday opportunities
• Adoption assistance
• Sick and Safe Leave accruals of one hour for every 30 worked, up to 80 hours per calendar year unless otherwise provided by law