Director Underwriter-Healthcare/CRE
About The Position
First Citizens Healthcare Finance provides comprehensive financing and banking solutions to middle market healthcare companies across the U.S. Using a client-focused and industry-centric model, Healthcare Finance can tailor its products and services to help clients meet their needs for growth capital. This role combines leadership with hands-on execution, supporting both new loan originations and ongoing portfolio management. The Director will underwrite and close stabilized and construction loan transactions, while also preparing to lead and develop a team of junior analysts and associates. This position plays a critical role in balancing revenue generation with sound risk management practices across the healthcare real estate portfolio.
Requirements
- Bachelor’s degree with 8+ years of experience in credit analysis, underwriting, or risk management OR High school diploma/GED with 12+ years of relevant experience
- Advanced analytical, financial modeling, and communication skills
- Proficiency in Microsoft Excel and experience with Argus
Nice To Haves
- Master's degree
- Formal bank credit training
- Prior experience managing junior team members
- Strong background in commercial real estate lending, including construction financing
- Experience underwriting healthcare real estate assets (e.g., MOBs, inpatient rehab, senior housing)
- 7 years in CRE finance with a focus on credit underwriting
Responsibilities
- Provide strategic direction and oversight to Healthcare Underwriting and Portfolio Management teams
- Ensure adherence to underwriting standards, credit policies, and service level agreements
- Make informed decisions on complex credit structures and loan approvals
- Transition into management of 3+ junior analysts/associates, providing mentorship and performance guidance
- Lead underwriting and closing of new loan originations, including stabilized and construction financing
- Structure credit facilities to align with risk tolerance and return objectives
- Partner with originators, credit teams, and senior leadership to advance transactions
- Support ongoing portfolio monitoring, analysis, and reporting
- Address portfolio needs and identify opportunities for optimization
- Ensure risk is properly assessed and managed across the healthcare real estate portfolio
- Serve as a key liaison between originators, credit partners, leadership, and clients
- Operate effectively in a fast-paced, team-oriented environment
- Deliver clear, concise analysis and recommendations for decision-making
Benefits
- Competitive, thoughtfully designed and quality benefits program
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What This Job Offers
Job Type
Full-time
Career Level
Director
