Healthcare Relationship Manager

Columbia Bank•San Jose, CA

2d•Hybrid

About The Position

Columbia Bank is growing its Healthcare Banking platform and is looking for a driven, relationship-first professional to serve the financial needs of physician groups, surgical specialists, micro-ER operators, DSOs, and physician-owned medical office buildings (MOBs). This role combines deep healthcare industry knowledge with commercial banking expertise and the ability to build lasting client partnerships. The role involves developing complex credit relationships, advising clients through ownership transitions, and collaborating across business lines to deliver integrated financial solutions. Responsibilities include sourcing, developing, and deepening relationships with healthcare organizations, representing the bank at industry events, cultivating referral networks, underwriting and managing a diversified portfolio of loans, maintaining sound credit administration, managing client relationships, providing consultative guidance, delivering integrated financial solutions by collaborating with Private Banking, Treasury Management, and Credit Administration, engaging with bank partners on wealth management strategies, and serving as a subject matter expert. The role also involves demonstrating and fostering Columbia’s corporate culture and supporting community engagement initiatives.

Requirements

Bachelor’s degree in Business, Finance, or a related field required.
Formal credit training preferred.
Minimum 5 years of healthcare banking experience with direct client relationship responsibilities.
Demonstrated success financing physician groups, ASCs, DSOs, or healthcare real estate (e.g., MOBs, micro-ERs).
Strong background in financial analysis, cash-flow lending, and enterprise-value-based credit structures.
Knowledge of healthcare ownership models, regulatory trends, and practice economics strongly preferred.
Ability to independently manage complex transactions and collaborate with internal partners to deliver full-relationship solutions.
Extensive knowledge of bank products and services with strong cross-sell capability.
Proficient in prospecting, building, and managing client relationships at the senior level.
Proactive and knowledgeable in both external and internal job functions.
Proficient in identifying referral opportunities and leveraging other lines of business to serve clients.
Occasional travel required.

Responsibilities

Source, develop, and deepen relationships with healthcare organizations, including physician groups, DSOs, and micro-ER operators.
Represent Columbia Bank at industry events and cultivate referral networks with healthcare advisors, consultants, and private equity sponsors.
Underwrite and manage a diversified portfolio of cash-flow-based and real estate-secured loans, including practice acquisitions, partner buy-ins, ASC and MOB development, and recapitalizations.
Maintain sound credit administration and ensure compliance with bank policies, with emphasis on risk-adjusted pricing, performance monitoring, and audit readiness.
Manage client relationships on an ongoing basis, including loan origination, portfolio oversight, and relationship reviews.
Provide consultative guidance to clients navigating consolidation, expansion, and liquidity events within the healthcare sector.
Deliver integrated financial solutions by collaborating closely with Private Banking, Treasury Management, and Credit Administration.
Engage with bank partners on wealth management strategies, including investments, trust, financial planning, and other services.
Partner across business lines to deliver full-relationship solutions, including credit, deposits, and treasury management.
Serve as a subject matter expert; may be asked to coach, mentor, or facilitate training for colleagues.
Actively demonstrate and foster Columbia’s corporate culture and “Business Bank of Choice” vision in all interactions.
Support community engagement initiatives that reinforce Columbia Bank’s reputation as a leading healthcare finance partner.