U

U.S. Bank

Runs a national bank and processes card payments

Healthcare Business Banking Relationship Manager

Full-TimeUpdated on 10/23/2026Deadline 10/30/26
$141.2k - $172.6k+ Incentive and recognition programs + Equity stock purchase + 401(k) contribution + Pension
Senior, Expert
Bachelor's
Salt Lake City, UT, USA+5 moreMore locations: Las Vegas, NV, USA | Seattle, WA, USA | Boise, ID, USA | Denver, CO, USA | Portland, OR, USA
HybridHybrid schedule: in-office at least 3 days per week; other days may be worked outside the office location.
Finance & BankingRetail & Commercial Banking

About the job

Requirements
  • A bachelor's degree or equivalent work experience is required.
  • At least seven years of relevant experience is required for the RM 4 level; at least ten years is required for the RM 5 level.
  • Healthcare and Practice Finance banking experience, including complex credit structuring, is preferred.
  • Experience with clinic- and center-based commercial real estate transactions is preferred.
  • Proven success developing new business and centers of influence within the healthcare industry is preferred.
  • Experience managing loan structures larger than $2.5 million and complex credit requests is preferred.
  • Background serving companies and practices with revenues up to $50 million is preferred.
  • Ability to partner across Treasury Management, Payments, Wealth Management, Capital Markets, and other special banking teams is preferred.
  • Strong knowledge of commercial credit and credit quality standards is preferred.
  • Proficiency with Microsoft Office, Salesforce, and nCino is preferred.
  • Executive-level communication and presentation skills are preferred.
  • Knowledge of healthcare ownership structures, reimbursement dynamics, and industry trends affecting physician practices and lower middle-market healthcare organizations is preferred.
Responsibilities
  • Own and grow a portfolio of Healthcare and Practice Finance relationships, serving as the trusted advisor for clients with revenues between $5 million and $50 million, including physician groups, ambulatory surgery centers, dental service organizations, specialty practices, and other healthcare businesses.
  • Drive new client acquisition and revenue growth through proactive business development, centers of influence, 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 across Treasury Management, Payments, Credit Cards, Personal Wealth and Advisory partners, Capital Markets, and 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 credit judgment and risk discipline while balancing growth, profitability, and client experience.
  • Anticipate client needs by staying current with healthcare industry trends, regulatory shifts, and market conditions.
Desired Qualifications
  • Agile, innovative problem-solving and sound judgment.

About the company

U.S. Bank is one of the largest banks in the United States, serving consumers, small businesses, corporations, and government agencies with banking, lending, payments, and wealth management. Its Elavon subsidiary is one of the world's biggest processors of card payments for merchants, handling sales in the United States, Canada, and Europe. People and small businesses use its branches and mobile app for checking, savings, credit cards, mortgages, and loans, while companies use it for corporate cards and cash management, and the bank earns money from loan interest and fees. U.S. Bank received national bank charter No. 24 in 1863, under President Abraham Lincoln, and is based in Minneapolis as the main subsidiary of U.S. Bancorp.

Company Size

10,001+

Company Stage

IPO

Headquarters

Minneapolis, Minnesota

Founded

1863

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Simplify's Take

What believers are saying

  • Profits are climbing: net income rose 20% to $2.2 billion in the June 2026 quarter on record $7.7 billion revenue.
  • Room to grow: U.S. Bank listed 1,285 open roles in October 2026, led by 512 in branch banking.
  • Stability has a track record: U.S. Bancorp stayed profitable through the 2008 financial crisis, earning $2.9 billion that year.

What critics are saying

  • Its card-processing arm is slowing: after losing European sales partners, merchant revenue grew just 2.3% in the June 2026 quarter.
  • Headcount keeps falling: U.S. Bancorp's staff shrank 12% in three years, to 68,520 by December 2025.
  • Expect three office days a week: since March 2024, attendance counts in performance reviews for staff near its hub offices.

What makes U.S. Bank unique

  • Payments is unusually big for a bank: card issuing, merchant processing and corporate payments made 23% of revenue in mid-2026.
  • Washington pays with its cards: only U.S. Bank and Citibank issue federal SmartPay cards, about $40 billion a year.
  • Amazon chose it over American Express: U.S. Bank began issuing Amazon's small business credit cards in May 2026.

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Benefits

  • Health Insurance
  • Dental Insurance
  • Vision Insurance
  • Life Insurance
  • Disability Insurance
  • 401(k) Retirement Plan
  • Paid Vacation
  • Paid Holidays
  • Adoption Assistance
  • Paid Sick Leave

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Watsco, the largest distributor in the North American HVAC market, has signed a $750 million unsecured senior revolving credit facility. Bank of America led the deal, joined by JPMorgan Chase, PNC Bank, Wells Fargo, U.S. Bank and five other banks. The five-year facility amends and extends Watsco's existing credit line. An initial draw repaid $69.7 million owed under the prior facility. Further borrowings will fund working capital, acquisitions, dividends and other general purposes. The terms include more borrowing capacity, covenant flexibility and better fit with the seasonal nature of Watsco's working capital needs. "A committed source of low-cost debt is an important building block of our growth strategy," said Barry S. Logan, executive vice president.

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Global Partners extends $1.5B credit facility maturity to 2031, swaps three lenders

Global Partners LP (NYSE: GLP) extended the maturity of its principal credit facility by more than three and a half years, from March 20, 2028 to October 16, 2031. The partnership amended the agreement on October 16, 2026. The facility keeps its $1.0 billion working capital commitment and $500 million revolver commitment, for $1.5 billion in total. The interim working capital commitment was cut to $0. Three lenders exited: Toronto-Dominion Bank, New York Branch, KeyBank, and ING Capital. TD Bank, PNC Bank, U.S. Bank, and Valley National Bank joined. Bank of America remains administrative agent. Global Hampton 95 Development LLC joined as a guarantor, pledging substantially all personal property as collateral.

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Oct 16th, 2026
Updation teams up with US Bank to modernise dealership payments with real-time options

U.S. Bank and Updation, an AI-powered accounts payable and vendor management platform for car, truck, RV, and powersports dealerships, have announced a collaboration to streamline dealers' payments and financial operations. Updation will use U.S. Bank Embedded Payment Solutions, including a for-benefit-of (FBO) account structure. Funds are held and moved within a bank-managed framework, which adds controls and means Updation does not directly handle customer funds. Updation clients can move beyond certified checks to options such as real-time payments. "That creates a faster, more efficient payment experience for dealerships," said Joe Voica, head of embedded payments at U.S. Bank. Updation chief executive officer Layton Judd said the deal brings accounting intelligence, workflow, and payments into one platform.

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Kalkine Media
Oct 5th, 2026
MGE Energy extends credit facility to 2031, boosts commitment to $210M

MGE Energy and its subsidiary Madison Gas and Electric announced on 5 October 2026 that they amended and restated three revolving credit agreements, extending maturity dates to 1 October 2031. The amendments include options for up to two additional one-year extensions, potentially pushing maturity to 2033. The MGE JPMorgan Chase credit facility's aggregate commitments increased from $90 million to $210 million. MGE Energy can borrow revolving funds and request letters of credit up to $50 million, with the option to seek an additional $25 million. Madison Gas and Electric's agreement with U.S. Bank National Association permits revolving borrowings up to $40 million. The agreements require borrowers to maintain a consolidated indebtedness to consolidated total capitalisation ratio not exceeding 65%. These amended agreements replace the original credit agreements established on 8 November 2022.