KeyBank

FHA Sr. Underwriter - LEAN

KeyBank • $96K — $181K *
Columbus, OH 43230In-Person
Healthcare
5 - 7 years of experience
Today
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Job Overview by Ladders

Qualifications

  • 5-7 years of FHA healthcare loan underwriting experience under Section 232 Program.
  • Current LEAN-certified Underwriter designation from HUD.
  • Expertise in analyzing various healthcare facility types including skilled nursing and assisted living.
  • Proficient in preparing HUD-required loan documentation for LEAN process.
  • Strong financial modeling and Excel analysis skills specific to healthcare real estate.
  • Experience with third-party reports like appraisals and environmental assessments.
  • Exceptional verbal and written communication skills.

Responsibilities

  • Lead the underwriting process for complex FHA-insured healthcare transactions.
  • Analyze proposed FHA loans and review third-party reports as part of due diligence.
  • Conduct detailed healthcare operator analysis, focusing on financial statements and occupancy trends.
  • Oversee underwriting for asset management-related transactions and Corporate Credit Reviews.
  • Ensure compliance with HUD requirements and accuracy of application submissions for LEAN loans.
  • Build financial models to assess loan feasibility and cash flow for healthcare properties.
  • Drive transactions through the underwriting pipeline to meet deadlines.

Benefits

  • Eligible for KeyBank's extensive benefits package.
  • Flexible work options allowing for in-office and remote arrangements.
  • Professional development opportunities including training and mentorship.
  • Participation in industry conferences and networking events.
  • Supportive company culture promoting collaboration and teamwork.
Full Job Description
Location:
127 Public Square, Cleveland Ohio

JOB BRIEF (PURPOSE)
As an FHA Senior Underwriter - LEAN, you will lead the underwriting and execution of complex FHA-insured healthcare transactions under HUD's Section 232 Program, including 232/223(f) acquisitions and refinances, and 223(a)(7) refinances. Eligible property types include skilled nursing facilities, assisted living facilities, memory care communities, intermediate care facilities, and board and care homes. This role is responsible for driving transactions from engagement letter through firm commitment, serving as the lead underwriting authority and primary liaison with HUD's Office of Residential Care Facilities (ORCF). You will partner closely with originators and credit leadership to underwrite and structure deals, assess risk, and deliver high-quality, compliant submissions. This role is critical to supporting the growth and performance of KeyBank's FHA healthcare lending platform.
Please note: We have a strong preference for candidates to be based in one of KeyBank's regional office locations to support collaboration and team integration.

ESSENTIAL JOB FUNCTIONS
  • Perform due diligence for proposed FHA-insured healthcare loans, including analyzing proposed transactions, reviewing third-party reports (appraisals, market studies, environmental assessments, Property Capital Needs Assessments), and leading the underwriting team to prepare loan applications for electronic submission to HUD via the LEAN application portal.
  • Underwrite and analyze single loans or be part of a team on large portfolios of loans eligible under the LEAN program, including detailed review of all third-party reports and preparation of written narratives that identify the strengths and weaknesses of each transaction, along with appropriate risk mitigation strategies.
  • Conduct healthcare operator analysis, including review of facility-level financial statements, historical occupancy trends, Medicare/Medicaid reimbursement data, state licensing and survey history, and management capability.
  • Serve, as needed, as the lead underwriting authority on asset management-related transactions, including Change of Ownership/Operator (CHOPs), Change of Ownership (CHOWs), and other Transfer of Physical Assets (TPAs), providing oversight on underwriting approach, risk assessment, and submission strategy to HUD. In addition, lead Corporate Credit Reviews on an annual basis, or more frequently as required by HUD or internal policy, including oversight of underwriting analysis, portfolio risk evaluation, and coordination across large or complex portfolios to ensure consistency, accuracy, and compliance with regulatory expectations.
  • Complete, review, and ensure accuracy of all required HUD-form documents for LEAN application submissions in compliance with the Section 232 Handbook.
  • Build and analyze financial models to evaluate loan feasibility, cash flow projections, debt service coverage, and risk scenarios specific to healthcare properties.
  • Drive all assigned transactions through the underwriting pipeline to ensure timely and accurate completion from application through firm commitment.
  • Identify and assess transaction risks-including credit, project, and operational flaws-document findings in accordance with credit approval requirements, provide risk mitigation for weaknesses, and escalate deviations to support effective portfolio risk management.
  • Provide detailed peer reviews of LEAN application packages for other underwriters in advance of KeyBank's loan committee.
  • Maintain productive relationships with all partners, including mortgage bankers, borrowers, healthcare operators, HUD/ORCF staff, and third-party consultants-through a collaborative approach and timely disclosure of transaction risks.
  • Maintain a strong working knowledge of the Section 232 Handbook, relevant Housing Notices, Mortgagee Letters, HUD email blasts, and all applicable program guidance.
  • Actively contribute market intelligence, healthcare industry insights, and programmatic expertise in support of the team's strategy and financial goals.
  • Pursue and develop internal and external relationships to facilitate effective healthcare real estate transactions and support the line of business strategy.
  • Complete all compliance requirements related to each transaction to minimize risk.
  • Deliver responsive, exceptional customer service throughout all stages of the transaction process.

ADDITIONAL RESPONSIBILITIES
  • Collaborate with mortgage bankers and management to support the origination of FHA healthcare loans and drive new business opportunities.
  • Facilitate staff development by conducting training sessions, identifying growth opportunities, and promoting continuous learning for both team members and self.
  • Lead recruitment and onboarding efforts to ensure seamless integration of new hires into the team.
  • Assist in maintaining and improving underwriting models, forms, and systems used for LEAN submissions.
  • Represent KeyBank with professionalism and excellence at industry conferences, HUD training sessions, ORCF meetings, and trade organization events.
  • Travel as required, including overnight stays, to conduct property/site inspections and fulfill other job-related duties.
REQUIRED QUALIFICATIONS
  • Minimum of five (5) years of direct experience underwriting FHA-insured healthcare loans under HUD's Section 232 Program.
  • Current LEAN-certified Underwriter designation from HUD that is in good standing.
  • Demonstrated expertise in analyzing healthcare real estate transactions-including skilled nursing, assisted living, memory care, and board and care facilities-with strong knowledge of FHA underwriting fundamentals and the Section 232 Handbook.
  • Proven experience preparing and reviewing HUD-required loan documentation, including underwriting narratives, credit memos, HUD forms, and firm commitment applications specific to the LEAN process.
  • Proficiency in financial modeling and advanced Excel-based analysis for healthcare real estate underwriting, including operator financial analysis and debt service coverage evaluation.
  • Experience reviewing and interpreting third-party reports, including appraisals, market studies, environmental reports (Phase I/II), and Property Capital Needs Assessments (PCNAs).
  • Excellent verbal and written communication skills, with the ability to convey complex underwriting concepts clearly and professionally.
  • Bachelor's degree required.

PREFERRED QUALIFICATIONS
  • A degree in Real Estate, Finance, Healthcare Administration, or Accounting is preferred; however, candidates with degrees in other relevant fields will be considered based on experience and qualifications.
  • LEAN designation.
  • Experience underwriting LEAN new construction and/or substantial rehabilitation transactions under Section 232.
  • Familiarity with Medicare/Medicaid reimbursement structures, state licensing requirements, and healthcare regulatory environments.
  • Prior experience managing or mentoring junior underwriters or analysts.

COMPETENCIES / SKILLS
  • Demonstrate strong organizational and time management skills, ensuring tasks are completed efficiently under tight deadlines.
  • Exhibit initiative, sound judgment, and the ability to work independently with minimal supervision.
  • Manage multiple complex transactions simultaneously while maintaining high standards of quality and accuracy.
  • Thrive in collaborative, team-oriented environments, fostering cooperation and shared success.
  • Resolve conflicts constructively and professionally, maintaining a calm and solution-focused approach.
  • Demonstrate strong attention to detail and commitment to accuracy in all underwriting work product.

EQUIPMENT USED / PHYSICAL REQUIREMENTS
  • Proficient in PC-based productivity tools including Microsoft Word, Excel, Outlook, and Adobe Acrobat, with the ability to leverage these platforms for efficient documentation, analysis, and communication.
  • Skilled in utilizing financial calculators and Excel-based financial modeling tools to perform advanced underwriting, scenario analysis, and data-driven decision-making.

TRAINING REQUIRED
  • Complete all required KeyBank compliance training within designated timelines to ensure adherence to regulatory and organizational standards.
  • Develop a thorough understanding of KeyBank's underwriting and processing procedures to ensure consistency, accuracy, and alignment with internal protocols.
  • Attend training as required to maintain LEAN certification) in good standing with HUD.


COMPENSATION AND BENEFITS
This position is eligible to earn a base salary in the range of $96,000.00 - $181,000.00 annually. Placement within the pay range may differ based upon various factors, including but not limited to skills, experience and geographic location. Compensation for this role also includes eligibility for incentive compensation which may include production, commission, and/or discretionary incentives.

Please click here for a list of benefits for which this position is eligible.

Key has implemented an approach to employee workspaces which prioritizes in-office presence, while providing flexible options in circumstances where roles can be performed effectively in a mobile environment.

Job Posting Expiration Date: 07/24/2026

About KeyBank

Shockingly, nearly 9-in-10 people who get their real estate license in America fail. We're solving that problem; And doing it while increasing profitability for the brokerage. Through technology, business automation, and a team approach we have created a system where agents focus solely on working with clients and closing deals.

KeyBank Careers

Joining KeyBank means stepping into a world of professional growth and innovation, where job opportunities abound in an environment that values leadership, diversity, and forward-thinking. As a member of our team, you will be part of a company that's committed to empowering your career journey while contributing to the financial wellness of our communities.

Work You'll Do

At KeyBank, we're not just in the business of banking; we're in the business of helping individuals and communities thrive. By joining our team, you will have the chance to be part of a culture that celebrates diversity and fosters leadership and professional development. Whether you're looking for a position in customer service, IT, finance, or management, KeyBank offers a variety of roles suited to your skills and career aspirations.

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KeyBank stands at the intersection of finance and innovation. Our employees are encouraged to lead with creativity and integrity, driving solutions that make a real difference. With a focus on digital transformation and sustainable growth, your work at KeyBank will challenge the status quo and encourage you to explore new ideas.

Grow Your Career

Career growth at KeyBank is not just a possibility—it's a priority. We are dedicated to your professional development through comprehensive training programs, leadership workshops, and continuous learning opportunities. Our commitment to your growth is matched by our dedication to inclusion, ensuring all voices are heard and valued.

Be Part of a Great Team

Our team at KeyBank is our strongest asset. We believe in using our collective skills to foster an environment of innovation and collaboration. Join us and connect with colleagues who are just as passionate and driven as you are. Through teamwork, we achieve exceptional results and push the boundaries of what's possible in the banking sector.

Internship and Employment Opportunities

For those starting their careers, KeyBank offers robust internship and employment opportunities that provide a solid foundation in the financial industry. Interns at KeyBank gain hands-on experience, beneficial networking connections, and insights into our day-to-day operations, setting the stage for a successful career.

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KeyBank is committed to offering benefits that enhance your life and well-being. From healthcare to retirement plans, and flexible working conditions, we ensure our employees are well taken care of. More than just benefits, our company culture is built on respect, integrity, and accountability—values that guide us in making a positive impact on our clients and communities.

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Explore the job opportunities at KeyBank and find the right fit for your skills and interests. We are continuously hiring and looking for individuals who are curious, innovative, and ready to make a difference. Prepare your resume, ace your interview, and join a team that's dedicated to your success and to transforming the landscape of banking.

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Learn more about KeyBank
Size
17,110 employees
Market Cap
$16 billion
Industry
Finance & Insurance
Net Income
$1.3 billion
Founded
1825
5 Year Trend
+5.6%
NASDAQ
KEY
* Ladders Estimates

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