Healthcare Relationship Manager

Columbia Banking System, Inc.

$113K — $200K *
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree in Business, Finance, or related field; formal credit training preferred.
  • 5+ years of healthcare banking experience with direct client relationship responsibilities.
  • Successful track record in financing healthcare entities such as physician groups, ASCs, and DSOs.
  • Strong skills in financial analysis, cash-flow lending, and enterprise-value-based credit structures.
  • In-depth knowledge of healthcare ownership models, trends, and practice economics preferred.
  • Experience in managing complex transactions independently and collaborating with cross-functional teams.
  • Extensive knowledge of bank products with a strong capability to cross-sell.
  • Strong client relationship management skills at senior levels.

Responsibilities

  • Source and deepen relationships with healthcare organizations.
  • Represent Columbia Bank at industry events to cultivate referral networks.
  • Underwrite and manage diverse loan portfolios, including practice acquisitions and development projects.
  • Ensure compliance with bank policies and maintain sound credit administration.
  • Provide ongoing client relationship management, including loan oversight.
  • Advise clients during consolidation, expansion, and liquidity events in healthcare.
  • Collaborate across business lines to create integrated financial solutions.
  • Engage with partners in wealth management strategies and services.

Benefits

  • Comprehensive healthcare coverage (medical, dental, and vision plans).
  • 401(k) savings plan with employer match for qualifying associates.
  • Employee assistance program and life insurance.
  • Disability insurance and tuition assistance.
  • Mental health resources and identity theft protection.
  • Legal support, auto and home insurance options, and pet insurance.
  • Paid vacation, sick days, volunteer days, and holidays.
Full Job Description
About the Role:

Columbia Bank is growing its Healthcare Banking platform, and we're looking for a driven, relationship-first professional to help us serve the financial needs of physician groups, surgical specialists, micro-ER operators, DSOs, and physician-owned medical office buildings (MOBs). This role blends deep healthcare industry knowledge with commercial banking expertise and the ability to build lasting client partnerships that go well beyond a single transaction. If you thrive on developing complex credit relationships, advising clients through ownership transitions, and collaborating across business lines to deliver integrated financial solutions, this role was built for you.
  • 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.


About You:

  • 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.


The pay range for this role is $113,000.00 to $200,000.00.

The pay rate for the selected candidate is dependent upon a variety of non-discriminatory factors including, but not limited to, job-related knowledge, skills, and experience, education, and geographic location. The role may be eligible for performance-based incentive compensation, and those details will be provided during the recruitment process.

Evergreen:

This posting is part of an evergreen requisition to create a pipeline of talent. If you are interested in potential opportunities in this area, we encourage you to apply. While we may not have an immediate opening at this time, we are always looking for top talent and will reach out as positions become available in the posted locations.

Our Benefits:

We are proud to offer a competitive total rewards package including base wages and comprehensive benefits.

We offer eligible associates comprehensive healthcare coverage (medical, dental, and vision plans), a 401(k)-retirement savings plan with employer match for qualifying associate contributions, an employee assistance program, life insurance, disability insurance, tuition assistance, mental health resources, identity theft protection, legal support, auto and home insurance, pet insurance, access to an online discount marketplace, and paid vacation, sick days, volunteer days, and holidays. Benefit eligibility begins the first day of the month following the date of hire for associates who are regularly scheduled to work at least thirty hours weekly.

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