Senior Level Business Relationship Manager Jobs

At U.S. Bank, we’re on a journey to do our best. Helping the customers and businesses we serve to make better and smarter financial decisions and enabling the communities we support to grow and succeed. We believe it takes all of us to bring our shared ambition to life, and each person is unique in their potential. A career with U.S. Bank gives you a wide, ever-growing range of opportunities to discover what makes you thrive at every stage of your career. Try new things, learn new skills and discover what you excel at—all from Day One.

Job Description

At U.S. Bank, our Healthcare Business Banking Relationship Managers (BBRMs) don’t just manage portfolios — they build businesses, shape strategy, and drive growth for healthcare clients navigating today’s complex financial landscape.

In this high‑impact role, you’ll serve as the primary advisor to healthcare practices and organizations with revenues generally between $5MM and $50MM, owning the full client relationship from origination through long‑term expansion. You’ll bring a consultative, entrepreneurial mindset—leveraging the full capabilities of a leading financial institution to deliver sophisticated credit structures, treasury solutions, and integrated financial strategies that fuel client success.

Key responsibilities

• Own and grow a portfolio of Healthcare and Practice Finance relationships, serving as the trusted advisor for clients with revenues between $5MM and $50MM, including physician groups, ambulatory surgery centers (ASCs), dental service organizations (DSO), specialty practices, and other healthcare businesses.

• Drive new client acquisition and revenue growth through proactive business development, COIs, 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 seamlessly across:

  • Treasury Management

  • Payments

  • Credit Cards

  • Personal Wealth and Advisory partners

  • Capital Markets

  • 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 strong credit judgment and risk discipline while balancing growth, profitability, and client experience

• Anticipate client needs by staying ahead of healthcare industry trends, regulatory shifts, and market conditions

Who You Are

You’re a seasoned relationship manager with a hunter‑mentor mindset—equally comfortable opening new doors, navigating complex credit, and acting as a strategic advisor to healthcare owners and executives. You thrive in roles where influence matters, autonomy is earned, and success is measured by lasting client relationships and growth.

Basic Qualifications

• Bachelor's degree, or equivalent work experience

• Seven or more years of relevant experience

Preferred Skills & Experience

• Healthcare and Practice Finance banking experience, including complex credit structuring

• Experience with clinic‑ and center‑based Commercial Real Estate transactions

• Proven success developing new business and COIs within the healthcare industry

• Experience managing loan structures larger than $2.5MM and complex credit requests

• Background serving companies and practices with revenues up to $50MM

• Demonstrated ability to partner across Treasury Management, Payments, and Wealth Management, Capital Markets, and other special banking teams.

• Strong knowledge of commercial credit and credit quality standards

• Proficiency with MS Office, Salesforce, and nCino

• Agile, innovative problem‑solver with sound judgment

• Executive‑level communication, presentation, and relationship‑building skills

• Knowledge of healthcare ownership structures, reimbursement dynamics, and industry trends affecting physician practices and lower middle markets healthcare organizations.

Business Banking

U.S. Bank offers a robust, market‑leading Business Banking compensation plan that rewards the full scope of your relationship‑building efforts—from loan generation to deposit growth to fee‑based production. If you're ready to elevate your career and maximize your earning potential, inquire today to learn more about the plan and explore the exciting opportunities available!

This role is posted remote; however, candidates who are located near any one of our locations would be required to work on site at least three days per week.

If there’s anything we can do to accommodate a disability during any portion of the application or hiring process, please refer to our disability accommodations for applicants.

Benefits:

Our approach to benefits and total rewards considers our team members’ whole selves and what may be needed to thrive in and outside work. That's why our benefits are designed to help you and your family boost your health, protect your financial security and give you peace of mind. Our benefits include the following:

• Healthcare (medical, dental, vision)

• Basic term and optional term life insurance

• Short-term and long-term disability

• Pregnancy disability and parental leave

• 401(k) and employer-funded retirement plan

• Paid vacation (from two to five weeks depending on salary grade and tenure)

• Up to 11 paid holiday opportunities

• Adoption assistance

• Sick and Safe Leave accruals of one hour for every 30 worked, up to 80 hours per calendar year unless otherwise provided by law

Review our full benefits available by employment status here.

U.S. Bank is an equal opportunity employer. We consider all qualified applicants without regard to race, religion, color, sex, national origin, age, sexual orientation, gender identity, disability or veteran status, and other factors protected under applicable law.

E-Verify

U.S. Bank participates in the U.S. Department of Homeland Security E-Verify program in all facilities located in the United States and certain U.S. territories. The E-Verify program is an Internet-based employment eligibility verification system operated by the U.S. Citizenship and Immigration Services.

The salary range reflects figures based on the primary location, which is listed first. The actual range for the role may differ based on the location of the role. In addition to salary, U.S. Bank offers a comprehensive benefits package, including incentive and recognition programs, equity stock purchase 401(k) contribution and pension (all benefits are subject to eligibility requirements). Pay Range: $118,170.00 - 144,430.00

U.S. Bank will consider qualified applicants with arrest or conviction records for employment. U.S. Bank conducts background checks consistent with applicable local laws, including the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act as well as the San Francisco Fair Chance Ordinance. U.S. Bank is subject to, and conducts background checks consistent with the requirements of Section 19 of the Federal Deposit Insurance Act (FDIA). In addition, certain positions may also be subject to the requirements of FINRA, NMLS registration, Reg Z, Reg G, OFAC, the NFA, the FCPA, the Bank Secrecy Act, the SAFE Act, and/or federal guidelines applicable to an agreement, such as those related to ethics, safety, or operational procedures.

Applicants must be able to comply with U.S. Bank policies and procedures including the Code of Ethics and Business Conduct and related workplace conduct and safety policies.

Posting may be closed earlier due to high volume of applicants.