VP, Healthcare Underwriter

Who We Are

Cross River builds the infrastructure behind the world’s most innovative financial products. Our technology and capital solutions power payments, cards, lending, and digital asset capabilities that move money safely, instantly, and inclusively — trusted by leading fintechs, enterprises, and disruptors across the globe.

Our mission is simple: to build the financial infrastructure that expands access and opportunity for all. Guided by a culture of collaboration, curiosity, and purpose, Cross River has been named one of American Banker’s Best Places to Work in Fintech year after year. Whether you’re designing code, solving regulatory puzzles, or developing strategy, you’ll join a team where innovation and integrity drive everything we do — and where your work helps shape the future of finance.

What We're Looking For

The Vice President, Healthcare Underwriting position will report directly to the Head of Healthcare Underwriting. The position will be responsible for assisting with all aspects of underwriting, documenting, and closing new loan opportunities within the healthcare lending team. The person is expected to independently underwrite healthcare loans and manage the loan origination process from initial prescreen to loan closing.

Responsibilities:

Review new loan opportunities and prepare complex financial underwriting on healthcare transactions typically ranging from $30-100 million

Work closely with sponsors, borrowers, legal counsel, technical advisors, syndication partners, and internal credit stakeholders

Analyze historical and projected financial performance, model a variety of financing scenarios, and provide valuation analyses that appropriately consider risks associated with the loan opportunity, underlying operations, and the associated industry and regulatory environment

Analyze other key areas of due diligence including accounts receivable, accounts payable, provider taxes, real estate taxes, licensure, clinical performance, and third-party reimbursement

Analyze borrower-prepared reports and third-party reports including financial statements, borrowing base certificates, appraisals, engineering reports, and collateral field examinations

Work closely with loan closer to ensure that insurance reviews are completed, applicable bank accounts are opened, and all required KYC documentation is received

Underwrite healthcare loan transactions, review legal documentation, coordinate execution of interest rate protection products on behalf of borrowers, and manage the closing of new loans

Manage the transition of closed healthcare loans to the portfolio management team

Participate in special projects on an as needed basis

Build industry relationships and identify possible new loan opportunities

Qualifications:

Bachelor's degree with a focus in finance or accounting or similar post-degree work experience

Minimum of 10 years of experience in a credit analysis and loan underwriting role with a strong preference in healthcare finance

Strong understanding of credit policies and procedures and the ability to appropriately assess and monitor the risk associated with new and existing loans

High proficiency in financial statement analysis and Excel-based modeling

Experience with loan structuring and legal documentation review

Strong quantitative and qualitative analytical skills, strong oral and written communications skills and the ability to express ideas in an organized and articulate manner

Excellent interpersonal skills and the ability to develop and maintain relationships within the organization and the healthcare industry

Detailed-oriented and self-motivated team player with a strong work ethic. Well organized and able to work under pressure, multi-task and meet deadlines

Expectations for This Role:

Near term: Independently prescreen and underwrite, document, and close new loan opportunities.

Intermediate Term: Join the CBG AI taskforce to create underwriting efficiencies at CRB.

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Salary Range: $180,000.00 - $225,000.00