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 of healthcare real estate 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, including development of AI-powered tools to enhance underwriting efficiency and validating AI-generated output
• 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 healthcare real estate credit analysis and loan underwriting role
• 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
• Willingness and aptitude to learn and adopt new AI tools as they are introduced
• Sound judgment in reviewing and validating AI-generated output, including recognizing its limitations and when human review is required
• 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
• 10% travel required

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.

#LI-AC1 #LI-Remote

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

Cross River is an Equal Opportunity Employer. Cross River does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, non-disqualifying physical or mental disability, national origin, veteran status or any other basis covered by appropriate law. All employment is decided on the basis of qualifications, merit, and business need.

By submitting your application, you give Cross River permission to email, call, or text you using the contact details provided. We will only contact you with job related information.