AVP/VP Underwriter IV-Healthcare Real Estate - (Hybrid) New York

Overview

This is a hybrid role with regular time spent both inside and outside a company office based in New York. First Citizens Healthcare Finance delivers comprehensive financing and banking solutions to middle market healthcare companies across the United States. With a client‑focused, industry‑centric approach, Healthcare Finance tailors its products and services to support clients seeking growth capital.

Responsibilities

• Lead the process of assessing and approving Healthcare Real Estate and working capital credit facilities, typically including recapitalization and acquisition of skilled nursing and senior housing properties.
• Apply strong credit and collateral analysis to manage multiple transactions and multi‑task effectively.
• Prepare initial credit approval memoranda with thorough financial and business analysis, and lead due diligence focused on credit, collateral, and government reimbursement / regulatory considerations.
• Take the lead on legal due diligence, loan documentation negotiations, and closing activities.
• Engage proactively with Credit Management, Borrowers/Sponsors, Loan Operations, treasury, and Closing teams, and collaborate with peers including junior underwriting staff.

Qualifications

Assistant Vice President - Underwriter IV

• Required: Bachelor’s Degree and 4 years of experience in Commercial Lending or Credit Analysis focused on evaluating historical financial statements and projections, with involvement in structuring credit facilities; OR a High School Diploma or GED and 10 years of relevant Commercial Lending or Credit Analysis experience with similar responsibilities.
• Preferred Education: Bachelor’s in Business, Finance, Economics, or Accounting
• Preferred Area of Experience: Finance, Banking
• Minimum of 4+ years of relevant experience in accounting and/or banking; current role in healthcare underwriting or strongly preferred
• Experience in assisting the underwriting and closing of Healthcare transactions; new construction financings are a plus but not required
• Proficiency in financial, credit, and collateral analysis
• Excellent writing and communication skills
• Proficiency with Microsoft Excel, Word and PowerPoint

• Minimum of 4+ years of relevant experience in accounting and/or banking; current role in healthcare underwriting or strongly preferred

Vice President – Sr Underwriter

• Required: Bachelor’s Degree and 6 years of experience in Commercial Lending or Credit Analysis focused on the assessment of historical financial statements and projections, with involvement in structuring credit facilities; OR a High School Diploma or GED and 10 years of experience in Commercial Lending or Credit Analysis with similar responsibilities.
• Preferred Education: Bachelor’s in Business, Finance, Economics, or Accounting
• Preferred Area of Experience: Finance, Banking
• Minimum of 6+ years of relevant experience in accounting and/or banking; current role in healthcare underwriting strongly preferred
• Experience with underwriting and closing Healthcare transactions; new construction financings a plus but not required
• Proficiency in financial, credit and collateral analysis
• Excellent writing and communication skills
• Formal bank credit training a plus
• MBA or equivalent degree a plus
• Proficiency with Microsoft Excel, Word and PowerPoint

Compensation

For the AVP, Underwriter IV - Healthcare, the base pay typically ranges from $130,000.00 to $140,000.00. For the VP, Sr Underwriter - Healthcare, the base pay typically ranges from $150,000.00 to $185,000.00. Actual starting base pay will be determined based on skills, experience, location, and other non-discriminatory factors permitted by law. For some roles, total compensation may also include variable incentives, bonuses, benefits, and/or other awards as outlined in the offer of employment.

Benefits

Benefits are an integral part of total rewards, and First Citizens Bank is committed to providing a competitive, thoughtfully designed and high‑quality benefits program to meet the needs of our associates.

Location

Hybrid remote in New York, NY 10036