Director, Debt Management – Capital Markets

Role Overview

• Lead the end-to-end facility loan program, including RFPs, lender selection, legal review, funding, compliance, and operational handoff.
• Partner with Regional CFOs and Operations leaders to evaluate lender bids, communicate updates, and guide financing decisions.
• Maintain a pipeline of centers needing financing, oversee new loan originations, and develop new banking relationships.
• Review analyses, term sheets, diligence materials, and covenant requirements to ensure sound financial decision-making.
• Provide training and process leadership to regional teams and serve as the primary escalation and support resource for Treasury Analysts.
• Lead strategic planning and execution of corporate debt transactions, including new issuances, refinancings, amendments, and restructurings.
• Manage relationships with lenders, bondholders, rating agencies, and investment banks.
• Oversee all corporate debt service, covenant compliance, and related reporting.
• Maintain financial models, forecasts, and scenario analyses to support capital structure decisions.
• Monitor market trends and recommend strategies to optimize cost of capital, leverage, and liquidity.
• Develop and implement strategies to manage exposure to interest rate, liquidity, and credit risk.
• Evaluate and execute hedging strategies (e.g., interest rate swaps, caps) in coordination with external financial partners.
• Support working capital improvement initiatives and broader Treasury optimization efforts.
• Maintain strong governance, internal controls, and policy compliance.
• Serve as a key business partner to Finance, Accounting, Legal, and Operations leaders on matters related to capital structure and risk management.
• Provide thought leadership and analysis to support executive decision-making and Board-level reporting.
• Mentor and guide treasury and finance team members fostering functional depth, analytical capability and operational excellence.

Requirements

• Bachelor’s degree in Finance, Accounting, Economics, or related field required; MBA or CTP preferred.
• 8–10+ years of progressive corporate finance, treasury, or investment banking experience with a focus on debt capital markets and risk management.
• Experience managing loan programs, partnership financing structures, corporate debt portfolios, and multi-entity credit portfolios strongly preferred.
• Healthcare, leveraged environments, or ASC experience is a plus.

Benefits

• Comprehensive health, dental, and vision insurance
• Health Savings Account with an employer contribution
• Life Insurance
• PTO
• 401(k) retirement plan with a company match
• And more!