Director, Debt Management & Capital Markets

Director Debt Management - Hybrid Opportunity

This is a hybrid position based at our corporate office in Brentwood TN with on-site work required Monday through Wednesday.

The Director Debt Management leads the Companys debt capital markets activities financial risk management strategy and the full lifecycle of the facility loan program. This role is responsible for optimizing capital structure managing the Companys debt portfolio and overseeing the origination diligence documentation and servicing of facilityâlevel loans.

The ideal candidate partners closely with FinOps Operations Legal Accounting lenders and senior executives to drive strong financial performance ensure compliance support center-level growth and deliver a bestâinâclass experience for ASC partners.

Key Responsibilities

Facility Loan Program Management

• Lead the endâtoâend 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 decisionâmaking.
• Provide training and process leadership to regional teams and serve as the primary escalation and support resource for Treasury Analysts.

Debt Capital Markets & Corporate Debt Management

• 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.
• Partner with Accounting FP&A and Legal to ensure accurate reporting SOX-compliant processes and timely deliveries.

Financial Risk Management

• 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.

Leadership & Collaboration

• 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.

Qualifications

Education & Experience

• Bachelors degree in Finance Accounting Economics or related field required; MBA or CTP preferred.
• 810 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.

Skills & Competencies

• Deep understanding of capital markets credit agreements and financial instruments.
• Strong financial modeling analytical and quantitative skills.
• Excellent written and verbal communication skills; ability to interact effectively with executive leadership and external partners.
• Strong organizational skills and attention to detail with the ability to manage multiple priorities in a fast-paced environment.
• Demonstrated leadership integrity and business acumen.

Work Environment

• Hybrid work environment with limited travel.
• Extended hours may be required during transaction-heavy periods.

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!

ENVIRONMENTAL/WORKING CONDITIONS: Normal busy office environment with much telephone work. Possible long hours as needed. The description is intended to provide only basic guidelines for meeting job requirements. Responsibilities knowledge skills abilities and working conditions may change as needs evolve.

*If you are viewing this role on a job board such as or LinkedIn please know that pay bands are auto assigned and may not reflect the true pay band within the organization.

*No Recruiters Please

Required Experience:

Director