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Real Estate Transaction Lead, West

Neko Health· Operations & Markets
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San Francisco$148.5k - $198kFull-timePosted 1mo ago

About the role

We are looking for a driven, transaction-focused real estate professional to own deal execution across the West region. You will run site selection, lead LOI negotiations, manage broker relationships, and drive leases to execution across a growing portfolio of healthcare retail clinics in your markets.

Responsibilities

  • Pipeline management: identify, evaluate, and advance sites across West markets including Los Angeles, Orange County, San Francisco, San Diego, Seattle, Portland, Phoenix, Denver, and Las Vegas.
  • Transaction execution: lead deals from initial market entry through signed lease, managing brokers, landlords, and timelines, at a pace set by the opening plan for the West region.
  • LOI negotiation: draft, negotiate, and revise LOIs; own the deal process end to end from first tour to final execution.
  • Deal approval memos: build and present LOI and Lease Approval Memos with clear economics, risks, and a recommendation that stands up to executive scrutiny.
  • Landlord relationships: build and maintain relationships with institutional and private landlords across the West region.
  • Broker coordination: manage tenant rep broker relationships across multiple markets simultaneously; hold brokers accountable to pipeline and timeline standards.
  • Cross-functional coordination: work closely with Legal, Construction, Design, and Facilities to move deals from signed lease into buildout.
  • Platform adoption: use Neko’s GIS site selection platform and lease administration system as the system of record and contribute to their rollout as the function scales.

Qualifications

  • 3 to 7 years of real estate transaction experience, with meaningful time spent in-house at a healthcare, wellness, or high-growth retail company.
  • You have personally led deals end to end, from site identification through LOI to signed lease, in competitive markets.
  • Comfort working in a startup environment with real pressure, fast timelines, and limited infrastructure. You build as you go.
  • A self-starter who does not need a fully defined playbook to do great work.
  • Strong communication skills. You can represent Neko professionally with institutional landlords while keeping internal stakeholders informed concisely.
  • Ability to read and pressure-test lease terms, rent schedules, and deal economics. You do not need to build financial models from scratch, but you need to know when a deal works and when it does not.
  • Familiarity with GIS tools and lease administration platforms is a plus; willingness to learn them quickly is a must.
  • AI: We use AI tools including Claude in daily work and expect you to use them too.
  • Based on the West Coast, Los Angeles or San Francisco preferred but not required. You should be within reasonable travel of the markets you cover.

Skills

Required:Real estate transaction executionLOI drafting and negotiationBroker management

Benefits

  • Neko is an equal opportunity employer. We are committed to building a diverse team and an inclusive environment where everyone can do their best work. We welcome candidates from all backgrounds and encourage you to request reasonable adjustments to support your application.
Last updated Oct 23, 2026. Interested? Apply on the company site.
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