Neko Health

Real Estate Transaction Lead, Central

Remote (Remote) remote Mid Salary not listed
remote Mid level Technology & IT Curated
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About the role

Mission
Neko is redefining what prevention means, from treating illness when it arrives, to sustaining health before it's ever at risk. Our mission: make data-driven, preventative care accessible to more people, before symptoms appear.

In a single, non-invasive visit under an hour, proprietary technology and direct clinical care combine to deliver personalised, actionable insights. It's a team that thinks in 10x, not 10%. Every role here plays a part in building a world where prevention is the norm, and where your work genuinely helps people live longer, healthier lives.

Role Purpose
We are looking for a driven, transaction-focused real estate professional to own deal execution across the Central region. You will be part of a lean, high-velocity expansion team reporting directly to the Director of Real Estate, US. This is not a support role. 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.
Neko is opening clinics at pace: the US plan moves from a handful of sites today to a 2028 cohort in the dozens and a portfolio in the hundreds by 2030. Most in-house real estate roles at this scale sit inside large corporate structures where deals move slowly and decisions need layers of approval. Here, your deals matter immediately, your judgment is trusted, and the decisions you make in year one will shape the portfolio for the next decade.
The team is small and growing quickly, built around regional Transaction Leads covering the West, East, and Central United States, supported by national specialists in market analysis, deal support, and lease administration. Many of these seats are still being filled, so you will help set the standard rather than inherit one.

What You’ll Deliver in the First 6–12 Months
• Pipeline management: identify, evaluate, and advance sites across Central markets including Texas, Chicago, the Midwest, Nashville, and Denver. Markets are TBD and could extend west or east depending on demand.
• 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 Central 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 Central 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.

Minimum 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 in the Central United States. You should be within reasonable travel of the markets you cover.
Compensation: $157.5K – $192.5K
• $157.5K – $192.5K
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Interview prep

Walk in with sharper answers.

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Mid
Technology & IT Administration Data Analysis Sales Real Estate Mid level

Likely questions

  1. Tell us about work you have done that is close to the Real Estate Transaction Lead, Central role.
  2. How would you approach your first 30 days at Neko Health?
  3. Which of Administration, Data Analysis and Sales have you used recently, and what did it help you achieve?
  4. Describe a time you solved a problem without waiting to be told exactly what to do.
  5. How do you stay organised and communicate clearly when working remotely?

Prepare before the call

  • A recent example that proves your experience with Administration, Data Analysis and Sales.
  • One short story with a problem, your action, and the result.
  • Two examples that show the strengths listed on your CV.
  • A clear reason why this role and company interest you.
  • Your availability, preferred work style, and salary expectations.

Ask them

  • What would success look like in the first 90 days?
  • What are the main problems this hire should help solve?
  • How does the team give feedback and measure good work?
  • What does a normal working week look like for this role?
Practice line

I am interested in the Real Estate Transaction Lead, Central role because I can bring practical experience in Administration, Data Analysis and Sales, learn the team quickly, and contribute to the outcomes Neko Health needs from this hire.

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