Real Estate Transaction Lead, Central

The role

You will own deal execution across the Central region by running site selection and leading LOI negotiations. You will manage broker relationships and drive leases to execution for a growing portfolio of healthcare retail clinics.

What you will do

• Identify, evaluate, and advance sites across Central markets including Texas, Chicago, the Midwest, Nashville, and Denver.
• Lead deals from initial market entry through signed lease.
• Draft, negotiate, and revise LOIs.
• Build and present LOI and Lease Approval Memos.
• Build and maintain relationships with institutional and private landlords.
• Manage tenant rep broker relationships across multiple markets.
• Work with Legal, Construction, Design, and Facilities to move deals into buildout.
• Use GIS site selection platform and lease administration system.

Required 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.
• 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.
• Self-starter who does not need a fully defined playbook.
• Strong communication skills.
• Ability to read and pressure-test lease terms, rent schedules, and deal economics.
• Willingness to learn GIS tools and lease administration platforms quickly.
• Use of AI tools including Claude in daily work.
• Based in the Central United States.

Nice to have

• Familiarity with GIS tools and lease administration platforms

About the company

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