The posting, in Neko Health's own words
archived Sep 4, 2026Mission
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 West 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. This is the first Transaction Lead seat on the US team and the West is the region we are opening first. Transaction Leads for the East and Central United States are planned over the following twelve to eighteen months. Together, this team will build the infrastructure, standards, and portfolio that define Neko’s US physical footprint, and you will set the standard the others work to.
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What You'll Deliver in the First 6-12 Months
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.