---
title: 'Real Estate Transaction Lead, West at Neko Health'
canonical: 'https://feeny.ai/job/real-estate-transaction-lead-west-neko-health-san-francisco-e3awv19f1pgh'
type: 'job'
last_seen: '2026-09-06'
---

# Real Estate Transaction Lead, West at Neko Health

- **Company:** [Neko Health](https://feeny.ai/companies/neko-health)
- **Location:** San Francisco, CA
- **Compensation:** $149k–$198k
- **Employment:** full-time
- **Posted:** 2026-09-04
- **Last confirmed live:** 2026-09-06
- **Apply:** https://jobs.ashbyhq.com/neko-health/192f0936-772b-4611-8420-dc86d5f31a75

## Job description

## 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 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.

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.

## 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 on the West Coast, Los Angeles or San Francisco preferred but not required. You should be within reasonable travel of the markets you cover.

## WHAT MAKES THIS ROLE DIFFERENT

Most in-house real estate roles at this scale sit inside large corporate structures where deals move slowly, and decisions require layers of approval. At Neko, you will work on a team where your deals matter immediately; your judgment is trusted, and the decisions you make in year one will shape the portfolio for the next decade.

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. The infrastructure you build in year one is the infrastructure the whole portfolio runs on.

## ABOUT THE TEAM

You will report to the Director of Real Estate, US. The team today is small and growing quickly. We are building it around regional Transaction Leads covering the West, East, and Central United States, supported by national specialists: a Market Analyst who owns GIS and site scoring, a Real Estate Associate who runs deal support and pipeline operations, and a Lease Administration Manager who owns the lease platform and portfolio obligations. Most of those seats are being filled over the next twelve months, so you will help set the standard rather than inherit one.

The broader group includes Legal, Construction, Design, Architecture, and Facilities, plus a network of tenant rep brokers across US markets. Our European expansion team operates in parallel, and there will be opportunities to learn from and collaborate with that function as the company scales globally.

Neko Health 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.

## About Neko Health

## Company Overview
- **One-liner**: Neko Health is a healthcare technology company that has engineered a proprietary, data-driven preventive health scan to detect early signs of disease in otherwise healthy individuals.
- **Entity Type**: Private (Funding Stage: Series A)
- **Headquarters**: Stockholm, Sweden
- **Founded**: 2018
- **Founders**: Daniel Ek (Co-founder, also founder/CEO of Spotify) and Hjalmar Nilsonne (Co-founder)

## Core Business
- Primary industry/industries: Healthcare Technology, Preventive Medicine, Clinical Diagnostics
- Target customers: B2C – Health-conscious individuals; B2B Potential – Self-insured employers
- Mission or purpose statement: “To provide healthcare that’s proactive instead of reactive – so that people can live longer, healthier lives.”

## Products & Services
- **[The Neko Health Scan]**: A 60-minute, full-body health check that captures millions of data points across the skin, heart, blood, and circulation using four proprietary devices (Derma, Spectrum, Echo, and Neko Lens). Includes an unrushed consultation with a doctor where results are discussed immediately. The scan is priced at approximately 2750kr (~$260) in Sweden and is designed for asymptomatic, healthy individuals looking for prevention.

## Market Standing
- **Valuation/Market Cap**: Not publicly disclosed (as of mid-2026).
- **Key Metric**: Total Funding – **$325.1M** (one prior funding round).
- **Notable Investors/Partners**: Backed by “investors who have built and scaled some of the most ambitious technology companies of the last two decades” (individual names not publicly listed on career page). The company has strong ties to the tech and startup ecosystem.
- **Growth Signals**: Over 1,000 employees (more than half in clinical roles). Aggressive expansion with active clinic locations in London, Manchester, Birmingham, Stockholm, and plans for more. Job postings have increased +344.4% year-over-year (as of mid-2026), indicating rapid scaling.

## Competitive Advantages
- **Proprietary Hardware**: All four scanning devices are designed, engineered, and assembled in-house in Stockholm, creating a hard-to-replicate technological moat.
- **Integrated Clinical Model**: Unlike traditional clinics or digital health apps, Neko combines its proprietary hardware with on-site doctors, clinical researchers, and data science under one roof with a low patient volume per doctor ( ~9 members/day vs. 30+ in standard care). This enables a focus on prevention, not just treatment.
- **Data Moat**: The system captures millions of structured data points per scan, allowing for peer benchmarking and longitudinal tracking over years, creating a powerful, network-effect dataset for preventive health insights.
- **Leadership**: Co-founded by Daniel Ek (Spotify) and Hjalmar Nilsonne.

## Strategic Focus
- **Scaling the Scan Room**: Neko is actively testing a second-generation modular scan room platform designed to capture more signals and scale to new locations.
- **Global Expansion**: Opening new clinics across the UK and Europe, with a clear intent to make the service more accessible.
- **Clinical Research & Governance**: Continued focus on validating their devices with clinical studies and building a clinical leadership team (including ex-NHS and Amazon Health executives) to establish preventive care as a formal clinical discipline.

## Why Work Here
- **Mission-Driven**: The company was founded to solve the fundamental problem of late-stage diagnosis by focusing on prevention. The work is presented as having a direct, positive impact on human longevity.
- **Culture & Engineering**: The company actively showcases a deep engineering culture where “clinical insight can become a hardware iteration overnight.” Clinicians and engineers share the same floor, fostering rapid iteration and innovation.
- **Compensation & Benefits**: Salaries are benchmarked via market research. Benefits include comprehensive Medical, Dental, and Vision Insurance, 401K, Paid Time Off, Life Insurance, Disability Insurance, CME Days, and Commuter Benefits.
- **Work Model**: Roles are **on-site** at specific clinic locations. Training for medical roles is fully paid. The interview process is designed to give candidates a feel for the culture and mission.
- **Growth Trajectory**: With 80+ active job postings and triple-digit growth in hiring, the company is in a high-growth phase, offering significant career development opportunities.

## Sources
1. [nekohealth.com](https://www.nekohealth.com/en)
2. [nekohealth.com](https://www.nekohealth.com/us/en/about)
3. [linkedin.com](https://www.linkedin.com/company/nekohealth)
4. [nekohealthcareers.com](https://www.nekohealthcareers.com/)
5. [jobs.ashbyhq.com](https://jobs.ashbyhq.com/neko-health)

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