Senior Cost Manager – Healthcare Construction

This is a fully remote position, open to applicants in United States.

📋 Description

• Facilitate the successful execution of intricate healthcare construction projects as the main day-to-day client liaison.

• Ensure the achievement of client goals through enhanced cost management services.

• Assist clients throughout the entire project lifecycle, addressing considerations related to healthcare construction costs, operations, regulations, and delivery.

• Estimate and negotiate change orders during the construction lifecycle.

• Create and present final cost plans.

• Review and engage in the development of cost estimates with design teams and general contractors.

• Reconcile changes and verify the accuracy of data provided by general contractors.

• Collect project status updates from general contractors and owners/project managers for cost estimate revisions.

• Prepare written feedback and executive summaries on contractor submissions.

• Coordinate cost data from NPA, subcontractors, suppliers, architects, and engineers.

• Influence engineering priorities based on cost implications.

• Proactively resolve scheduling conflicts with minimal supervision.

• Oversee cost checks and valuations on larger projects.

• Manage post-contract cost variances, change control, contingency, and tracking of commitments.

• Develop funding-data presentations and facilitate value-engineering sessions.

• Create and refresh cost plans and estimates in line with design milestones.

• Provide commercial insights during design optioneering and value-engineering processes.

• Review pricing of contractors and subcontractors, leading negotiations from the client’s perspective.

• Conduct quantity surveying, cost control, and change management tasks.

• Oversee cost auditing, valuation, and validation processes.

• Generate monthly cost reports for client presentations.

• Negotiate and finalize accounts.

• Compile built-cost estimate records for benchmarking purposes.

• Identify, nurture, and mentor talent.

• Provide leadership to ensure service delivery aligns with appointment terms.

• Monitor commission margins and monthly fee/resource forecasts using internal software.

• Maintain internal business management systems, delivery methodologies, and tools.

• Foster a collaborative culture and promote Turner & Townsend’s purpose, values, and vision.

• Comply with SOX control responsibilities where applicable.

⛳️ Requirements

• Extensive experience in delivering cost management services for healthcare capital projects, including hospitals, medical facilities, ambulatory care centers, life sciences, and other healthcare environments.

• Strong communication skills and ability to manage stakeholders effectively.

• Confidence in a client-facing role.

• Capability to collaborate with multidisciplinary project teams.

• Ability to work independently as well as part of a team.

• Proven experience in conceptual preconstruction estimating.

• Demonstrated collaboration with Project Controls and Project Management teams to establish and maintain Work Breakdown Structures (WBS).

• Experience in healthcare construction, including acute care and ambulatory facilities.

• Strong understanding of stakeholder alignment and cross-functional collaboration within healthcare projects.

• Effective coordination with owners, designers, and contracting teams throughout the project lifecycle.

• Bachelor’s degree in construction management, cost management, quantity surveying, engineering, or a related field.

• Minimum of 5–7 years of relevant experience in a cost management role within the construction industry.

• RICS accreditation or progress towards it is preferred.

• Experience in leading cost management for medium or large construction projects of medium to high complexity.

• Strongly preferred experience in construction consultancy.

• Good understanding of technical aspects of the construction industry, including procurement routes, value management, and value engineering.

• Excellent communication abilities.

🏝️ Benefits

• Remote work options available.

• A healthy, productive, and flexible working environment.

• Support for work-life balance.

• An equal opportunity and inclusive workplace.

• Confidential handling of applicant information.