Senior Manager, Design Integration – Healthcare

Swinerton

. Lead and manage the end-to-end design process with design partners from pursuit through construction documentation and key construction phases .

Posted 9/25/2026full-timeLos Angeles • California • United StatesSenior💰 $175,000 - $205,000 per yearWebsite

About the role

Key responsibilities & impact

Lead and manage the end-to-end design process with design partners from pursuit through construction documentation and key construction phases
Ensure alignment with contract requirements for scope, budget, and schedule to deliver best-value solutions
Integrate VDC, MEP, scheduling, and self-perform capabilities into design development and execution
Partner with clients, architects, engineers, contractors, designers, trade partners, and stakeholders to drive coordinated, high-quality design outcomes
Provide strategic leadership on design approach, validation, technical decision-making, cost management, and risk management
Ensure compliance with healthcare regulations and alignment with clinical operations
Lead infection control planning, patient safety, and operational continuity for healthcare facilities
Oversee daily design-services activities, resource planning, workload management, and budget oversight
Supervise team assignments and support coaching, mentoring, and hiring design integration and preconstruction talent
Advance VDC’s contribution to risk management and project success
Serve as the design-builder’s primary liaison to the Owner, design team, and trade partners
Lead integration of healthcare-specific design criteria, including clinical workflow, patient safety, and operational efficiency
Coordinate specialized healthcare systems, including medical gas, imaging equipment, nurse call, and critical MEP redundancy systems
Lead phased design and construction planning in active healthcare environments
Manage design from initial concept through final design across multiple projects or complex programs
Identify contractual, technical, and project risks and ensure appropriate design development for pursuits and milestone pricing
Lead A/E partnerships, including contract negotiations, scope alignment, fee validation, and milestone expectations
Review design documents and coordinate peer and technical reviews of building systems
Coordinate design-assist, design-build, and trade partner involvement
Develop and maintain design schedules and track milestone deliverables
Coordinate design milestones with bid package preparation, permitting, and construction sequencing
Integrate procurement strategies, long-lead materials, and vendor input into design milestone schedules
Coordinate Owner and authority having jurisdiction submittals for reviews, approvals, and permits
Develop and manage complex healthcare permitting strategies
Provide budget oversight and collaborate with estimators on trade costs and estimates
Lead value-management efforts and cost-effective material and system evaluations
Serve as the primary client contact for design-related matters
Translate client objectives and performance criteria into clear design direction
Conduct client design reviews to solicit direction and obtain approvals
Participate in proposals, interviews, business development initiatives, and industry events
Engage clinical user groups, facility leadership, and healthcare stakeholders to validate program requirements and design outcomes

Requirements

What you’ll need

Bachelor’s degree in Architecture, Engineering, Construction Management, or related field
10+ years of Architecture, Engineering, or construction management experience, including extensive working experience with the design-build delivery process
Minimum four years of Design-Build delivery experience in all phases of design
Demonstrated ability in design-build project management and delivery, including management of external design and design-build trade partners, staff coordination, cost management, scheduling, and quality control/quality assurance
Thorough understanding of project management control systems, including design phase scheduling, cost control, procurement, and estimating
Strong organization and leadership skills, with experience in team building, training, and managing daily activities
Excellent listening, written, and verbal communication skills
Excellent understanding of a designer’s business model
Ability to negotiate design service scope and associated fees
Ability to assist with A/E contract execution
Excellent understanding of the technical aspects of all building systems
Command of building codes and standards
Command of sustainability practices and principles
Proven excellence managing a design team, including a designer’s subconsultants
Ability to balance data, intuition, experience, and diverse perspectives in decision-making and problem solving
Ability to foster collaboration and navigate conflict effectively among internal and external stakeholders
Strong computer skills and experience with project management software and platforms
Experience in Virtual Design and Construction (VDC) and Revit/Building Information Modeling (BIM) software
Experience delivering healthcare projects, including coordination with clinical stakeholders and regulatory agencies
Working knowledge of healthcare codes, standards, and approval processes, including HCAI/OSHPD, FGI, NFPA, and Joint Commission
Experience managing projects in occupied or operational healthcare environments, including phasing and infection control planning
DBIA Certified Credential
Experience with ICRA implementation and healthcare compliance processes
Licensed Architect or Engineer (preferred)
LEED accredited professional (preferred)

Benefits

Comp & perks

Medical, dental, and vision insurance
401(k) with company matching
Employee Stock Ownership Program (ESOP)
Individual stock ownership
Paid vacation
Paid sick leave
Paid holidays
Bereavement leave
Employee assistance program
Pre-tax flexible spending accounts
Basic term life insurance and AD&D
Business travel accident insurance
Short- and long-term disability
Financial wellness coaching
Educational assistance
Care.com membership
ClassPass fitness membership
DashPass delivery membership
Additional term life insurance
Long-term care insurance
Critical illness and accidental injury insurance
Pet insurance
Legal plan
Identity theft protection
Other voluntary benefit options