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Turner & Townsend

Senior Cost Manager – Healthcare Construction

Turner & Townsend

. Support successful delivery of complex healthcare construction projects as the key day-to-day client interface .

Posted 10/13/2026full-timeRemote • United StatesSeniorWebsite

Core Competencies

Role fit
Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates extensive experience in cost management services for healthcare construction projects, including strong stakeholder management and communication skills. Proficient in preconstruction estimating, cost controls, and collaboration with multidisciplinary teams throughout the project lifecycle.

Highest-signal resume keywords
Cost Management ServicesHealthcare Construction ExperiencePreconstruction EstimatingStakeholder ManagementRICS Accreditation

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills
Cost EstimationQuantity SurveyingChange ManagementCost ControlsValue EngineeringCost AuditingValuation ProcessesChange Order NegotiationCost Plan DevelopmentConstruction Industry Knowledge
Soft Skills
Strong CommunicationStakeholder AlignmentTeam CollaborationLeadershipMentoring
Tools & Technologies
Internal Business-Management SystemsCost Management Software
Certifications & Qualifications
Bachelor’s Degree in Construction ManagementRICS Accreditation (Preferred)
Industry Keywords
Healthcare Capital ProjectsAcute Care FacilitiesAmbulatory Care CentersLife SciencesConstruction Consultancy

About the role

Key responsibilities & impact
  • Support successful delivery of complex healthcare construction projects as the key day-to-day client interface
  • Ensure client objectives are achieved through value-added cost management services
  • Support clients throughout the project lifecycle and address healthcare construction cost, operational, regulatory, and delivery considerations
  • Estimate and negotiate change orders throughout the construction lifecycle
  • Produce and present final cost plans
  • Review and participate in design-team and general-contractor cost estimate development
  • Reconcile changes and verify general-contractor data accuracy
  • Gather project status information from general contractors and owners/project managers for cost estimate updates
  • Prepare written comments and executive summaries on contractor submissions
  • Coordinate cost information from NPA, subcontractors, suppliers, architects, and engineers
  • Drive engineering priorities based on cost impact
  • Resolve scheduling issues proactively with minimal supervision
  • Manage cost checks and valuations on larger projects
  • Manage post-contract cost variances, change control, contingency, and commitment tracking
  • Prepare funding-data presentations and coordinate value-engineering sessions
  • Develop and update cost plans and estimates through design milestones
  • Provide commercial input to design optioneering and value-engineering exercises
  • Review contractor and subcontractor pricing and lead client-side negotiations
  • Perform quantity surveying, cost controls, and change-management activities
  • Manage cost auditing, valuation, and cost-validation processes
  • Produce monthly cost reports for client presentation
  • Negotiate and agree final accounts
  • Compile built-cost estimate records for benchmarking
  • Identify, coach, and mentor talent
  • Provide leadership and ensure service delivery aligns with appointment conditions
  • Track commission margins and monthly fee/resource forecasts using internal software
  • Maintain internal business-management systems, delivery methodologies, and tools
  • Promote a one-business culture and Turner & Townsend’s purpose, values, and vision
  • Adhere to SOX control responsibilities where applicable

Requirements

What you’ll need
  • Extensive experience delivering cost management services across healthcare capital projects, including hospitals, medical facilities, ambulatory care centers, life sciences, and other healthcare environments
  • Strong communication and stakeholder management skills
  • Ability to work confidently in a client-facing capacity
  • Ability to collaborate with multidisciplinary project teams
  • Ability to work independently and within a team environment
  • Demonstrated conceptual preconstruction estimating experience
  • Proven experience collaborating with Project Controls and Project Management teams to develop and maintain Work Breakdown Structures (WBS)
  • Healthcare construction experience, including acute care and ambulatory facilities
  • Strong understanding of stakeholder alignment and cross-functional collaboration for healthcare projects
  • Ability to coordinate effectively with owners, designers, and contracting teams throughout the project lifecycle
  • Bachelor’s degree in construction management, cost management, quantity surveying, engineering, or a construction-related field
  • Minimum 5–7 years of relevant experience in a construction-industry cost management role
  • RICS accredited or working towards it preferred
  • Experience leading cost management on medium or large construction projects of medium to high complexity
  • Construction consultancy experience strongly preferred
  • Good knowledge of construction industry technical matters, including procurement routes, value management, and value engineering
  • Excellent communication skills

Benefits

Comp & perks
  • Remote work opportunities
  • Healthy, productive, and flexible working environment
  • Work-life balance support
  • Equal opportunity and inclusive workplace
  • Confidential handling of applicant information