Senior Cost Manager – Quantity Surveyor, Healthcare

Turner & Townsend

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

Posted 10/12/2026full-timeRemote • United StatesSeniorWebsite

Core Competencies

Role fit

Core Competencies

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

Demonstrates expertise in cost management and quantity surveying within healthcare construction projects, ensuring effective stakeholder collaboration and successful project delivery. Proficient in estimating, negotiating, and managing costs throughout the project lifecycle while adhering to industry standards.

Highest-signal resume keywords

Cost ManagementQuantity SurveyingHealthcare Construction ExperienceStakeholder ManagementRICS Accreditation

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

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

Hard Skills

Cost EstimationChange ManagementCost ControlValue EngineeringCost AuditingFinancial ReportingConstruction ConsultancyPreconstruction EstimatingWork Breakdown Structure (WBS) DevelopmentContract Negotiation

Soft Skills

Excellent CommunicationTeam CollaborationProactive Work EthicClient-Facing SkillsMentoring

Tools & Technologies

Internal Business Management SystemsCost Management Software

Certifications & Qualifications

Bachelor’s Degree in Construction ManagementRICS Accreditation (Preferred)

Industry Keywords

Healthcare ConstructionAcute Care FacilitiesAmbulatory FacilitiesConstruction Industry StandardsStakeholder Alignment

About the role

Key responsibilities & impact

Support successful delivery of complex healthcare construction projects as the key day-to-day client interface
Deliver value-added cost management services and ensure client objectives are achieved
Support clients throughout the healthcare construction project lifecycle
Estimate and negotiate change orders throughout construction
Produce and present final cost plans and develop cost plans and estimates through design phases
Review and participate in design team and general contractor cost estimate development
Reconcile changes and verify general contractor cost data
Gather project status information and prepare cost estimate updates
Prepare written comments and executive summaries on contractor submissions
Coordinate cost information from owners, general contractors, subcontractors, suppliers, architects, and engineers
Drive engineering priorities based on cost impact
Manage cost checks, valuations, cost auditing, and cost validation processes
Manage post-contract cost variances, change control, contingency, and commitment tracking
Prepare funding data presentations and coordinate value engineering sessions
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
Produce monthly cost reports for client presentation
Negotiate and agree final accounts in a timely manner
Compile built cost estimate records for benchmarking
Coach and mentor talent
Track commission margins, monthly fee/resource forecasts, and financial reports using internal software
Maintain internal business management systems, delivery methodologies, and tools
Promote Turner & Townsend’s values, vision, and one-business culture
Adhere to applicable SOX control responsibilities

Requirements

What you’ll need

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 cost management role in the construction industry
RICS accredited or working towards it is preferred
Experience leading cost management on medium or large, medium- to high-complexity construction projects
Construction consultancy experience strongly preferred
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
Good knowledge of construction industry technical matters, including procurement routes, value management, and value engineering
Excellent communication skills
Ability to work independently and within a team environment
Ability to work proactively with minimal supervision
Client-facing and stakeholder management capability

Benefits

Comp & perks

Remote work options; employees can work remotely
Healthy, productive, and flexible working environment
Work-life balance support
Equal opportunity and inclusive workplace
Confidential handling of applicant information