Construction Management Lead - U.S. Clinics

Fresenius Medical Care; Waltham (MA); On-site; USD 160,000 - 230,000; Full time

Job summary

Fresenius Medical Care in the United States is seeking a Construction Management Lead – Clinics to direct end-to-end delivery of new clinic builds, relocations, and renovations across the national portfolio.

You will lead GC partners, project managers, and vendors to ensure on-time, on-budget delivery while upholding healthcare standards, safety, and regulatory compliance.

Qualifications

• Bachelor’s degree in construction management or related field required.
• PMP, LEED, or equivalent certifications preferred.

Responsibilities

• Lead end-to-end construction project execution for US clinics, including new developments, relocations and renovations.
• Ensure projects are delivered on schedule, within budget, and in full compliance with healthcare regulations and company standards.
• Oversee general contractors, project managers, and external vendors to ensure high-quality execution.
• Establish and enforce construction standards, processes, and governance across the portfolio.
• Drive competitive turnaround times to accelerate clinic openings and enhance speed to market.
• Identify risks, remove bottlenecks, and coordinate across all delivery phases to improve schedules.
• Monitor and report schedule adherence, cycle times, and delivery efficiency.
• Lead cost control efforts and report on budget variance, cost savings, and ROI.
• Maintain rigorous quality control and compliance with CMS and local regulations.
• Collaborate with Finance, Design, and Real Estate to align budgets and capital planning.
• Mentor a team of construction professionals and external project management partners.

Skills

Contractor management

Project scheduling

Cost control

Cross-functional collaboration

Regulatory compliance

Financial acumen

Stakeholder management

Multi-site portfolio management

Education

Bachelor’s degree in construction management, engineering, architecture

PMP, LEED, or equivalent certifications

Job description

PURPOSE AND SCOPE:

The Construction Management Lead – Clinics is responsible for leading all construction project delivery across the U.S. dialysis clinic and vascular center portfolio. This role ensures the successful execution of new clinic builds, relocations, and renovations with a focus on speed to market, cost efficiency, quality, and regulatory compliance.

This leader oversees general contractors, project managers, and vendor partners to deliver projects on schedule and within budget, while minimizing delays across the capital approval lifecycle.

This role reports to the Head of US Clinic Real Estate & Corporate Security.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

Construction Project Delivery

• Lead end-to-end construction project execution for US clinics, including new developments, relocations, and renovations.
• Ensure all projects are delivered on schedule, within budget, and in full compliance with healthcare regulations, codes, and company standards.
• Oversee and manage general contractors, project managers, and external vendors to ensure consistent, high-quality execution.
• Establish and enforce construction standards, processes, and governance across the portfolio.

Speed to Market & Execution Excellence

• Drive competitive turnaround times to accelerate clinic openings and enhance speed to market.
• Optimize project timelines by proactively identifying risks, removing bottlenecks, and ensuring strong coordination across all phases of delivery.
• Minimize delays between capital approval gates (Gate 2 through construction completion), ensuring seamless progression and timely closeouts.
• Implement performance metrics and tracking to monitor schedule adherence, cycle times, and delivery efficiency.

Cost Management & Financial Discipline

• Deliver competitive and predictable construction costs across all projects, ensuring strong cost control and transparency.
• Partner with Finance, Design, and Real Estate teams to align budgets, forecasts, and capital planning.
• Lead value engineering efforts to optimize cost without compromising quality, safety, or compliance.
• Monitor and report on project financial performance, including budget variance, cost savings, and ROI.

Quality, Compliance & Risk Management

• Ensure all construction activities meet healthcare regulatory requirements (e.g., CMS, life safety codes, local/state regulations).
• Maintain rigorous quality control standards across all projects, ensuring consistency and durability of clinic environments.
• Identify and mitigate construction-related risks, including schedule delays, cost overruns, and contractor performance issues.
• Ensure proper project closeouts, documentation, and handoff to Facilities and Operations teams.

Leadership & Collaboration

• Lead and develop a team of construction professionals and/or manage external project management firms and contractors.
• Collaborate closely with Design & Space Planning, Real Estate Transactions, Facilities, Clinical Operations, IT, and Corporate Security teams.
• Serve as a key partner to Care Delivery leadership, ensuring construction delivery aligns with business priorities and patient care timelines.
• Partner with the Global Real Estate Center of Excellence (CoE) to drive standardization, best practices, and continuous improvement.

PHYSICAL DEMANDS AND WORKING CONDITIONS:

The physical demands and work environmental characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

• Regularly travels between locations primarily during the business day, although some out-of-the-area and overnight travel may be expected.

SUPERVISION:

• Will lead a team of professionals

EDUCATION AND REQUIRED CREDENTIALS:

• Bachelor’s degree in construction management, Engineering, Architecture, or related field required
• Professional certifications (e.g., PMP, LEED, or equivalent) preferred

EXPERIENCE AND SKILLS:

• 10+ years of experience in construction management, preferably in healthcare or multi-site environments
• Proven track record of delivering complex construction projects on time and within budget
• Strong expertise in contractor management, project scheduling, and cost control
• Deep understanding of healthcare construction standards, codes, and regulatory requirements
• Strong financial acumen, including capital planning, budgeting, and cost optimization
• Experience managing multiple concurrent projects across a national portfolio
• Excellent stakeholder management and cross-functional collaboration skills

strong problem-solving abilities with a focus on execution and results