Director of Construction

HCA Healthcare, Inc.; Nashville (TN); On-site; USD 180,000 - 260,000; Full time

Benefits offered by this job

Comprehensive benefits

401(k) match

Education support

Wellbeing support

Tuition assistance

Job summary

HCA Healthcare, Inc. in Nashville seeks a Director of Construction to lead capital projects across multiple facilities. You will shape budgets, schedules, contracting strategies, and risk management, partnering with division and hospital leadership to safeguard patient care and project goals.

This role oversees 10–15 facilities with 200M–600M in investments, requires about 75% travel, and demands coordinating design, ITG, real estate and accounting teams to deliver on time and within budget.

Qualifications

• Bachelor's degree required.
• 15+ years of healthcare construction experience.
• Experience leading large capital projects across multiple facilities.
• Ability to manage budgets, schedules and quality assurance.

Responsibilities

• Lead external coordination across designers, contractors, subcontractors and vendors for large capital projects.
• Develop and enforce strategies to improve efficiency, productivity and profitability of capital construction investments.
• Monitor budgets, schedules and quality control, ensuring project scope and goals are met.
• Collaborate with executive leadership, legal, real estate and accounting teams to deliver projects on time and within budget.

Skills

Leadership

Construction management

Budgeting

Schedule management

Healthcare construction

Education

Bachelor's degree in a related field

Tools

Cost estimating software

Job description

This position is incentive eligible.

Are you passionate about the patient experience? At HCA Healthcare, we are committed to caring for patients with purpose and integrity. We care like family! Jump-start your career as a(an) Director of Construction today with HCA Healthcare.

Job Summary and Qualifications

This position provides leadership and corporate representation in construction for many of HCA’s capital projects. This position is a construction executive with a wide range of knowledge in building development, budget creation & control, hospital operations, contracting methods, schedule management, constructability resolution, safety and quality assurance.

This position regularly interacts with Division and Hospital leadership and requires a high management acumen with ability to manage multiple people, teams and interests effectively. Typical workload may span over 10-15 separate facilities which typically represents a total capital investment from 200M to 600M with individual project sizes ranging from 5M to approximately 100M.

The position will develop, implement and enforce specific strategies to improve the efficiency, productivity and profitability of HCA’s capital construction investments and/ or strategies to combat opposing industry forces i.e. cost escalation, limited product availability, declining skilled labor, etc. This position is responsible for the overall health of the project.

Travel for this role is estimated at 75%

Leadership Responsibilities

• Lead external coordination across designers, contractors, subcontractors and vendors. This typically represents 100-150 individuals across the 10-15 facilities.
• Lead internal coordination including planning, design, equipment, capital strategy/optimization, preconstruction, ITG, FacilitiGroup, HPG sourcing, legal, real estate and accounting.
• Monitor contractor’s budget, schedule and quality control process. Initiate actions necessary to maintain the scope of the approved project, the goals of the department, mission of the enterprise and successful completion of the project.
• Create and maintain a cooperative working relationship to promote employee morale and esprit de corps.
• Meet with state and local authorities to represent the company’s interest on project scope, design issues and code issues. Negotiate with local jurisdiction as necessary.
• From time to time this position may need to facilitate CON submittals. In the event of a CON hearing, provide deposition and testimony if necessary.
• Supervise risk management on capital projects relative to design, public/patient/staff safety and contractual obligations.
• Maintain financial reporting by project to track and manage all costs associated with the construction budgets. Process any necessary capital increase requests with the appropriate justification.

Strategic Responsibilities

• This position will work in conjunction with Capital Strategy and Optimization and Design Management to develop strategies, initiatives and programs targeted to improve the efficiency, productivity and profitability of HCA’s capital construction investment and/ or combat apposing industry forces i.e. escalation, product availability, skilled labor, etc. Further, this position will be responsible for implementation of these programs and monitoring project specific adherence.
• Review and analyze estimates during the design process as it relates to historical costs, corporate approved budgets, and project scope. Determine and verify if the established objectives of the project can be attained within the corporate approved budget. Initiate appropriate action if necessary.
• Develop the most advantageous contract method, contract structure, and buying strategy when taking projects to market.

Analytics/Forecasting Responsibilities

• Use baseline benchmark costs from the cost history database to set the targets for any project; use the benchmarks to understand cost.
• Study the builder’s submitted subcontractor and supplier solicitation list to manage the adequacy and appropriateness of the content/bidders.
• Constantly analyze fees and construction administration costs.
• Analyze and approve all final bids taken by the contractor that make up the final estimate for a project. Assess risk relative to subcontractor pricing, schedules and bonding requirements. This is the final budget analysis to be compared against prior comparable costs and the corporate budget before construction begins.

Administrative Responsibilities

• Thorough reviews of project scope, changes to scope.
• Provide budget and constructability feedback during pre-design process in order to maximize the use of capital funds.
• Responsible for thorough review of agreements, contracts, invoice processing and change order management, among many other contracting responsibilities.
• During pre-design, responsible for site investigation in order to ensure the documents represent a constructible plan that allows for minimal interruption to hospital operations and unencumbered patient care.

Audit/Inspection Responsibilities

• During the Construction Administration stage of construction, review Design Change Authorizations for conformity.
• Ensure project compliance within approved funding and scope.
• Provide ultimate oversight of quality.
• Work with leadership to conduct/develop responses to internal audits of contractors.
• The Construction Manager will develop the request for budget and duration (RBD), while working with the general contractor for pricing.
• Conduct preliminary budget reviews on all final draft budgets prior to Assistant Vice President’s final budget review.
• Routinely visit hospitals to attend monthly Owner Architect meetings, provide direction, monitor contractor’s quality of work and performance. Function as the field representative for designs, ensure designs are meeting the needs of the facilities, and coordinate with Design Managers as necessary.

Education & Experience:

• Bachelors degree required
• 15+ years of experience in builder or owner working on multiple healthcare project sites;
• preferably large complex project experience
• Extensive healthcare construction experience.
• Knowledge of healthcare construction costs.
• Working knowledge in varying healthcare service lines.
• Demonstrated ability to lead/manage multiple number of projects simultaneously.
• Demonstrated experience in leadership.
• Demonstrated ability to lead/manage a group of professionals and management of a group of Construction Managers.
• Ability to work collaboratively as part of a team; self-motivated
• Above average interpersonal skills.

Benefits

HCA Healthcare offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

• Comprehensive benefitsfor medical, prescription drug, dental, vision, behavioral health and telemedicine services
• Wellbeing support,including free counseling and referral services
• Time away from workprograms for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence
• Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling
• Education supportthrough tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
• Additional benefitsfor fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts

Note: Eligibility for benefits may vary by location.

We are comprised of affiliated hospitals, physician practices and other sites of care across the United States and United Kingdom. The Sarah Cannon Cancer Network is transforming cancer care through integrated services and cutting-edge technologies. Our physicians can develop leading oncology programs to advance science and patient care. Providing physician-led patient care offers our doctors access to a national network of experts. This is where multidisciplinary teams come together with a goal of delivering seamlessly coordinated, quality cancer care. Through a united network of globally recognized oncology specialists, we collaborate and share best practices. We address each aspect of the cancer journey, from screening and diagnosis through treatment and survivorship, to advance our shared mission: Above all else, we are committed to the care and improvement of human life.

HCA Healthcare has been recognized as one of the Worlds Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated 3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.