Senior Healthcare Construction Cost Lead

Turner & Townsend; San Diego (CA); On-site; USD 145,000 - 170,000; Full time

Job summary

Turner & Townsend in San Diego seeks a Senior Cost Manager to support major healthcare construction programs. You will lead cost planning, estimating, change management, cost controls, and stakeholder coordination for large hospital projects, delivering value-driven cost management from planning through delivery.

The role is client-facing, requiring strong leadership, collaboration with design and contractor teams, and a focus on maintaining healthcare compliance while optimizing cost efficiency.

Qualifications

• Bachelor’s degree in construction management, cost management, quantity surveying, engineering, or a related construction field.
• Minimum 6-7 years of relevant experience working in a cost management role in the construction industry.
• Proven experience managing cost controls and stakeholder coordination on large, complex healthcare projects.
• RICS accredited or working towards it is preferred.
• Experience leading cost management on medium to large construction projects of moderate to high complexity.
• Construction consultancy experience is strongly preferred.
• Good knowledge of procurement routes, value management, and value engineering.

Responsibilities

• Estimating and negotiating change orders throughout the construction lifecycle.
• Provide estimate and cost planning to include producing and presenting the final cost plan.
• Review and participate with the design services team and general contractor in the development of cost estimates.
• Reconcile changes and assist the general contractor to ensure that their data is accurate.
• Coordinate all sources of cost information for cost discussions and suppliers direct from NPA, subs, quantities from A/Es.
• Inform and drive engineering priorities based on cost impact.
• Manage cost checks and carry out valuations on larger healthcare projects.
• Participate effectively with post-contract cost variances and the change of control processes.

Skills

Cost management

Stakeholder coordination

Estimating

Cost controls

Value engineering

Education

Bachelor’s degree in construction management, cost management, quantity surveying, engineering, or a related construction field

Job description

Turner & Townsend in San Diego seeks a Senior Cost Manager to support major healthcare construction programs. You will lead cost planning, estimating, change management, cost controls, and stakeholder coordination for large hospital projects, delivering value-driven cost management from planning through delivery.

The role is client-facing, requiring strong leadership, collaboration with design and contractor teams, and a focus on maintaining healthcare compliance while optimizing cost efficiency.