Senior Project Designer/Architect - Health Market

Gresham Smith; Nashville (TN); Hybrid; USD 120,000 - 170,000; Full time

Benefits offered by this job

Healthcare (Medical, Dental, Vision, &

Job summary

Gresham Smith in Nashville seeks a Senior Project Designer/Architect for the Health Market who will lead design concepts, develop technical solutions, and mentor team members. The role requires strong client collaboration, coordination with consultants, and delivering documentation from concept through contract documents.

You will use Revit, AutoCAD and 3D rendering tools to communicate design intent, travel to sites as needed, and contribute to proposals while thriving in a collaborative,

Qualifications

• 5-year Bachelor’s or Master’s degree in Architecture from an NAAB accredited University program.
• Minimum of 15 years of job-related experience; Healthcare experience is strongly preferred.
• Architecture License strongly preferred.
• Must have experience with large-scale projects.
• Strong knowledge of architectural design, technical documentation, building systems, construction methods, and applicable codes and standards.
• Demonstrated proficiency using Revit and AutoCAD required.
• Demonstrated proficiency in Rhino, Photoshop, Lumion, Enscape, and/or other 3D rendering software programs.
• Ability to travel to project sites, client meetings, and other locations as required.

Responsibilities

• Contribute to proposals, interviews, presentations, client development, and other business-development activities.
• Build productive relationships with clients, consultants, contractors, and internal team members.
• Direct the architectural design process and develop concepts, studies, presentations, and technical solutions that respond to project goals.
• Outline the design process for the project and ensure the process is followed to a successful result.
• Apply innovative thinking and new ideas to our client’s challenges to not just solve today’s problems but also address future challenges.
• Lead internal and external project design meetings and presentations to align client’s goals with design direction.
• Lead on-team and off-team design charrettes to capture new ideas and collaborative thinking on how best to achieve design goals.
• Create 3D Renderings, models and other visualizations to communicate design intent.
• Apply knowledge of building codes, accessibility requirements, life-safety standards, zoning, permitting, and applicable regulations.
• Apply firmwide Sustainability and Resiliency strategies to design solutions and measure results.
• Organize production of the design narrative, high-end presentation material, and lead client meetings in order to receive design approval.
• Ensure final approved design is documented correctly throughout the development of the contract documents including both drawings and specifications.
• Work with design team and construction managers on preliminary pricing of design intent and assist in refining design to ensure it meets client budget expectations.
• Mentor, guide, and support other team members.
• Support consistent project-delivery standards and promote collaboration across offices and disciplines.

Skills

Revit

AutoCAD

Rhino

Photoshop

Lumion

Enscape

Presentation skills

Client communication

Education

Bachelor's or Master's in Architecture (NAAB accredited)

Tools

Revit

AutoCAD

Rhino

Photoshop

Lumion

Enscape

Job description

Senior Project Designer/Architect - Health Market

Job Category: Architecture

Requisition Number: SENIO004233

• Posted : October 29, 2026
• Full-Time
• Hybrid

Locations

Showing 1 location

Gresham Smith | Nashville Office (HQ)
Nashville, TN 37201, USA

Description

About Us

At Gresham Smith, we call it Genuine Ingenuity. Our culture is the cornerstone of who we are, and our people are at the heart of everything we do. United by our Core Purpose—to plan, design, and consult to create healthy and thriving communities—we deliver innovative solutions for life’s essential infrastructure and institutions.

What sets us apart is our dedication to care for our people, our clients, and the places we call home. We are more than a team of professionals—we’re a community built on commitment, integrity, respect, and teamwork.

Why Gresham Smith?

When you join Gresham Smith, you’re joining a place where you can connect and thrive. Our employees consistently recognize us as a Best Place to Work because we go above and beyond to ensure that you feel valued, supported, and empowered.

About You

We’re looking for someone who has:

• 5-year Bachelor’s or Master’s degree in Architecture from an NAAB accredited University program.
• Minimum of 15 years of job-related experience; Healthcare experience is strongly preferred.
• Architecture License strongly preferred.
• Must have experience with large-scale projects
• Strong knowledge of architectural design, technical documentation, building systems, construction methods, and applicable codes and standards.
• Demonstrated proficiency using Revit and AutoCAD required.
• Demonstrated proficiency in Rhino, Photoshop, Lumion, Enscape, and/or other 3D rendering software programs.
• Ability to interact professionally and comfortably with various personalities and communication styles and build and maintain excellent interpersonal relationships.
• Ability to manage multiple projects and priorities while meeting deadlines and maintaining quality.
• Ability to travel to project sites, client meetings, and other locations as required.
• Strong presentation, time management, and organizational skills.
• Excellent verbal, written, and interpersonal communication skills.

* Please include a portfolio of work samples along with a resume/CV in your online application.

As a Senior Project Designer/Architect, you will:

• Contribute to proposals, interviews, presentations, client development, and other business-development activities.
• Build productive relationships with clients, consultants, contractors, and internal team members.
• Direct the architectural design process and develop concepts, studies, presentations, and technical solutions that respond to project goals.
• Outline the design process for the project and ensure the process is followed to a successful result.
• Apply innovative thinking and new ideas to our client’s challenges to not just solve today’s problems but also address future challenges.
• Lead internal and external project design meetings and presentations to align client’s goals with design direction.
• Lead on-team and off-team design charrettes to capture new ideas and collaborative thinking on how best to achieve design goals.
• Create 3D Renderings, models and other visualizations to communicate design intent.
• Apply knowledge of building codes, accessibility requirements, life-safety standards, zoning, permitting, and applicable regulations.
• Apply firmwide Sustainability and Resiliency strategies to design solutions and measure results.
• Organize production of the design narrative, high-end presentation material, and lead client meetings in order to receive design approval.
• Ensure final approved design is documented correctly throughout the development of the contract documents including both drawings and specifications.
• Work with design team and construction managers on preliminary pricing of design intent and assist in refining design to ensure it meets client budget expectations.
• Mentor, guide, and support other team members.
• Support consistent project-delivery standards and promote collaboration across offices and disciplines.

Your work will directly contribute to shaping environments where people live, work, and thrive, all while growing your career within a supportive, people-first culture.

Join Us

If you’re excited to bring your talents to a collaborative, people-first environment where you can make an impact while growing your career, we’d love to hear from you.

Here’s what you can expect:

Professional Growth: In-house Learning, Tuition Reimbursement, Licensure Support, Professional Organization Engagement.

Culture that Cares: 93% of employees say they feel cared for, and 96% are confident in our future success.

• Healthcare (Medical, Dental, Vision, Wellness Programs)
• 401(k) with Company Match
• Short- & Long-term Disability, Paid Life & AD&D
• Supplemental, Critical Care, Pet, Legal & ID Theft Insurance
• Family Planning and Parental Leave
• Mass/Public Transit Program
• Telemedicine and Employee Assistance Program

Gresham Smith is an equal opportunity employer and does not discriminate. Everyone is invited to apply!

GRESHAM SMITH does not accept unsolicited resumes from recruiters, headhunters, search firms, or agencies. No referral or recruiter fees will be paid without a fully executed GRESHAM PLACEMENT SERVICES AGREEMENT (PSA) in advance. Submissions made without a PSA may be recruited and hired by GRESHAM SMITH with no financial obligation to the submitting party. Any such unsolicited resumes or candidate information—sent to hiring managers or any employee—become the property of GRESHAM SMITH.

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor.