Senior Project Manager, Healthcare Construction

X4 Engineering; Charlotte (NC); On-site; USD 90,000 - 130,000; Full time

Benefits offered by this job

Opportunity for career development

Collaborative culture

Direct access to leadership

Job summary

X4 Engineering is seeking a Senior Project Manager for healthcare construction in Charlotte, North Carolina. The role requires over 10 years of experience in commercial construction, particularly in healthcare. Responsibilities include leading healthcare projects, managing client relationships, overseeing budgets, and mentoring staff. The firm is well established and offers opportunities for career development in a stable and growing environment. Strong financial acumen and leadership skills are essential for success in this role.

Qualifications

• 10 plus years of experience in commercial construction with a focus on healthcare projects.
• Proven experience managing large scale or highly technical healthcare builds.
• Strong financial acumen and leadership skills.

Responsibilities

• Lead all phases of healthcare construction projects from preconstruction through closeout.
• Manage client relationships and serve as a primary point of contact for project stakeholders.
• Oversee project financials including budgeting, forecasting, and cost control.
• Drive schedule performance and coordinate with field leadership and trade partners.
• Support business development efforts including pursuits and client presentations.
• Mentor and develop project management staff.

Skills

Project management

Client relationship management

Financial acumen

Leadership

Job description

Senior Project Manager - Healthcare Construction

A nationally recognized construction firm is seeking a Senior Project Manager to lead complex healthcare projects in the Charlotte market. This organization is well established across the Southeast and Midwest and is continuing to expand its healthcare portfolio in North Carolina through both new builds and major renovations for leading health systems.

The company generates multi billion dollar annual revenue and has experienced steady growth driven by long term client relationships and repeat business in healthcare and institutional sectors. In the Charlotte region, they have built a strong and growing presence delivering acute care hospitals, ambulatory facilities, and technically complex renovations in active environments. Their local footprint is backed by the resources of a larger national platform, allowing project teams to pursue and execute large scale, high visibility work while maintaining a collaborative and accessible leadership structure.

This opportunity offers a chance to step into a high impact role with increased visibility across regional leadership. The Senior Project Manager will play a key role not only in project execution but also in client engagement, team development, and contributing to ongoing healthcare growth in the market.

Key Responsibilities

• Lead all phases of healthcare construction projects from preconstruction through closeout
• Manage client relationships and serve as a primary point of contact for project stakeholders
• Oversee project financials including budgeting forecasting and cost control
• Drive schedule performance and coordinate with field leadership and trade partners
• Support business development efforts including pursuits and client presentations
• Mentor and develop project management staff

Qualifications

• 10 plus years of experience in commercial construction with a strong focus on healthcare projects
• Proven experience managing large scale or highly technical healthcare builds
• Strong financial acumen and leadership skills
• Experience working in active hospital environments is highly preferred

Why consider this opportunity

• Growing healthcare pipeline in the Charlotte region with strong backlog
• More direct access to leadership and ability to influence decisions
• Opportunity to take on broader responsibility beyond project execution
• Stable company with consistent growth and repeat clients
• Collaborative culture with a focus on long term career development