Senior Cost Manager - Healthcare Construction

• Full-time

Turner & Townsend is a global professional services company with over
22,000 peoplein more than 60 countries.

Working with our clients across real estate, infrastructure,energyand natural resources, we transform together delivering outcomes that improve people’s lives. Working in partnership makes it possible to deliver the world’s most impactful projects and programmes as we turn challenge into opportunity and complexity into success.

Our capabilities includeprogramme, project, cost, asset and commercial management, controls and performance, procurement and supply chain, net zero and digital solutions.

We are majority-owned by CBRE Group, Inc., the world’s largest commercial real estateservicesand investment firm, with our partners holding a significant minority interest. Turner & Townsend and CBRE work together to provide clients with the premierprogramme, project and cost management offering in markets around the world.

Turner & Townsend is seeking an experienced Senior Cost Manager to support major healthcare construction programs in the San Diego area. This client-facing role focuses on cost planning, estimating, change management, cost controls, and stakeholder coordination across large, complex hospital and medical facility developments, providing leadership and value-added cost management services from planning through project delivery.

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.
• Communicate or meet with the general contractor and owner or project manager to gather status information to prepare a cost estimate update.
• Prepare written comments to the general contractor’s submissions, including the executive summary.
• 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.
• Work proactively with minimal supervision to resolve scheduling issues.
• Manage cost checks and carry out valuations on larger healthcare projects. Complete timely, accurate cost checking and valuation processes.
• Participate effectively with post-contract cost variances and the change of control processes.
• Manage cost impact / contingency management and commitment tracking logs.
• Prepare funding data presentations and coordinate VE sessions with stakeholders.
• Develop cost plans, budgets, and estimates through the design phase, delivering updated cost plans at appropriate design milestones.
• Provide commercial input to design optioneering and value engineering exercises, identifying cost-effective solutions while maintaining quality and healthcare compliance requirements.
• Review contractor and subcontractor pricing and lead negotiations on behalf of the client to drive fair contract prices.
• Perform quantity surveying, cost controls, and change management activities throughout the project lifecycle.
• Support procurement activities, including bid evaluations and contractor selection recommendations.
• Ensure that post-contract cost variances and change control processes are managed effectively.
• Ensure that cost auditing and valuation work is managed effectively and that a robust process for cost validation is in place.
• Carry out the production of monthly cost reports for presentation to the client, including cost status, risks, and areas of concern.
• Assist with the identification and mitigation of financial and…