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Senior Cost Manager – Healthcare Construction

Job in Mission Viejo, Orange County, California, 92690, USA
Listing for: Turner & Townsend
Full Time position
Listed on 2026-01-12
Job specializations:
  • Construction
    Civil Engineering, Quantity Surveyor, Estimator
  • Engineering
    Civil Engineering, Quantity Surveyor, Estimator
Salary/Wage Range or Industry Benchmark: 125000 - 150000 USD Yearly USD 125000.00 150000.00 YEAR
Job Description & How to Apply Below

Senior Cost Manager – Healthcare Construction

From the inception of a project through to completion and beyond, Turner & Townsend help to deliver the outcomes that matter through transformational programs covering the full spectrum of consultancy, project delivery and post‑project operations.

With offices located globally, you’re never far away from our services. Working from 133 offices in 49 countries, we make the difference to projects across the real estate, infrastructure and natural resources sectors worldwide.

Our team is dynamic, innovative and client‑focused, supported by an inclusive and fun company culture. Our clients value our proactive approach, depth of expertise, integrity and the quality we deliver. As a result, our people get to enjoy working on some of the most exciting projects in the world.

Job Description

Turner & Townsend is searching for a Senior Cost Manager to oversee and manage multiple construction projects for a key Healthcare client. Specialized expertise serving healthcare clients with complex capital projects and programs, hospital construction including renovations and expansions, acute medical centres, trauma centres, ambulatory care centres and/or emergency departments is highly preferred.

Responsibilities
  • Estimating and negotiating change orders throughout the construction lifecycle.
  • Review and participate with the design services team and general contractor in the development of the cost estimates.
  • Reconcile changes that occur over the planning phase and assist the general contractor to ensure that their data is accurate.
  • Provide estimate and cost planning to include producing and presenting the final cost plan.
  • Communicate or meet with the general contractor and owner 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.
  • Manage cost checks and carry out valuations on larger projects. Complete timely, accurate cost checking and valuation processes.
  • Participate effectively with post‑contract cost variances and the change control processes.
  • Manage cost impact, contingency management and commitment tracking logs.
  • Prepare funding data presentations and coordinate VE sessions with stakeholders.
  • Provide benchmarking studies, analysis of cost data and presentation of data in reports.
  • Undertake cost assurance of third‑party estimates, report writing and presentation.
  • Produce monthly cost reports and present them to clients.
  • Provide input into value engineering and options analysis.
  • Maintain excellent communication with clients and other consultants at all project stages.
  • Work proactively with minimal supervision to resolve scheduling issues.
  • Provide leadership to cost management commissions, when necessary, to ensure delivery on all accountabilities.
  • Identify improvements for cost estimating and cost management procedures, templates and products, and refer ideas to the appropriate line manager.
Qualifications
  • Demonstrated experience working as a Construction Cost Manager on Healthcare projects is required.
  • 5+ years of applicable cost management experience.
  • College and/or post‑graduate degree in construction management, cost management, quantity surveying, engineering or a field related to construction.
  • Ability to estimate at conceptual, programming and detailed level.
  • Understands cost (material prices, labor, productivities) as well as commit profiles, cashflow, LLE dates, and overall project cost.
  • Experience with advising clients on value management, value engineering and life‑cycle costing.
  • Ability to perform all aspects of procurement, including managing the pre‑qualification stage, producing bid lists, bid analysis, producing bid reports and compiling contractual documents.
  • Competency using Excel, Word, PowerPoint, CostX, Bluebeam.
  • Must possess exemplary communication skills – both written and oral.
  • Must be a self‑starter, and a goal‑results‑oriented leader and team player.
  • Demonstrated…
Position Requirements
10+ Years work experience
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