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Director of Construction

Job in Nashville, Davidson County, Tennessee, 37247, USA
Listing for: HCA Healthcare
Full Time position
Listed on 2026-06-18
Job specializations:
  • Construction
    Operations Manager
  • Management
    Operations Manager, Program / Project Manager
Salary/Wage Range or Industry Benchmark: 150000 - 200000 USD Yearly USD 150000.00 200000.00 YEAR
Job Description & How to Apply Below

This position is incentive eligible.

This position provides leadership and corporate representation in construction for many of HCA’s capital projects. This position is a construction executive with a wide range of knowledge in building development, budget creation & control, hospital operations, contracting methods, schedule management, constructability resolution, safety and quality assurance.

This position regularly interacts with Divisional and Hospital leadership and requires a high management acumen with ability to manage multiple people, teams and interests effectively. Typical workload may span over 10-15 separate facilities which typically represents a total capital investment from $200M to $600M with individual project sizes ranging from $5M to approximately $100M.

The position will develop, implement and enforce specific strategies to improve the efficiency, productivity and profitability of HCA’s capital construction investments and/ or strategies to combat opposing industry forces i.e. cost escalation, limited product availability, declining skilled labor, etc. This position is responsible for the overall health of the project.

Leadership Responsibilities
  • Lead external coordination across designers, contractors, subcontractors and vendors. This typically represents 100-150 individuals across the 10-15 facilities.

  • Lead internal coordination including planning, design, equipment, capital strategy/optimization, preconstruction, ITG, Faciliti Group, HPG sourcing, legal, real estate and accounting.

  • Monitor contractor’s budget, schedule and quality control process. Initiate actions necessary to maintain the scope of the approved project, the goals of the department, mission of the enterprise and successful completion of the project.

  • Create and maintain a cooperative working relationship to promote employee morale and esprit de corps.

  • Meet with state and local authorities to represent the company’s interest on project scope, design issues and code issues. Negotiate with local jurisdiction as necessary.

  • From time to time this position may need to facilitate CON submittals. In the event of a CON hearing, provide deposition and testimony if necessary.

  • Supervise risk management on capital projects relative to design, public/patient/staff safety and contractual obligations.

  • Maintain financial reporting by project to track and manage all costs associated with the construction budgets. Process any necessary capital increase requests with the appropriate justification.

Strategic Responsibilities
  • This position will work in conjunction with Capital Strategy and Optimization and Design Management to develop strategies, initiatives and programs targeted to improve the efficiency, productivity and profitability of HCA’s capital construction investment and/ or combat apposing industry forces i.e. escalation, product availability, skilled labor, etc. Further, this position will be responsible for implementation of these programs and monitoring project specific adherence.

  • Review and analyze estimates during the design process as it relates to historical costs, corporate approved budgets, and project scope. Determine and verify if the established objectives of the project can be attained within the corporate approved budget. Initiate appropriate action if necessary.

  • Develop the most advantageous contract method, contract structure, and buying strategy when taking projects to market.

Analytics/Forecasting Responsibilities
  • Use baseline benchmark costs from the cost history database to set the targets for any project; use the benchmarks to understand cost.

  • Study the builder’s submitted subcontractor and supplier solicitation list to manage the adequacy and appropriateness of the content/bidders.

  • Constantly analyze fees and construction administration costs.

  • Analyze and approve all final bids taken by the contractor that make up the final estimate for a project. Assess risk relative to subcontractor pricing, schedules and bonding requirements. This is the final budget analysis to be compared against prior comparable costs and the corporate budget before construction begins.

Administrative Responsibilities
  • Thorough reviews of…

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