Senior Design Manager - Healthcare

About the role

Shape the future of a major healthcare environment.

Balfour Beatty is looking for an experienced and confident Senior Design Manager to join our team in Birmingham, based at Trinity Park and supporting works at Queen Elizabeth Hospital Birmingham.

You will join the team supporting the ongoing improvement and development of the Queen Elizabeth Hospital Birmingham estate—one of the UK’s largest and most complex operational healthcare environments.

This is an excellent opportunity to take a leading role on a technically demanding healthcare project, working alongside customers, consultants, specialist designers and construction teams to develop coordinated, buildable and commercially effective design solutions.

You will manage the design process from briefing through to delivery, ensuring proposals meet the project’s technical, programme, quality and budget requirements.

• Lead the development and implementation of the project design strategy.
• Manage the design process, including architectural, structural and M&E elements.
• Coordinate internal teams, consultants, specialist subcontractors and third‑party design partners.
• Ensure design proposals meet customer requirements, specifications and budget constraints.
• Review designs for buildability, sequencing, value and construction risk.
• Provide clear technical guidance to the design and construction teams.
• Manage design information, approvals, changes and programme deliverables.
• Liaise with statutory authorities, planning teams, building control and utility providers.
• Support collaborative working across the project and resolve design challenges before they affect delivery.
• Encourage innovation, continuous improvement and effective use of BIM and digital design.

• Strong experience managing multidisciplinary design teams through pre‑construction and project delivery.
• A detailed understanding of construction methods, buildability and design coordination.
• Experience managing M&E interfaces and third‑party or novated design teams.
• Good working knowledge of BIM and digital design processes.
• Knowledge of current procurement routes, regulations, technical standards and codes of practice.
• Excellent leadership, communication and stakeholder‑management skills.
• The confidence to challenge constructively, influence decisions and drive design progress.
• A valid CSCS card.
• Strong Microsoft Office and relevant design‑management IT skills.

Professional membership of an appropriate institution, such as RIBA, CIBSE or IET, would be advantageous.

The size and scale of Balfour Beatty coupled with our strong pipeline of work provides incredible opportunities, regardless of what stage you are at in your career. We encourage and empower our employees to take control of their career and explore which part of the business they want to work in and what role is right for them. We actively encourage our managers and employees to have open communication throughout the year about wellbeing, development and career opportunities.

We’re proud of the Balfour Beatty Academy. Whether it’s sharpening your technical expertise, improving your personal skills or seeking support to become professionally qualified, our 70:20:10 approach to development means we have a learning approach that suits everyone.

• Smart working, giving you more flexibility such as staggered start and finish times, with up to 40% remote working, where roles allow.
• 25 days paid annual leave (pro rata).
• Family friendly policies which include 28 weeks full pay for maternity/adoption leave and four weeks full pay for paternity/partners leave.
• Pension, share incentive plan, volunteering leave, recognition schemes and much more.

At Balfour Beatty we believe that diversity and inclusion are essential components of any successful, happy workplace. Through our Value Everyone Diversity and Inclusion Strategy and Action Plan, we are growing our diverse workforce and developing our inclusive culture where everyone is able to thrive and reach their full potential, regardless of their identity or background. To find out how we are making this a…