Senior Cost Manager​/Program Controls Manager

Senior Cost Manager/Senior Program Controls Manager – Healthcare Capital Programs (Seattle, WA)

Senior Cost Manager/Senior Program Controls Manager (Healthcare Capital Programs) based out of Seattle, WA. This individual contributor role owns end-to-end cost management while providing senior-level program controls support across multiple construction and infrastructure projects in healthcare. Responsibilities include the following:

• Lead cost management for a portfolio of healthcare-related construction and infrastructure projects (hospitals, clinics, campus utilities), establishing consistent cost coding/WBS alignment and reporting governance.
• Own project/program budgets, committed costs, forecast (EAC), and cash flow from preconstruction through closeout; ensure forecast integrity through disciplined reviews and variance explanations.
• Develop and maintain cost trend and risk registers; evaluate impacts to contingency, escalation, and exposure, and recommend mitigation actions and recovery plans.
• Lead cost change control by evaluating scope/design/phasing changes, maintaining change logs, and supporting negotiation strategy with clear entitlement and backup documentation.
• Reconcile contractor/consultant cost reports with Consertus and client systems; challenge assumptions and align stakeholders on a single source of truth.
• Prepare executive‑ready weekly and monthly cost reports and narratives, including key drivers, variances, risks/opportunities, decisions required, and forward‑looking outlook.
• Partner with Project Managers, Project Controls, Scheduling, and Accounting to integrate schedule progress, quantities, and earned progress into accurate cost‑to‑complete forecasting.
• Review and validate pay applications, invoices, and cost accruals as applicable; support audit‑ready documentation and compliance with client/owner requirements.
• Track job cost performance against KPIs and healthcare‑specific constraints (phasing, infection control, stakeholder coordination); escalating concerns early with recommended options.
• Support project closeout, including validation of final costs, change reconciliation, lessons learned, and support for owner audits and financial turnover.
• Interface with owner representatives, design teams, and contractors to lead cost review meetings, drive timely responses, and maintain transparency across stakeholders.
• Continuously improve cost management processes, templates, and controls; coach project teams on best practices to improve consistency and auditability (without direct people management responsibility).

The successful candidate will have the following qualifications:

• Bachelor’s degree in Engineering, Construction Management, Finance, Accounting, or a related field.
• 7+ years of progressive experience in construction cost management/cost engineering, preferably on healthcare, institutional, or large‑scale infrastructure capital programs.
• Demonstrated ownership of budgets, committed cost, forecast (EAC), and cash flow, with the ability to explain variances and forecast drivers to executive and non‑financial stakeholders.
• Strong working knowledge of construction accounting principles, cost forecasting, project controls, and cost governance (coding structures, controls, auditability).
• Experience with change control, trend/risk management, contingency planning, and cost‑to‑complete development across design and construction phases.
• Proficiency with cost control and reporting tools; experience with cost management systems and dashboards required.
• Ability to influence outcomes without direct authority; strong facilitation skills for cost review meetings and stakeholder alignment.
• High attention to detail, organization, and follow‑through in a fast‑paced, multi‑project environment.
• Familiarity with the unique challenges of working on active healthcare campuses (phasing, infection control, stakeholder coordination) is a plus.

Preferred qualifications include:

• CCP (AACE), CCM (CMAA), PMP, or equivalent certification.
• 7+ years of progressive experience in project/program controls on large capital programs; supporting multi‑project portfolios or program management offices (PMO).
• Demonstrated…