Agiliti Health, Inc.

Senior Continuing Cost Engineer

Agiliti Health, Inc.$90K — $120K *
Pharmaceuticals & Biotech
8 - 10 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree in Mechanical Engineering or related discipline; advanced degree preferred.
  • 8+ years of engineering experience, preferably in medical device or regulated industries.
  • Proven track record in cost-reduction and value engineering initiatives for released products.
  • Proficiency with CAD tools, especially SolidWorks, and issue-tracking systems like Jira.
  • Strong knowledge of various manufacturing processes including injection molding and machining.
  • Experience with supplier changes and material substitutions in engineering contexts.
  • Familiarity with ISO standards and FDA requirements around design control.

Responsibilities

  • Own and execute cost-reduction initiatives for medical device products.
  • Identify high-impact cost drivers through analysis of BOM and supplier spend.
  • Lead engineering changes while ensuring compliance with relevant regulatory requirements.
  • Partner with Supply Chain and Quality to evaluate alternative materials and processes.
  • Collaborate with design engineers to assess feasibility of cost-reduction proposals.
  • Perform trade studies to balance cost, quality, risk, and manufacturability.
  • Track cost savings and communicate progress to leadership.

Benefits

  • Collaborative work culture with cross-functional engagement.
  • Opportunities for continuous professional development and training.
  • Focus on real-world impact and measurable results in engineering initiatives.
  • Involvement in innovative projects within the medical device field.
Full Job Description
About the Role

The Senior Cost Engineer is a specialized sustaining engineering role focused on reducing the cost of existing medical device products while maintaining regulatory compliance, quality, and customer performance. This role partners closely with Mechanical Engineering, Electrical Engineering, Supply Chain, Manufacturing, and Quality to identify, analyze, and execute cost-reduction initiatives across released products and legacy designs.
Summary

Unlike new product development roles, the Senior Cost Engineer operates primarily in a post-release environment, driving material, labor, tooling, and supplier cost improvements through structured engineering changes (ECOs) and cross-functional collaboration.
Key Responsibilities
  • Own and execute cost-reduction initiatives for medical device products, including BOM optimization, material substitutions, design simplification, and supplier changes.
  • Identify high-impact cost drivers through BOM analysis, supplier spend reviews, labor studies, and field repair data.
  • Lead engineering change activities (ECRs/ECOs) via SolidWorks associated with cost reduction while ensuring compliance with ISO, IEC, FDA, and QMS requirements.
  • Partner with Supply Chain, Quality and Manufacturing to evaluate alternate materials, processes, tooling strategies, and sourcing options.
  • Collaborate with Mechanical and Electrical Design Engineers to assess technical feasibility and risk of proposed cost-down changes.
  • Perform structured trade studies balancing cost, quality, risk, and manufacturability; document decisions and recommendations for leadership review.
  • Support Design for Manufacturing (DFM), Design for Assembly (DFA), and Design for Cost (DFC) improvements on released products.
  • Knowledge and experience with DFMEA, PFMEA, Root Cause Analysis (RCA) processes.
  • Analyze warranty, service, and repair data to identify recurring cost opportunities and drive corrective actions.
  • Coordinate validation, testing, and phased implementation of cost-driven changes to minimize production and field disruption.
  • Track cost savings, implementation progress, and risk status; clearly communicate results to engineering and operations leadership.
Required Qualifications
  • Bachelor's degree in Mechanical Engineering or related engineering discipline; advanced degree preferred.
  • 8+ years of engineering experience supporting manufactured products; medical device or regulated industry experience strongly preferred.
  • Demonstrated experience leading cost-reduction, value engineering, or design-to-cost initiatives on released products.
  • Proficiency with CAD tools (SolidWorks preferred), PDM systems, BOM management, and issue-tracking tools such as Jira.
  • Strong working knowledge of manufacturing processes such as injection molding, blow molding, machining, sheet metal, welding, wire routing, and assembly.
  • Experience with supplier-facing engineering changes, alternate sourcing, and material/process substitutions.
  • Working knowledge of ISO 13485, ISO 14971, applicable IEC standards, and FDA design control expectations.
  • Ability to perform technical risk assessments and root cause analysis related to cost-driven changes.
  • Strong analytical and financial acumen with the ability to quantify savings and articulate trade-offs.
  • Excellent communication skills with the ability to influence across engineering, operations, and leadership.
Preferred Skills and Experience
  • Experience applying Design for Cost (DFC) and value engineering methodologies.
  • Familiarity with cost modeling, should-cost analysis, or parametric costing techniques.
  • Experience supporting legacy products with incomplete or aging documentation.
  • Previous experience working directly with contract manufacturers or global suppliers.
  • Ability to mentor engineers on cost-aware design practices.
Working Style and Expectations

This role requires a pragmatic, systems-level thinker who is comfortable balancing cost objectives against quality, compliance, and operational risk. Success is measured by sustained, realized cost savings, not just identified opportunities. A successful candidate will be able to navigate relationships with internal and external stakeholders in Purchasing, Quality, and Manufacturing.



Primary Job Location:

Milwaukee Design Center

Additional Locations (if applicable):

Job Title:

Sr Mechanical Engineer

Company:

Agiliti

Location City:

Wauwatosa

Location State:

Wisconsin

About Agiliti Health, Inc.

Agiliti Health, Inc. is a medical equipment management and services company. It provides a range of services, including equipment rental, maintenance, and repair, as well as clinical engineering and asset management. The company serves hospitals, surgery centers, and other healthcare facilities across the United States. Agiliti Health was founded in 2018 and is headquartered in Minneapolis, Minnesota.
Learn more about Agiliti Health, Inc.
Size
4,000 employees
Industry
Net Income
-$12 million
Founded
2018
5 Year Trend
+5%
Revenue
$932 million
NASDAQ

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