Senior Cost Manager - Healthcare Construction

Turner & Townsend • $90K — $120K *
Durham, NC 27713In-Person
Healthcare
5 - 7 years of experience
2 weeks ago
Job Overview by Ladders

Qualifications

  • Bachelor's degree in construction management, quantity surveying, engineering, or related field.
  • 5-7+ years of experience in construction cost management, preferably within healthcare or life sciences sectors.
  • Experience supporting medium to large-scale, complex construction projects.
  • Consultancy experience preferred.
  • Knowledge of procurement routes, value management, and value engineering principles.
  • Strong communication and client-facing skills.
  • RICS accreditation (or working towards) preferred.

Responsibilities

  • Act as the primary client interface for cost management on healthcare and life sciences projects.
  • Prepare and deliver cost estimates and detailed cost plans throughout design and construction phases.
  • Support cost planning on large-scale healthcare and academic projects.
  • Review and work with teams to develop accurate cost estimates and validate pricing assumptions.
  • Lead change order management including estimating and tracking cost impacts.
  • Produce monthly cost reports with executive summaries and variance analyses.
  • Coordinate cost information from various sources to ensure accuracy.

Benefits

  • Mentorship opportunities for junior team members.
  • Exposure to complex projects with a focus on healthcare and life sciences.
  • Collaboration with experienced professionals in a consultancy environment.
Full Job Description
Turner & Townsend are seeking an experienced Senior Cost Manager to act as the key day-to-day client interface, ensuring delivery of value-added cost management services across complex healthcare and life sciences construction projects. This role requires strong client-facing communication, leadership, and the ability to operate independently while supporting team success.

Responsibilities:
  • Act as the primary client interface, ensuring cost management objectives are achieved across healthcare, academic, and biopharma construction projects.
  • Prepare and deliver cost estimates and detailed cost plans throughout design and construction phases, aligned with project scope and milestones.
  • Support cost planning on large-scale projects including clinical facilities, specialty treatment centers, and life sciences manufacturing environments.
  • Review and collaborate with design teams and contractors to develop accurate cost estimates and validate pricing assumptions.
  • Lead change order management, including estimating, negotiation, reconciliation, and tracking of cost impacts throughout the project lifecycle.
  • Produce monthly cost reports, including executive summaries, cost forecasts, and variance analysis for stakeholders.
  • Coordinate all sources of cost information including contractors, subcontractors, suppliers, and design teams to ensure accurate cost reporting.
  • Provide commercial input into design development, value engineering, and optioneering to optimize cost efficiency.
  • Perform quantity surveying, cost controls, and cost auditing to ensure financial accuracy and adherence to budgets.
  • Maintain cost control systems, including contingency tracking, commitment logs, and benchmarking data for future analysis.
  • Participate in post-contract cost management, including change control processes and final account negotiations.
  • Support resolution of cost and scheduling issues through proactive risk identification and data-driven recommendations.
  • Lead cost validation processes and ensure robust governance around cost reporting and financial controls.
  • Prepare funding analysis and support value engineering sessions with project stakeholders.
  • Deliver cost management services across projects with high technical complexity, including MEP-intensive and regulated environments.
  • Mentor and support junior team members, fostering professional development and high-performance delivery.
  • Ensure consistent application of company systems, methodologies, and financial tracking tools across projects.
  • Demonstrate leadership aligned with company values, driving strong outcomes for clients, stakeholders, and project teams.


Qualifications

  • Bachelor's degree in construction management, quantity surveying, engineering, or related field.
  • 5-7+ years of experience in construction cost management, preferably within healthcare or life sciences sectors.
  • Experience supporting medium to large-scale, complex construction projects.
  • Consultancy experience preferred.
  • Knowledge of procurement routes, value management, and value engineering principles.
  • Strong communication and client-facing skills.
  • RICS accreditation (or working towards) preferred.


Additional Information

*On-site presence and requirements may change depending on our clients' needs.*

About Turner & Townsend

Turner & Townsend Careers

Joining Turner & Townsend offers a unique opportunity to contribute to some of the most exciting projects worldwide. As a global leader in professional services, Turner & Townsend is at the forefront of transforming the industry through expertise, innovation, and leadership.

Explore Job Opportunities

Turner & Townsend is constantly seeking skilled professionals eager to drive innovation and lead industry standards. With a variety of job opportunities available, candidates can find positions that match their skills and career aspirations. Explore employment options that span across critical sectors such as construction, project management, and consultancy.

Experience Professional Growth

Turner & Townsend is committed to the professional growth and continuous development of its team members. The company supports career advancement through robust training programs, including leadership development and diversity training, ensuring every team member has the tools and knowledge to succeed.

Internship Programs

For those starting their career journey, Turner & Townsend offers internship programs that provide a rich learning environment. Interns gain hands-on experience, working alongside seasoned professionals and contributing to impactful projects. These internships are a gateway to full-time employment and a flourishing career within the company.

Cultivating a Diverse and Inclusive Culture

Turner & Townsend prides itself on fostering an inclusive culture where diversity is celebrated. The company believes that a diverse workforce enhances creativity and drives innovation. Employees from various backgrounds are encouraged to share their unique perspectives, promoting a collaborative and supportive workplace.

Benefits and Employee Wellbeing

Understanding the importance of a work-life balance, Turner & Townsend offers comprehensive benefits designed to support the wellbeing of its team. Benefits include health care, flexible working conditions, and competitive retirement plans, all aimed at enhancing the quality of life for employees.

Join the Team

Turner & Townsend is hiring! Search open positions that align with your professional skills and interests. The company is looking for passionate, curious, and solution-driven team players. Prepare your resume, sharpen your interview skills, and get ready to join a team where your contributions will be valued and your career will flourish.

Networking and Career Development

Turner & Townsend encourages continuous networking and professional development. By participating in industry conferences and company-hosted events, employees can build valuable relationships and stay current with industry trends.

Stay Connected

Keep up to date with the latest from Turner & Townsend: - **Read Careers Blog**: Gain insights from experts and stay informed about the latest company news and industry trends. - **Job Alert Emails**: Personalize your subscription to receive job alerts and insider tips tailored to your preferences. Discover exciting and rewarding opportunities that await at Turner & Townsend. Turner & Townsend is not just a place to work—it's a place where careers are made, innovation thrives, and opportunities abound. Join the team and be part of shaping the future of the industry.
Learn more about Turner & Townsend
Industry
Real Estate & Construction
* Ladders Estimates

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