About this Role: Consertus is seeking a
Senior Cost Manager/Senior Program Controls Manager(Healthcare Capital Programs) based out of
Seattle, WA. In this role, you will wear two hats, own end-to-end cost management while also providing senior-level program controls support to integrate cost, schedule, and risk into clear, decision-ready reporting. This individual contributor role is accountable for budget governance, forecast (EAC) accuracy, and executive-ready insights across multiple projects, partnering closely with project management, healthcare clients, and technical stakeholders to drive financial transparency, risk management, and cost performance.
The ideal candidate brings strong construction cost management experience, knowledge of healthcare environments, and the versatility to move between detailed analysis and program-level controls leadership. You are comfortable switching from building forecasts, validating pay applications, and managing change/trends to facilitating controls cadence, aligning stakeholders, and translating complex data into clear narratives and recommendations. Success in this role requires influencing outcomes without direct authority, proactively surfacing risks and opportunities, and driving timely decisions through stakeholder alignment.
Key Responsibilities- 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).
QualificationsRequirements:- 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: CCP (AACE), CCM (CMAA), PMP, or equivalent certification
Senior Program Controls Manager - Additional Requirements (Preferred):- 7+ years of progressive experience in project/program controls on large capital programs; supporting multi-project portfolios or program management offices (PMO)
- Demonstrated expertise integrating cost, schedule, and risk into a cohesive controls framework (baseline development, updates, variance analysis, and corrective-action planning)
- Advanced proficiency with scheduling and controls tools (Primavera P6 preferred) and program controls platforms/reporting (e.g., Unifier, EcoSys, SAP/Oracle, Power BI), including data governance and auditability
- Experience establishing and enforcing program controls standards: progress measurement rules, change control workflows, monthly reporting cadence, and KPI definitions
- Strong capability in schedule health assessment, critical path evaluation, and schedule-driven forecasting; ability to connect progress/production signals to cost-to-complete outcomes
- Executive-level communication skills, including preparation and delivery of steering committee materials (drivers, trends, risks, decisions required) and facilitation of cross-functional reviews
- Preferred certifications: PMI-SP, PSP (AACE), CCP (AACE), PMP, CCM, or equivalent
Working Hours: On-Site, Full-Time, Exempt
Compensation Range: $180,000-$250,000 annually, depending on skills, experience and education.
What's In It For You- Comprehensive health coverage (medical, dental, and vision)
- Company-paid life and disability insurance
- 401(k) with day-one eligibility. We contribute dollar for dollar up to the first 3% of your contributions. Then we match 50% for the next 2% of your contributions.
- Generous time off: 10 paid holidays and PTO starting at 15 days, growing up to 25
- Access to Consertus Academy for continuous learning and development
How to Apply: If you're passionate about this role we'd love to hear from you. Apply today!
