Senior Cost Manager - Healthcare Construction

San Diego, CAFull-time$145k–$170kPosted Aug 4, 2026

Senior Cost Manager - Healthcare Construction

  • Full-time
  • Department: Real estate

Company Description


Turner & Townsend is a global professional services company with over 22,000 people in more than 60 countries. 

Working with our clients across real estate, infrastructure, energy and natural resources, we transform together delivering outcomes that improve people’s lives. Working in partnership makes it possible to deliver the world’s most impactful projects and programmes as we turn challenge into opportunity and complexity into success. 

Our capabilities include programme, project, cost, asset and commercial management, controls and performance, procurement and supply chain, net zero and digital solutions. 

We are majority-owned by CBRE Group, Inc., the world’s largest commercial real estate services and investment firm, with our partners holding a significant minority interest. Turner & Townsend and CBRE work together to provide clients with the premier programme, project and cost management offering in markets around the world. 

Job Description


Turner & Townsend is seeking an experienced Senior Cost Manager to support major healthcare construction programs in the San Diego area. This client-facing role focuses on cost planning, estimating, change management, cost controls, and stakeholder coordination across large, complex hospital and medical facility developments, providing leadership and value-added cost management services from planning through project delivery.


Responsibilities:

  • Estimating and negotiating change orders throughout the construction lifecycle.
  • Provide estimate and cost planning to include producing and presenting the final cost plan.
  • Review and participate with the design services team and general contractor in the development of cost estimates.
  • Reconcile changes and assist the general contractor to ensure that their data is accurate.
  • Communicate or meet with the general contractor and owner or project manager to gather status information to prepare a cost estimate update.
  • Prepare written comments to the general contractor’s submissions, including the executive summary.
  • Coordinate all sources of cost information for cost discussions and suppliers direct from NPA, subs, quantities from A/Es.
  • Inform and drive engineering priorities based on cost impact.
  • Work proactively with minimal supervision to resolve scheduling issues.
  • Manage cost checks and carry out valuations on larger healthcare projects. Complete timely, accurate cost checking and valuation processes.
  • Participate effectively with post-contract cost variances and the change of control processes.
  • Manage cost impact / contingency management and commitment tracking logs.
  • Prepare funding data presentations and coordinate VE sessions with stakeholders.
  • Develop cost plans, budgets, and estimates through the design phase, delivering updated cost plans at appropriate design milestones.
  • Provide commercial input to design optioneering and value engineering exercises, identifying cost-effective solutions while maintaining quality and healthcare compliance requirements.
  • Review contractor and subcontractor pricing and lead negotiations on behalf of the client to drive fair contract prices.
  • Perform quantity surveying, cost controls, and change management activities throughout the project lifecycle.
  • Support procurement activities, including bid evaluations and contractor selection recommendations.
  • Ensure that post-contract cost variances and change control processes are managed effectively.
  • Ensure that cost auditing and valuation work is managed effectively and that a robust process for cost validation is in place.
  • Carry out the production of monthly cost reports for presentation to the client, including cost status, risks, and areas of concern.
  • Assist with the identification and mitigation of financial and contractual risks throughout the project lifecycle.
  • Ensure that final accounts are negotiated and agreed upon in a timely manner.
  • Compile built cost estimate records for benchmarking purposes.
  • Ensure cost management activities comply with client requirements, industry standards, and healthcare construction regulations.
  • Identify, coach and mentor talent to realize their potential and celebrate the success of others.
  • Display excellence in leadership and service delivery on commissions in line with the conditions of appointment.
  • Financial Management: Utilize internal software to track ongoing margin levels and monthly fee/resource forecasts for each commission and financial reports.
  • Implement and maintain the use of internal Business Management Systems and company delivery methodologies and tools in the office to ensure consistent delivery of best practice for Clients and the company.
  • Be a role model that drives a one business culture that achieves great outcomes by striking the right balance for our people, clients, stakeholders, and society.
  • SOX control responsibilities may be part of this role, which are to be adhered to where applicable.

Qualifications

  • Bachelor’s degree in construction management, cost management, quantity surveying, engineering, or a related construction field.
  • Minimum 6-7 years of relevant experience working in a cost management role in the construction industry.
  • Proven experience managing cost controls and stakeholder coordination on large, complex healthcare projects.
  • RICS accredited or working towards it is preferred.
  • Experience leading cost management on medium to large construction projects of moderate to high complexity.
  • Construction consultancy experience is strongly preferred.
  • Good knowledge of procurement routes, value management, and value engineering.
  • Excellent communication skills.

Additional Information


*On-site presence and requirements may change depending on our client's needs

The base salary range for this role is $145K-$170K USD. This range reflects the company's good faith estimate of the base salary for this position at the time of the posting. Final compensation will be determined based on factors including experience, skills, qualifications, and internal equity. In addition to base salary, employees may be eligible for bonuses and a comprehensive benefits package.

Our inspired people share our vision and mission. We provide a great place to work, where each person has the opportunity and voice to affect change.

We want our people to succeed both in work and life. To support this we promote a healthy, productive and flexible working environment that respects work-life balance. 

Turner & Townsend is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees and actively encourage applications from all sectors of the community.

Please find out more about us at www.turnerandtownsend.com/

Turner & Townsend does not accept any speculative or unsolicited CV’s that have been sent to our internal recruitment team or hiring managers from agencies outside of our preferred supplier list or that have not followed due process. Any speculative or unsolicited CV’s will be treated as a direct application.


All your information will be kept confidential according to EEO guidelines.
 

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It is strictly against Turner & Townsend policy for candidates to pay any fee in relation to our recruitment process. No recruitment agency working with Turner & Townsend will ask candidates to pay a fee at any time. 

Any unsolicited resumes/CVs submitted through our website or to Turner & Townsend personal e-mail accounts, are considered property of Turner & Townsend and are not subject to payment of agency fees. In order to be an authorised Recruitment Agency/Search Firm for Turner & Townsend, there must be a formal written agreement in place and the agency must be invited, by the Recruitment Team, to submit candidates for review. 

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