Director of Construction

About the role

This position provides leadership and corporate representation in construction for many of HCA’s capital projects. The role is a construction executive with a wide range of knowledge in building development, budget creation & control, hospital operations, contracting methods, schedule management, constructability resolution, safety and quality assurance. It regularly interacts with Division and Hospital leadership and requires high management acumen to manage multiple people, teams and interests effectively. Typical workload spans 10–15 separate facilities representing a total capital investment of $200M–$600M, with individual project sizes ranging from $5M to approximately $100M. The position develops, implements and enforces strategies to improve the efficiency, productivity and profitability of HCA’s capital construction investments and/or combat opposing industry forces such as cost escalation, limited product availability, and declining skilled labor. Travel is estimated at 75%. This position is incentive eligible.

Leadership Responsibilities

• Lead external coordination across designers, contractors, subcontractors and vendors (typically 100–150 individuals across 10–15 facilities).
• Lead internal coordination including planning, design, equipment, capital strategy/optimization, preconstruction, ITG, FacilitiGroup, HPG sourcing, legal, real estate and accounting.
• Monitor contractor’s budget, schedule and quality control process.
• Initiate actions necessary to maintain the scope of the approved project, the goals of the department, mission of the enterprise and successful completion of the project.
• Create and maintain a cooperative working relationship to promote employee morale and esprit de corps.
• Meet with state and local authorities to represent the company’s interest on project scope, design issues and code issues; negotiate with local jurisdiction as necessary.
• Facilitate CON submittals; provide deposition and testimony at CON hearings if necessary.
• Supervise risk management on capital projects relative to design, public/patient/staff safety and contractual obligations.
• Maintain financial reporting by project to track and manage all costs associated with the construction budgets.
• Process any necessary capital increase requests with appropriate justification.

Strategic Responsibilities

• Work with Capital Strategy and Optimization and Design Management to develop strategies, initiatives and programs targeted to improve the efficiency, productivity and profitability of HCA’s capital construction investment and/or combat opposing industry forces (escalation, product availability, skilled labor, etc.).
• Implement these programs and monitor project-specific adherence.
• Review and analyze estimates during the design process as they relate to historical costs, corporate approved budgets, and project scope.
• Determine and verify if established project objectives can be attained within the corporate approved budget; initiate appropriate action if necessary.
• Develop the most advantageous contract method, contract structure, and buying strategy when taking projects to market.

Analytics/Forecasting Responsibilities

• Use baseline benchmark costs from the cost history database to set targets for any project and to understand cost.
• Study the builder’s submitted subcontractor and supplier solicitation list to manage the adequacy and appropriateness of the content/bidders.
• Constantly analyze fees and construction administration costs.
• Analyze and approve all final bids taken by the contractor that make up the final estimate for a project.
• Assess risk relative to subcontractor pricing, schedules and bonding requirements.
• Perform final budget analysis to be compared against prior comparable costs and the corporate budget before construction begins.

Administrative Responsibilities

• Thorough reviews of project scope and changes to scope.
• Provide budget and constructability feedback during pre-design process to maximize the use of capital funds.
• Responsible for thorough review of agreements, contracts, invoice processing and change order management, among many other contracting responsibilities.
• During pre-design, responsible for site investigation to ensure documents represent a constructible plan that allows for minimal interruption to hospital operations and unencumbered patient care.

Audit/Inspection Responsibilities

• During the Construction Administration stage, review Design Change Authorizations for conformity.
• Ensure project compliance within approved funding and scope.
• Provide ultimate oversight of quality.
• Work with leadership to conduct/develop responses to internal audits of contractors.
• Develop the request for budget and duration (RBD) while working with the general contractor for pricing.
• Conduct preliminary budget reviews on all final draft budgets prior to Assistant Vice President’s final budget review.
• Routinely visit hospitals to attend monthly Owner Architect meetings, provide direction, monitor contractor’s quality of work and performance.
• Function as the field representative for designs, ensure designs meet the needs of the facilities, and coordinate with Design Managers as necessary.

Qualifications

• Bachelor’s degree required.
• 15+ years of experience in builder or owner role working on multiple healthcare project sites; preferably large complex project experience.
• Extensive healthcare construction experience.
• Knowledge of healthcare construction costs.
• Working knowledge in varying healthcare service lines.
• Demonstrated ability to lead/manage multiple projects simultaneously.
• Demonstrated experience in leadership.
• Demonstrated ability to lead/manage a group of professionals and management of a group of Construction Managers.
• Ability to work collaboratively as part of a team; self-motivated.
• Above average interpersonal skills.

Benefits

• Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services.
• Wellbeing support, including free counseling and referral services.
• Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence.
• Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling.
• Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing.
• Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts.

Note: Eligibility for benefits may vary by location.