Healthcare Preconstruction Manager

About the role

Ajax Building Company, part of the STO Building Group, is seeking an experienced Healthcare Preconstruction Manager to lead the estimating, budgeting, and preconstruction planning efforts for complex healthcare projects.

Responsibilities

• Lead preconstruction services for complex healthcare construction projects from conceptual estimating through project turnover to Operations.
• Develop conceptual budgets, detailed estimates, GMP proposals, value engineering analyses, and cost models throughout all phases of design.
• Oversee subcontractor solicitation, bid leveling, scope reviews, and buyout strategies to support successful project execution.
• Cook up budgeting, constructability reviews, scheduling input, and cost guidance throughout design development.
• Identify project risks related to occupied healthcare environments, including phased construction, utility shutdowns, infection prevention requirements, temporary facilities, logistics, and maintaining uninterrupted hospital operations.
• Review healthcare-specific project requirements, regulatory standards, and owner guidelines to ensure estimates and project plans accurately reflect project complexity.
• Develop and present design-phase deliverables, cost reports, budget updates, and GMP proposals to owners and internal leadership.
• Evaluate design changes and provide cost analyses, alternates, and value engineering recommendations while maintaining project quality, patient safety, and operational continuity.
• Maintain historical cost data, benchmarking information, estimating standards, and forecasting methodologies to improve pricing accuracy and consistency.
• Partner closely with Operations during project turnover to ensure a seamless transition from preconstruction through construction.
• Build and maintain strong relationships with healthcare systems, architects, engineers, consultants, subcontractors, and industry partners to support repeat business and future opportunities.
• Support business development efforts through client presentations, proposal development, interview participation, and conceptual budgeting.

Requirements

• 7-10+ years of preconstruction or estimating experience within commercial construction.
• Significant healthcare construction experience preferred, including hospitals, medical office buildings, surgical centers, or comparable healthcare facilities.
• Experience leading preconstruction efforts for occupied healthcare renovations strongly preferred.
• Bachelor's degree in Construction Management, Civil Engineering, Architecture, or related field, or equivalent combination of education and relevant experience.
• Strong understanding of commercial construction methods, building systems, constructability, estimating, procurement, and project planning.
• Working knowledge of healthcare construction regulations and best practices, including ICRA, ILSM, AHCA requirements (or comparable healthcare regulatory environments), phased construction, and occupied facility logistics preferred.
• Experience developing conceptual estimates, detailed estimates, GMP proposals, value engineering studies, and procurement strategies.
• Strong interpersonal, communication, presentation, negotiation, and organizational skills.
• Prioritize building relationships with owners, healthcare providers, architects, engineers, consultants, and subcontractors.

Qualifications

• Experience leading preconstruction efforts for occupied healthcare renovations strongly preferred.
• Strong understanding of commercial construction methods, building systems, constructability, estimating, procurement, and project planning.
• Working knowledge of healthcare construction regulations and best practices, including ICRA, ILSM, AHCA requirements (or comparable healthcare regulatory environments), phased construction, and occupied facility logistics preferred.
• Experience developing conceptual estimates, detailed estimates, GMP proposals, value engineering studies, and procurement strategies.
• Strong interpersonal, communication, presentation, negotiation, and organizational skills.
• Prioritize building relationships with owners, healthcare providers, architects, engineers, consultants, and subcontractors.