Senior Cost Manager – Healthcare Construction

Turner & Townsend

Senior Cost Manager at Turner & Townsend ensuring client objectives through value-added cost management in healthcare construction. Collaborating with contractors and leading negotiation processes.

Posted 6/5/2026full-timeRemote • Virginia • 🇺🇸 United StatesSeniorWebsite

About the role

Key responsibilities & impact

Act as the key, day to day client interface, ensuring client objectives are met through value-added cost management service
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 accuracy of their data
Communicate or meet with the general contractor and owner of 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
Manage cost checks and carry out valuations on larger projects
Complete timely, accurate cost checking and valuation processes
Participate effectively with post-contract cost variances and 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 and estimates through the design phase, delivering updated cost plans at appropriate design milestones
Provide commercial input to design optioneering and value engineering exercises
Review contractor and subcontractor pricing and lead negotiations on behalf of the client
Perform quantity surveying, cost controls, and change management activities throughout the project lifecycle
Ensure post-contract cost variances and change control processes are managed effectively
Manage cost auditing and valuation work
Carry out production of monthly cost reports for presentation to clients
Ensure final accounts are negotiated and agreed upon in a timely manner
Compile built cost estimate records for benchmarking purposes
Identify, coach and mentor talent to realize their potential

Requirements

What you’ll need

Bachelor’s degree in construction management, cost management, quantity surveying, engineering or field related to construction
Minimum 5-7 years of relevant experience working in a cost management role in the construction industry
RICS accredited or working towards it is preferred
Experience of leading cost management on medium or large sized construction projects of medium to high complexity
Construction consultancy experience is strongly preferred
Good knowledge of construction industry technical matters, such as different procurement routes, value management, and value engineering
Excellent communication skills

Benefits

Comp & perks

Flexible working arrangements
Professional development
Health insurance
Paid time off

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

cost managementestimatingnegotiationcost planningquantity surveyingcost controlschange managementcost auditingvaluation processesvalue engineering

Soft Skills

communicationleadershipcoachingmentoringproactive work ethiccollaborationpresentation skillsclient interfacestatus reportingproblem-solving

Certifications

Bachelor’s degree in construction managementRICS accreditation