Preconstruction Manager - Healthcare

Leadership & Strategy 

• Oversee the full preconstruction effort—from first estimate through subcontract finalization—for technically complex healthcare projects. 

• Lead multidisciplinary teams, driving alignment between owners, design partners, and DPR operations to ensure scope clarity, cost accuracy, and project readiness. 

• Serve as a trusted advisor to healthcare clients, providing clear, data-driven recommendations that support clinical operations, long-term facility performance, and capital planning. 

• Facilitate and often lead value engineering sessions that account for clinical flow, infection control, equipment planning, and regulatory requirements unique to the healthcare environment. 

• Guide strategic pricing, procurement, and risk assessment initiatives across all building system scopes. 

Estimating & Technical Expertise 

• Develop conceptual cost models for healthcare facilities using schematic or feasibility-level documents, ensuring accuracy across structural, MEP, medical gas, and specialized systems. 

• Conduct variance analyses, detailed quantity takeoffs, and cost scenario modeling as design evolves. 

• Prepare complete, presentation-ready estimate packages tailored to healthcare decision-makers, including cost drivers, phasing impacts, operational constraints, and alternatives. 

• Demonstrate deep understanding of unit costs and market factors affecting healthcare construction, including MEP complexity, equipment integration, and regulatory compliance. 

Trade Partner & Procurement Management 

• Prepare detailed bid instructions, trade clarifications, and comprehensive bid packages specific to healthcare scopes. 

• Lead the solicitation, analysis, and leveling of subcontractor proposals—including MEP, HVAC, fire protection, medical gas, imaging, and other specialized trades. 

• Provide subcontractor award recommendations and lead negotiations with trade partners to ensure best value, scope alignment, and risk mitigation. 

Client Engagement & Business Development 

• Represent DPR in request for proposal (RFP) responses, interviews, and formal project presentations. 

• Cultivate long-term relationships with health systems, design partners, and key industry stakeholders. 

• Identify and pursue new project opportunities, helping strengthen DPR’s presence in the healthcare sector. 

Contract & Risk Management 

• Review construction contracts with an eye for critical healthcare-specific clauses, including infection control, shutdown coordination, regulatory compliance, equipment commissioning, and damages provisions. 

• Provide informed guidance on project risk, phasing strategies, and constructability considerations unique to healthcare facilities. 

Qualifications: 

We seek a senior-level leader who is collaborative, detail-oriented, and capable of driving large, complex healthcare projects through preconstruction with confidence and precision. The ideal candidate will possess: 

• 10–15 years of experience as a commercial construction estimator or preconstruction leader, with substantial experience in healthcare. 

• Strong communication and listening skills, with the ability to present clearly to both technical and non-technical stakeholders. 

• Demonstrated success resolving complex issues, adapting to evolving design requirements, and proactively managing project risk. 

• Experience leading teams in a fast-paced, highly collaborative preconstruction environment. 

• Proficiency with Microsoft Office Suite, estimating software (WinEst, Timberline, or similar), take-off tools (On-Screen Takeoff or similar), BIM tools (Revit, Assemble, etc.), project management platforms (CMiC or similar), and scheduling tools (Primavera or similar). 

• Bachelor’s degree in Construction Management, Engineering, Architecture, or related field. 

• A strong work ethic, a proactive mindset, and a customer-first approach. 

• This position is salaried 

• This is NOT a remote role.