Senior Construction Manager in Nashville, Tennessee, United States
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HCA Healthcare

Senior Construction Manager

Nashville, TN, United States
Full-time • No Weekends
Real Estate and Construction   Job ID: 666814
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Do you want to join an organization that invests in you as a Senior Construction Manager? At HCA Healthcare, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years.


HCA Healthcare, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

  • Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as telemedicine services and free AirMed medical transportation.
  • Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
  • Fertility and family building benefits through Progyny
  • Free counseling services and resources for emotional, physical and financial wellbeing
  • Family support, including adoption assistance, child and elder care resources and consumer discounts
  • 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
  • Employee Stock Purchase Plan
  • Retirement readiness and rollover services and preferred banking partnerships
  • Education assistance (tuition, student loan, certification support, dependent scholarships)
  • Colleague recognition program
  • Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.

You contribute to our success. Every role has an impact on our patients’ lives and you have the opportunity to make a difference. We are looking for a dedicated Senior Construction Manager like you to be a part of our team.

Job Summary and Qualifications

This position is expected to possess a thorough understanding of strategies designed specifically for HCA and to apply them in all projects. The strategies include: standardization of process and design elements and strategic sourcing. It is the goal of the department to combat escalation and market forces through leveraging HCA’s scale.

This role provides leadership in construction for many of HCA’s Capital Projects. It has a great deal of interaction with hospital CEO’s, COO’s and the remainder of the hospital department leadership. Typical workload may span 20+/- separate facilities and may range from $200 to $600 million. Ordinarily individual project size may range from $3 million to approximately $30 million, occasionally managing a project under $3 million.

The position works very closely with the financial group, the corporate clinical services group, corporate real estate and the strategic planning group. Construction Management is housed within the much larger group consisting of Design, Medical Equipment and IT&S disciplines.

This position ensures incorporation of all HCA’s innovative capital productivity improvement measures into the design and construction strategies.

What you will do in this role:

Audit/Inspection Responsibilities

  • During the Construction Administration stage of construction 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.
  • The Construction Manager will 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 are meeting the needs of the facilities, and coordinate with Design Managers as necessary.
  • During course of a project, the site visits would include the following activities:
    • Observe construction activity to verify conformance with the contract documents and quality of workmanship. Identify and document any deficiencies.
    • Observe contractor’s field management personnel to verify the project is being properly and efficiently managed.
    • Evaluate and monitor the contractor’s project planning and scheduling activities to verify the proper emphasis is placed on this area to achieve a timely completion.
    • Follow-up and respond to coordination problems that routinely occur during installation of different systems. Initiate appropriate changes in the design if necessary.
    • Maintain relations with and manage expectations of hospital administration. Evaluate requests for changes in design/construction to determine if benefits are worth the additional costs. Communicate progress of construction and explain delays. Advise administration on operational features, improved construction, and changes to the schedule.
    • Assist contractors with interpretation of state and local building codes. As necessary explain/convince local authorities of interpretations based on logic and previous examples. Appeal as necessary.
    • Log progress and need for follow-up by contractors. Prepare written documentation routinely and job observation reports for each site visit.
    • Represent owner at state inspections of projects as necessary. Assist contractor and architect with response to state comments.
    • During the construction process, ensure phasing, plans, interim life safety measures and infection control risk assessments are established and followed in order to provide for safety of the public, staff and patients.

Administrative Responsibilities

  • Thorough reviews of project scope, changes to scope.
  • Provide budget and constructability feedback during pre-design process in order 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 in order to ensure the documents represent a constructible plan that allows for minimal interruption to hospital operations and unencumbered patient care.

Strategy Setting Responsibilities

  • Review and analyze budget during design process relative to past costs and corporate approved budget and project scope to determine and verify if the established objectives of the project can be attained within the corporate approved budget. Initiate appropriate action if necessary.
  • Coordinate with Capital Asset Management (CAMS) to ensure HCA’s capital objectives are met.
  • Work with Design Managers in developing the most strategically advantageous manner to take the projects to the bidding market
  • Manage project development budgets during pre-design and plan development in order to maximize the use of capital funds in conjunction with the Preconstruction Manager’s review.
  • Collaboratively prepare Certificate of Need (CON) budgets with the Preconstruction Manager to support any state CON submittals. Provide deposition when required.

Analytics/Forecasting Responsibilities

  • Use baseline benchmark costs from the cost history database to set the targets for any project; use the benchmarks to understand cost.
  • Study the builders 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. This is the final budget analysis to be compared against prior comparable costs and the corporate budget before construction begins.
  • Work collaboratively with the department’s project management office regarding incorporation of offsite fabricated components, maximizing the incorporation into HCA designs.

Leadership Responsibilities

  • Lead and participate in coordination meetings with all internal and external team members. Make necessary decisions on issues that arise. Monitor contractor’s schedule and quality control process. Initiate any action necessary.
  • Meet with state and local authorities to represent the company’s interest on project scope, design issues and code issues. Appeal to local jurisdiction as necessary.
  • Coordinate with CAMS to ensure HCA’s capital objectives are met.
  • Ensure construction coordination among the HCA Planner, Design Manager, Medical Equipment Manager, IT&S and Telecom Manager and the HCA Construction Manager.
  • Supervise risk management on capital projects relative to design, public/patient/staff safety and contractual obligations.
  • From time to time this position may need to facilitate CON submittals. In the event of a CON hearing, provide deposition and testimony if necessary.
  • Responsible for maintaining budget and schedule. Maintain a financial report by project to track and manage all costs associated with the construction budgets. Process any necessary capital increase requests with the appropriate justification.

Group Leadership Responsibilities

  • In the course of budgeting and bidding stages of project development activities may include: solicitation, site visit, pricing formatting and development of phasing as necessary to develop budgets for projects.
  • As Development Books arrive and the budgeting process begins communicate immediately to everyone expected to generate budget numbers the timeline for budgeting activity.
  • Create and maintain a cooperative working relationship to promote a high level of employee morale and esprit de corps.


  • Perform miscellaneous duties as assigned.
  • On an as needed basis, provide emergency assistance to facilities in the event of catastrophic natural events, i.e. hurricane response.
  • Manage multiple other disciplines within the department as requested.
  • In advancing the agenda of improvement, engage architects and engineers on as-needed basis for additional design or construction services.
  • Implement and manage various initiatives designed to enhance process and improve cost.
  • As requested by HCA Group Leadership, manage or provide oversight to construction projects less than $5 million in capital.

Education & Experience

  • Bachelor’s degree required
  • Minimum 10 years experience with a builder or owner working on multiple healthcare project sites; preferably large complex project experience required
  • Extensive healthcare construction experience.
  • Knowledge of healthcare construction costs.
  • Demonstrated leadership qualities in project management.
  • Demonstrated ability to lead/manage a team of professionals.
  • Ability to work collaboratively as part of a team; self-motivated.
  • Above average interpersonal skills.
  • This job may require up to 75% travel
  • This role requires you to be fully vaccinated for COVID-19 based on local, state and /or federal law or regulations (unless a medical or religious exemption is approved).

HCA Healthcare (Corporate), based in Nashville, Tennessee, supports a variety of corporate roles from business operations to administrative positions. Like our colleagues in any HCA Healthcare hospital, our corporate campus employees enjoy unparalleled resources and opportunities to reach their potential as healthcare leaders and innovators. From market rate compensation to continuing education and career advancement opportunities, every person has a solid foundation for success. Nashville is also home to our Executive Development Program, where exceptional employees are groomed to take on CNO- and COO-level roles in our hospitals. This selective program focuses on ethics, leadership and the financial and clinical knowledge required of professionals at this level of the industry.

HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

"Good people beget good people."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder

We are a family 270,000 dedicated professionals! Our Talent Acquisition team is reviewing applications for our Senior Construction Manager opening. Qualified candidates will be contacted for interviews. Submit your resume today to join our community of caring!

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

This position is incentive eligible.


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Full-time • No Weekends

COVID-19 Vaccination

In compliance with the emergency regulation issued by the Centers for Medicare & Medicaid Services (CMS) dated November 4, 2021, and company policy, this role MAY require you to be fully vaccinated for COVID-19 based on local, state and /or federal law or regulations, or to have applied for a medical or religious exemption (including booster for California). (For further clarification, please ask your recruiter.)

About HCA Healthcare

What matters most to our diverse and talented colleagues is giving people the absolute best healthcare in the most compassionate way possible.

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