Senior Cost Manager, Healthcare Construction

Job overview

The Senior Cost Manager, Healthcare Construction role supports major healthcare construction programs in the San Diego, CA area. The posting notes that onsite presence and requirements may change with client needs. The annual base salary range is $145,000–$170,000 USD. Turner & Townsend provides program, project, cost, and commercial management services. The role leads cost management across complex hospital and medical facility projects, helping clients manage budgets, changes, procurement, and financial risks from planning through delivery. It supports project outcomes through cost analysis, stakeholder coordination, and clear reporting.

What you'll do

• Develop cost plans, budgets, and estimates
• estimate and negotiate change orders
• review contractor pricing and support procurement
• manage cost controls, valuations, contingency, and change processes
• coordinate value engineering
• prepare monthly cost reports
• support risk mitigation and final account negotiations
• ensure cost management follows client requirements and applicable standards
• mentor talent.

What we're looking for

Skills & competencies

senior cost manager

healthcare construction

cost planning

cost estimating

cost controls

quantity surveying

change management

procurement

san diego ca

turner & townsend

$145k–$170k/year

Work arrangement

• Weekend coverage required

Benefits & perks

• Employees may be eligible for bonuses and a comprehensive benefits package.

Why this role

The posting describes a comprehensive benefits package and possible bonus eligibility.

About the employer

Turner & Townsend is hiring for this role. Industry: All Other Professional, Scientific, and Technical Services. Sector: 54.