Preconstruction Manager (Healthcare)

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 healthcare projects, including occupied hospital renovations, medical office buildings, surgical centres, critical care environments, and new healthcare facilities. This role serves as a strategic partner to owners, architects, engineers, and internal project teams, driving accurate cost modelling, project planning, constructability reviews, and procurement strategies throughout the preconstruction process. Summary 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 healthcare projects, including occupied hospital renovations, medical office buildings, surgical centres, critical care environments, and new healthcare facilities. This role serves as a strategic partner to owners, architects, engineers, and internal project teams, driving accurate cost modelling, project planning, constructability reviews, and procurement strategies throughout the preconstruction process. As Healthcare Preconstruction Manager, you will oversee the development of conceptual budgets, GMP proposals, value engineering recommendations, and project execution strategies while identifying project risks unique to healthcare construction, including phased renovations, infection prevention requirements, regulatory compliance, and maintaining uninterrupted patient care. The Healthcare Preconstruction Manager reports directly to the Director of Preconstruction Services. Essential Functions 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. Coordinate closely with owners, architects, engineers, consultants, and project teams to provide 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. Qualifications 7+ years of preconstruction or estimating experience within commercial construction. Significant healthcare construction experience preferred, including hospitals, medical office buildings, surgical centres, 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 organisational skills. Proven ability to build relationships with owners, healthcare providers, architects, engineers, consultants, and subcontractors. About Ajax Founded in 1958, Ajax Building Company is a leading commercial contractor delivering complex, high‑impact projects across the Southeast. Our work spans healthcare, K–12, higher education, justice, municipal, mission critical, and other institutional markets—giving our teams the opportunity to build projects that truly impact the communities they serve. At Ajax, you’ll find a collaborative, team‑oriented culture where your contributions are valued, backed by the strength and stability of STO Building Group’s $15B global platform. As we continue to grow, our employees take on meaningful responsibility, gain exposure to diverse and challenging work, and have clear paths for career advancement. Benefits Medical Insurance Dental Insurance Vision Insurance Health Savings Account Healthcare Flexible Spending Account Dependent Care Flexible Spending Account 401(k) retirement plan with employer match Life & AD&D Insurance Long‑term Disability Insurance Short‑term Disability insurance Critical Illness Insurance Accident Insurance Hospital Indemnity Insurance Home & Auto Insurance Family Support Pre‑tax Paid Parking/Public Transportation Paid time off Time Away Benefits Paid Holidays Group Legal Employee Stock Purchase Plan Identity Theft Protection Pet Insurance Employee Assistance Program Eeo Statement We are an equal opportunity employer. We evaluate qualified applicants without regard to race, colour, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics. About Us What We Do: We build. From workplaces and hospitals to hotels and cultural centres. We build the amazing places that define communities. Our services span the full lifecycle of construction—starting with site evaluations and preconstruction through to commissioning, close‑out, and beyond. The STO Building Group family of companies—Structure Tone, Structure Tone Southwest, Pavarini Construction Co., Pavarini McGovern, LF Driscoll, Govan Brown, Ajax Building Company, BCCI Construction, Layton Construction, Abbott Construction, and RC Andersen—includes over 4,000 employees located in offices throughout the US, Canada, UK, and Ireland. We provide a complete range of construction services, from site selection analysis, design constructability review and aesthetic enhancements to interior fit‑outs, new building construction, and building infrastructure upgrades and modernisation. Learn more about how we partner with our clients to imagine, execute, and realise their vision at stobuildinggroup.com. #J-18808-Ljbffr STO Building Group