Sr. Construction Manager

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Day - 08 Hour (United States of America)

This is a Stanford Health Care job.

A Brief Overview

The Senior Construction Manager is an advanced individual contributor responsible for leading the planning, coordination, execution and financial control of multiple complex healthcare construction projects. This role provides expert owner's senior field representative, providing expert construction oversight while projects are delivered safely, on schedule, within approved budgets, and in compliance with contractual and regulatory requirements. This role specializes in advanced construction methods, complex site logistics, regulatory compliance, and resolution of unforeseen field conditions. The Senior Construction Manager drives operational excellence by enforcing standardized procedures, piloting new technologies and lean construction practices, improving cost, schedule and quality outcomes across construction projects. As a senior technical resource, this position provides guidance to Construction Managers, supports accurate forecasting and reporting, and ensures all cost-related actions are fully documented, auditable, and consistent with contract terms and departmental procedures. This role requires presence at multiple Stanford Health Care facilities and regular presence on active construction sites across the Bay Area to lead field execution, coordination, and compliance activities.

Locations

Stanford Health Care

What you will do

• Support General Contractor procurement for construction projects, including development of the Request for Qualifications and Request for Proposals from the General Contractors. Support of bid evaluation, scope alignment, cost comparisons, and documentation required for award and contract execution.

• Lead advanced constructability reviews, sequencing analysis, and resolution of technical field issues, evaluating potential cost, productivity, and schedule implications and recommending mitigation strategies consistent with contract requirements.

• Oversee field execution of multiple complex construction projects, ensuring compliance with approved contract documents, safety plans, infection control requirements, and regulatory authorities, while proactively managing cost, schedule, and scope impacts arising from field conditions.

• Serve as a senior resource for schedule and cost recovery planning, reviewing CPM (Critical Path Method) schedules, cost-loaded activities, recovery schedules, and fragmentary schedule impacts associated with changes.

• Conduct daily site walks, safety audits, quality inspections, and regulatory reviews, including preparing accurate and auditable field reports, cost-impact logs, and documentation required for compliance, billing, and dispute avoidance.

• Provide senior oversight on project cost controls, including: administration and negotiation of change orders, potential change orders (PCOs), and field work directives (FWD)

• In collaboration with Facilities Services Business Operations & Strategic Initiatives (BOSI), monitor and manage project cash flow, commitments, contingencies, and forecasted cost exposure, supporting accurate financial reporting and quarterly billing projections.

• Coordinate directly with trade contractors, inspectors, testing agencies, and regulatory authorities to resolve technical, quality and compliance issues, ensuring timely resolution and minimizing rework, delay, and cost escalation.

• Review and validation of contractor pricing, labor rates, markups, and backup documentation

• In collaboration with Facilities Services Business Operations & Strategic Initiatives (BOSI), monitor not-to-exceed limits for time-and-material work and ensuring compliance with contractual cost provisions

• Review, validate, and recommend approval of monthly payment applications, confirming percent complete through site verification, reconciling stored materials, ensuring required documentation is complete, and protecting the Owner's financial interests

• Coordinate regulatory readiness and compliance activities (e.g., Department of Health Care Access and Information (HCAI) and Office of Statewide Hospital Planning and Development (OSHPD) submissions, testing, inspection & observation (TIO) documentation, and coordination with the Inspector of Record (IOR)) to ensure documentation is organized and accessible for audits and surveys.

• Under the supervision of the Facilities Services Sr. Director/Director of Construction, support quality assurance and quality control processes, including mock-ups, first-of-kind reviews, inspections, commissioning and activation; assist with packaging operations & maintenance (O&M) manuals, as-built drawings, warranties, training documentation, and other close out deliverables required for construction project turnover.

• Develop, implement and enforce site logistics plans, temporary works, shutdown sequencing, and infection control barriers, ensuring operational continuity and documenting associated cost impacts, allowances or change requirements.

• Partner with Facilities Management, Facility Field Services, Environmental Health & Safety, Infection Prevention, and Clinical partners on facility impacts

• Lead post-construction and closeout activities, including commissioning, punch list completion, final inspections, reconciliation of final costs, warranty administration, and coordination of documentation required for final payment and acceptance.

• Drive continuous improvement in field operations, cost controls, safety culture, and construction delivery methods by identifying systemic risks, inefficiencies, and cost drivers and implementing corrective actions.

• Participate and lead in training related to construction practices, cost controls, safety protocols, regulatory requirements, sustainability initiatives, and innovative construction delivery methods as directed by construction leadership.

• Pilot and evaluate new construction technologies and lean practices (e.g., drones, robotics, digital quality assurance (QA)/ quality control (QC) tools, assessing both operational benefits and cost effectiveness for field implementation.

• Mentor and coach Construction Managers and field staff in construction procedures, cost management best practices, change administration, payment verification, and regulatory compliance.

Education Qualifications

• Bachelor's degree from an accredited college or university required (construction management, engineering, architecture, or related field preferred).

Experience Qualifications

• Five (5) to seven (7) years of progressively responsible and directly related experience supporting construction projects, preferably in healthcare or other complex, occupied environments required.

Required Knowledge, Skills and Abilities

• Advanced knowledge of construction means, methods, and sequencing in healthcare environments, including requirements and processes of the California Department of Health Care Access and Information (HCAI)/Office of Statewide Health Planning and Development (OSHPD).

• Demonstrated expertise in site logistics, infection control, and field safety protocols specific to California healthcare construction.

• Proven ability to independently resolve complex technical and regulatory challenges in the field, including unforeseen site conditions and compliance issues.

• Strong proficiency with digital field tools and construction technology, such as mobile quality assurance/quality control (QA/QC) applications, Building Information Modeling (BIM) for field use, drones, and robotics; ability to pilot and implement new technologies (artificial intelligence).

• Deep understanding of Lean construction principles and continuous improvement methodologies.

• Exceptional analytical and critical thinking skills; able to synthesize data and make sound, timely decisions in a fast-paced environment.

• Excellent written and verbal communication skills for technical reporting, regulatory documentation, and stakeholder engagement.

• Ability to mentor and train field staff and junior construction managers in technical best practices, safety, and regulatory compliance.

• Commitment to sustainability, innovation, and adoption of emerging best practices in construction delivery.

• High degree of initiative, accountability, and professional integrity; models Stanford Health Care's C-I-CARE values (Connect, Introduce, Communicate, Ask, Respond, Exit) and fosters a culture of respect, collaboration, and service excellence.

• Technologically adept and adaptable; thrives in a dynamic, rapidly changing environment and embraces new tools and workflows.

• Strong organizational skills with meticulous attention to detail and the ability to manage multiple priorities and deadlines.

Preferred Knowledge, Skills and Abilities

• Design Standards

• Applicable building codes

These principles apply to ALL employees:

SHC Commitment to Providing an Exceptional Patient & Family Experience

Stanford Health Care sets a high standard for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt and execute C-I-CARE standards for all of patients, families and towards each other. C-I-CARE is the foundation of Stanford's patient-experience and represents a framework for patient-centered interactions. Simply put, we do what it takes to enable and empower patients and families to focus on health, healing and recovery.

You will do this by executing against our three experience pillars, from the patient and family's perspective:

• Know Me: Anticipate my needs and status to deliver effective care

• Show Me the Way: Guide and prompt my actions to arrive at better outcomes and better health

• Coordinate for Me: Own the complexity of my care through coordination

Equal Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements.

Base Pay Scale: Generally starting at $70.52 - $93.43 per hour

The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage.

At Stanford Health Care, we seek to provide patients with the very best in diagnosis and treatment, with outstanding quality, compassion and coordination. With an unmatched track record of scientific discovery, technological innovation and translational medicine, Stanford Medicine physicians are pioneering leading edge therapies today that will change the way health care is delivered tomorrow.

As part of our spirit of discovery, we also leverage our deep relationships with luminary Silicon Valley companies to develop new ways to deliver preeminent patient care.

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