The Associate Director for Design & Construction provides preconstruction, design management, and/or construction management for implementation of approved capital design and construction projects as well as program level projects over multiple facilities; provides estimating, design, and/or construction guidance, support and oversight on corporate development projects and initiatives and assists field operations during construction completion, project turnover, and initiative implementation. The position will develop program level scopes of work, multi-year initiative schedules, and program level budgets as identified by operations. The position will review plans and specifications with contractors, subcontractors, vendors, and hospital administration. The position will develop project schedules and review with designers, contractors, and vendors. The position will develop project and program budgets and track project costs and changes against project budgets.