Associate Principal/Director (Healthcare)

Cumming Group•Seattle, WA

1d•$200,000 - $250,000•Hybrid

About The Position

This position is with Seneca Group, a Cumming Group affiliate, who delivers top-tier real estate advisory and development management services on projects ranging from 10,000 to over 1 million square feet across corporate office, education, luxury residential, civic and cultural, healthcare, and life sciences across North America and select EMEA and APAC markets. As part of Seneca Group’s continued growth, we are seeking a skilled Associate Principal/Director with healthcare experience delivering large to medium-scale projects. This position with be based in our Seattle, WA office with opportunity to support other markets if interested. This role will play a key part in providing superior client service, delivering exceptional projects, and supporting the continued growth of the firm. The Associate Principal/Director is a leadership role responsible for guiding complex healthcare capital projects and programs while providing strategic leadership to clients, project teams, and the broader office. This position builds upon core development management responsibilities with an elevated focus on healthcare planning and delivery, client and account leadership, mentorship, and contribution to office operations and growth. The Associate Principal/Director serves as a trusted advisor to healthcare executives, facilities leaders, clinical stakeholders, and project teams, leading projects from strategic planning and programming through design, regulatory review, construction, activation, and closeout. In parallel, the role actively shapes team culture, develops future leaders, supports healthcare business development and account growth, and partners with firm leadership to advance Seneca Group’s strategic objectives.

Requirements

Demonstrated expertise in healthcare development and project management, including delivery of complex projects and programs in active healthcare environments.
Advanced knowledge of healthcare design and construction standards, terminology, clinical program types, and regulatory review processes.
Demonstrated understanding of infection prevention requirements, including ICRA/PCRA processes and procedures in critical-care and occupied environments.
Experience partnering with clinical end users, facilities, infection prevention, IT, security, equipment planning, and operational leadership through design, construction, activation, and implementation.
Familiarity with Lean Construction, Integrated Project Delivery (IPD), target value delivery, and modular/prefabrication strategies.
Proven ability to lead large, multidisciplinary teams, facilitate clinical and operational stakeholder engagement, and mentor senior professionals.
Strong financial acumen, including capital planning, development budgeting, forecasting, cash flow management, and evaluation of project and program contingencies.
Advanced problem-solving and risk management capabilities, including management of operational continuity, infection prevention, phasing, shutdowns, and patient/staff impacts.
Exceptional written and verbal communication skills, including executive-level presentations.
Ability to balance project execution responsibilities with broader business and leadership objectives.
Strong client leadership skills with a consultative, solutions-oriented mindset.
Bachelor’s degree required in Construction Management, Engineering, Architecture, Real Estate, or a related field.
Minimum of 15+ years of demonstrated experience in healthcare development management, project/program management, design, engineering, construction, or facilities capital delivery, including significant leadership and client-facing responsibilities.
Deep sector-specific expertise in healthcare, including hospitals, ambulatory care, clinical, diagnostic, research, infrastructure, and/or occupied-facility renovation projects.
Experience managing construction and renovation work in active healthcare facilities, including complex phasing, shutdowns, temporary conditions, and continuity-of-operations requirements.
Knowledge of Washington State Department of Health requirements and local healthcare entitlement and permitting processes; comparable regulatory experience in other jurisdictions is also valued.
Experience leading healthcare master planning, capital program planning, medical equipment coordination, transition/activation planning, and/or major infrastructure renewal is preferred.
Established healthcare client and industry relationships and market presence within the Puget Sound and/or broader Pacific Northwest region.
Experience contributing to healthcare business development, account growth, pursuit strategy, staffing, and office operations.
Experience delivering large-scale, complex development projects.

Responsibilities

Lead one or multiple complex healthcare projects or capital programs of varying scale, including work within active and critical-care environments.
Establish and oversee healthcare development and delivery strategies, including feasibility and business-case analysis, programming, phasing, regulatory and entitlement pathways, procurement strategies, budgets, schedules, activation planning, and delivery plans.
Maintain accountability for project and program scope, cost, schedule, quality, safety, operational continuity, and risk management throughout the project lifecycle.
Oversee entitlement, permitting, Department of Health and other healthcare regulatory review, agency coordination, and compliance efforts.
Direct and integrate multidisciplinary teams, including architects, engineers, contractors, medical equipment planners, technology specialists, infection prevention representatives, transition/activation teams, and other specialty consultants.
Review and validate cost estimates, value engineering and target-value-design recommendations, contractor pricing, contingencies, escalation assumptions, and healthcare-specific allowances.
Negotiate and administer major consultant, construction, medical equipment, and development-related contracts in alignment with client procurement and governance requirements.
Provide senior-level construction management oversight to ensure alignment with healthcare operational, clinical, infection prevention, safety, quality, and development objectives.
Direct phasing, shutdown, interim life safety, infection control, and operational readiness strategies for work in occupied healthcare facilities.
Oversee transition, activation, move-readiness, and occupancy planning in coordination with client operations, clinical teams, and end users.
Along with the Principal, serve as the primary senior point of contact for assigned healthcare clients, programs, and accounts.
Build and sustain long-term, trusted client relationships through proactive communication, responsiveness, and performance excellence.
Lead executive and stakeholder decision-making processes by presenting clear analyses, options, recommendations, and implications for patient care, operations, cost, schedule, and risk.
Identify opportunities to expand services within existing healthcare accounts and support revenue growth through repeat work, program extensions, and follow-on capital initiatives.
Partner with firm leadership to support healthcare proposal development, interviews, contract negotiations, account planning, and staffing strategies.
Lead, mentor, and develop internal project teams through coaching, performance feedback, and professional development planning.
Foster a culture of accountability, collaboration, and continuous improvement.
Guide senior project staff in managing complex healthcare client relationships, clinical and operational stakeholder needs, regulatory requirements, and project challenges.
Support recruitment, onboarding, and training of new team members.
Contribute to healthcare business development by participating in pursuits, supporting account strategies, and fostering relationships with healthcare owners, designers, contractors, and industry partners.
Represent Seneca Group’s values and leadership philosophy in both internal and external settings.
Promote best practices, knowledge sharing, and process improvements across teams.
Perform other duties as assigned.
Maintain regular attendance during normal business hours, with on-site presence at the office and project sites as required.