Director of Construction

HCA Healthcare • Nashville, TN

18d

About The Position

The Director of Construction provides leadership and corporate representation for HCA capital construction projects, with overall responsibility for project health across a typical portfolio of 10–15 facilities. Projects may represent $200 million to $600 million in total capital investment, with individual project values ranging from $5 million to approximately $100 million. The role applies broad knowledge of building development, budgeting, hospital operations, contracting, scheduling, constructability, safety, and quality assurance. It interacts regularly with division and hospital leadership and requires the ability to manage multiple people, teams, and interests. Travel is estimated at 75%.

The position develops, implements, and enforces strategies and programs to improve the efficiency, productivity, and profitability of capital construction investments and to address industry pressures such as cost escalation, limited product availability, and declining skilled labor. It coordinates with internal teams and external project participants, oversees budgets, schedules, quality, risk, and contracts, and represents the company in dealings with authorities and jurisdictions. It also reviews project estimates, bids, budgets, agreements, changes, and construction work to ensure projects meet approved scope, funding, quality, and operational needs.

Requirements

• Bachelor’s degree required.
• 15+ years of experience with a builder or owner working on multiple healthcare project sites.
• Extensive healthcare construction experience.
• Knowledge of healthcare construction costs.
• Working knowledge of varying healthcare service lines.
• Demonstrated ability to lead and manage multiple projects simultaneously.
• Demonstrated leadership experience.
• Demonstrated ability to lead and manage a group of professionals and Construction Managers.
• Ability to work collaboratively as part of a team and be self-motivated.
• Above-average interpersonal skills.

Nice To Haves

• Experience with large, complex healthcare projects is preferred.

Responsibilities

• Lead external coordination among designers, contractors, subcontractors, and vendors across multiple facilities.
• Coordinate internally with planning, design, equipment, capital strategy and optimization, preconstruction, ITG, FacilitiGroup, HPG sourcing, legal, real estate, and accounting.
• Monitor contractors’ budgets, schedules, and quality-control processes, and initiate actions needed to maintain approved project scope and achieve successful completion.
• Promote cooperative working relationships and employee morale.
• Represent the company to state and local authorities on project scope, design, and code issues; negotiate with local jurisdictions as necessary.
• Facilitate CON submittals when needed and provide deposition or testimony in the event of a CON hearing, if necessary.
• Oversee risk management relating to design, public, patient and staff safety, and contractual obligations.
• Maintain project financial reporting, track construction costs, and submit justified capital increase requests when necessary.
• Develop and implement construction strategies and programs with Capital Strategy and Optimization and Design Management, and monitor project-specific adherence.
• Review design-stage estimates against historical costs, corporate-approved budgets, and project scope; determine whether project objectives can be met within budget and initiate appropriate action.
• Develop advantageous contract methods, contract structures, and buying strategies for projects going to market.
• Use benchmark costs to establish project targets and assess costs.
• Review builders’ subcontractor and supplier solicitation lists for adequate and appropriate bidders.
• Analyze fees and construction administration costs, and analyze and approve contractor final bids.
• Assess risks related to subcontractor pricing, schedules, and bonding requirements, and compare final budget analysis with comparable costs and the corporate budget before construction begins.
• Thoroughly review project scope and scope changes, and provide pre-design budget and constructability feedback to maximize capital use.
• Review agreements, contracts, invoices, and change orders.
• Conduct pre-design site investigations to confirm documents represent a constructible plan that minimizes interruption to hospital operations and supports uninterrupted patient care.
• Review Design Change Authorizations during construction administration and ensure compliance with approved funding and scope.
• Provide ultimate oversight of project quality and work with leadership on responses to internal contractor audits.
• Work with the general contractor on pricing for the request for budget and duration (RBD), and conduct preliminary reviews of final draft budgets before the Assistant Vice President’s final review.
• Visit hospitals routinely to attend monthly Owner Architect meetings, provide direction, monitor contractor quality and performance, represent design needs in the field, and coordinate with Design Managers.

Benefits

• Comprehensive medical, prescription drug, dental, vision, behavioral health, and telemedicine benefits.
• Wellbeing support, including free counseling and referral services.
• Paid time off, paid family leave, long- and short-term disability coverage, and leaves of absence.
• 401(k) plan with a 100% match on 3% to 9% of pay, based on years of service.
• Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support, and financial wellbeing counseling.
• Tuition assistance, student loan assistance, certification support, dependent scholarships, and a partnership with Galen College of Nursing.
• Fertility and family-building benefits and adoption assistance.
• Life insurance and supplemental health protection plans.
• Auto and home insurance, legal counseling, identity theft protection, and consumer discounts.

What This Job Offers

• Job Type: Full-time
• Career Level: Director