Senior Facilities Construction Manager

Neighborhood Healthcare•Escondido, CA

About The Position

The Senior Facilities Construction Manager leads Neighborhood Healthcare’s facilities construction portfolio, including major renovations, expansions, relocations, infrastructure improvements, and capital projects. The role translates organizational priorities into construction plans aligned with operational, clinical, financial, regulatory, and strategic goals. It oversees portfolio planning, prioritization, capital forecasting, construction risk management, vendor performance, and reporting, while establishing consistent project governance and construction management practices. The position also directly manages selected complex, high-risk, high-value, or strategically significant projects from initiation through closeout and supervises, coaches, and provides technical guidance to construction management staff. The role works with internal departments and external project partners to manage budgets, schedules, scope, procurement, construction quality, compliance, activation, turnover, and closeout. It ensures construction work meets applicable requirements, including California building codes and healthcare-related regulations. The position also provides portfolio and project updates to leadership and supports the development and performance of Facilities Construction staff.

Requirements

Bachelor’s degree in Construction Management, Architecture, Engineering, Business Administration, Healthcare Administration, Project Management, or a related field.
At least 8 years of progressively responsible construction or capital project management experience, including complex projects (OSHPD and OSHPD 3) from design through construction, activation, and closeout.
At least 3 years of experience leading, supervising, or providing formal work direction to construction project managers or related professional staff.
Experience managing multiple concurrent construction projects and coordinating priorities, resources, budgets, dependencies, and risks across a project portfolio.
Demonstrated experience with capital planning, budget development, financial forecasting, contractor procurement, contract administration, change control, and executive reporting.
Experience with OSHPD/HCAI.
Current OSHA training certification.
Proficiency with MS Office, personal computers, and office automation software, including word processing, spreadsheets, and databases.
Understanding of California building codes and regulations, and knowledge of local, state, and federal building standards.
Ability to read and understand construction drawings.
Proficiency in Procore construction software.
Ability to lift or carry 50 pounds and stand for long periods.
Ability to follow safety procedures, infection-control procedures, blood-borne pathogen protocols, patient and employee privacy requirements, and corporate integrity and security obligations.

Nice To Haves

Project Management Professional certification, Certified Construction Manager credential, a master’s degree, or comparable advanced construction management qualification.
Experience managing construction within a multi-site healthcare environment.
Healthcare construction experience involving occupied clinical environments, operational continuity, infection-control considerations, or regulatory requirements.
Experience with project management software; MS Project is preferred.

Responsibilities

Lead and oversee the facilities construction portfolio, ensuring projects align with organizational strategy, operational and clinical needs, financial capacity, and regulatory obligations.
Maintain an integrated view of project scope, schedule, budget, risks, dependencies, resource capacity, operational impact, and readiness; monitor portfolio health and initiate corrective action when needed.
Recommend project prioritization and sequencing, and provide construction analysis and expertise to the Senior Director of Facilities and organizational leadership.
Establish and improve standardized construction project management methodologies, controls, templates, approval processes, documentation requirements, readiness criteria, and reporting practices.
Promote consistent use of Procore, schedules, financial tracking tools, risk and change logs, and executive reporting materials.
Oversee construction portfolio financial performance, including budgets, commitments, expenditures, forecasts, contingencies, change orders, variances, costs at completion, financial exposure, and emerging risks.
Partner with Finance, Contracts, Procurement, and operational leaders on capital planning, contracting, invoice review, payment administration, financial closeout, and escalation of financial risks.
Directly manage assigned complex, high-risk, high-value, or strategically significant projects through planning, design, permitting, procurement, construction, activation, turnover, and closeout.
Develop project plans defining scope, budget, schedule, governance, stakeholders, decision authority, risks, dependencies, communications, readiness, and success measures.
Lead architects, engineers, contractors, consultants, vendors, and internal stakeholders to achieve project objectives, resolve issues, document decisions, assign responsibilities, and complete deliverables on time.
Oversee design development, construction activities, contractor performance, scope changes, change-order review, quality control, safety coordination, schedule adherence, documentation, contractual compliance, and authorizations.
Coordinate activation and transition activities, including move planning, FF&E, IT, security, Facilities, laboratory services, nursing, clinical operations, licensing, training, inspections, commissioning, warranties, record documents, and financial reconciliation.
Ensure projects comply with applicable federal, state, and local requirements, California building codes, permitting requirements, organizational policies, safety standards, healthcare construction requirements, and applicable HCAI, licensing, accessibility, life-safety, infection-control, and environmental requirements.
Provide portfolio-level oversight of architects, engineers, contractors, consultants, and vendors, including performance expectations, vendor selection, contract support, relationship management, corrective action, and recommendations regarding continuation, remediation, or replacement.
Prepare and present portfolio and project updates to leadership on status, budgets, schedules, operational impacts, barriers, options, and required decisions.
Supervise, assign, and balance work among the Facilities Construction Manager and other assigned staff based on project complexity, priorities, capacity, and development needs.
Set performance expectations and provide technical direction, coaching, decision support, feedback, training, mentorship, and development opportunities to staff.
Review project plans, budgets, schedules, procurement recommendations, change requests, risk assessments, and executive updates prepared by direct reports.
Assess staffing and resource needs across the construction portfolio and recommend adjustments to internal capacity or external support.
Promote collaboration, accountability, transparency, service, and continuous improvement within the Facilities Construction function; conduct department meetings to communicate priorities and address portfolio needs.
Complete supervisory responsibilities, including selection, onboarding, performance management, recognition, corrective action, and staff development.
Lead in accordance with Neighborhood Healthcare’s values and mission; build and retain a high-performing team and foster a compassionate, collaborative, inclusive work environment.
Communicate enterprise-wide initiatives, strategic priorities, and site or department changes through channels such as Teams, email, and in-person meetings.
Review and approve employee timecards within established deadlines and address discrepancies.
Follow safety, infection-control, privacy, corporate integrity, and security requirements; report injuries, unsafe conditions, and unethical, fraudulent, or unlawful activity.