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Senior Preconstruction Manager (Healthcare) - San Francisco, CA
Client
We are partnered with a National ENR Top 30 General Contractor with a strong presence across California. This firm has built a reputation for delivering complex Healthcare projects for some of the leading Healthcare providers in the US. They are continuing to invest heavily in their Preconstruction services function and are looking to add a Senior Preconstruction Manager to support growth and lead from the front.
On Offer
- Opportunity to lead high-profile Healthcare projects from concept through to construction
- Clear progression path into Director and VP level roles
- Strong pipeline of secured and upcoming work across California
- Collaborative environment with direct exposure to senior leadership
- Competitive base salary with performance-based bonus
- Full benefits package including healthcare, 401k, and PTO
Responsibilities
- Lead Preconstruction across multiple Healthcare projects simultaneously
- Manage the full lifecycle from early design through GMP and final bid
- Develop detailed budgets, cost plans, and value engineering strategies
- Present to clients, owners, and design teams during pursuits and delivery
- Lead and mentor a team of preconstruction professionals
- Oversee subcontractor bidding, leveling, and procurement strategy
- Partner with operations to ensure seamless transition into construction
- Analyze market conditions, escalation, and cost drivers to inform pricing
Requirements
- 7+ years of Healthcare construction experience (Ops or Percon)
- Proven experience leading preconstruction on complex projects
- Strong leadership experience managing and developing teams
- Deep understanding of Healthcare OSHPD building systems, drawings, and specifications
- Experience with conceptual estimating through final bidding
- Strong client-facing and presentation skills
- Bachelor’s Degree in Construction Management, Engineering, or related field preferred



