Commercial Manager - Healthcare Construction

Overview

In this role you will oversee cost and contract management for healthcare construction projects from award to final account. You will monitor commercial performance, manage change, and ensure value for money within a large-scale hospital programme. You collaborate with cross‑functional teams to deliver financial discipline and governance, while providing data-driven insights to optimise project outcomes. This is a hands-on, impact-focused role in a global consultancy with a healthcare focus.

Responsibilities

• Monitor commercial performance using forecasts, baselines, cost targets and KPIs with dashboards and trend analysis
• Visit site to perform health checks and escalate commercial risks with recovery actions and owners
• Assure change control procedures including scope, pricing, cost build-up, risk allowances, approvals and audit trails
• Assess changes for compliance and value for money before commitment
• Perform trend analysis using scheme data across the Programme
• Plan and execute close-out and rolling final account settlements
• Manage threats and opportunities, reviewing quantified impact and updating scheme forecast
• Endorse and validate NEC4 ECC KPIs, incentives, monthly submissions and governance prior to pain/gain or incentive payments
• Provide clean, timely cost/change/risk/life cycle data to Data team for benchmarks and analytics
• Build and maintain relationships with contractors and suppliers to resolve commercial issues
• Ensure compliance with contract and alliance framework conditions; record non-conformances with corrective actions and due dates
• Implement robust defined cost assurance approaches

Key requirements

• Proven experience in commercial management within construction of major programmes and projects
• Strong knowledge of construction contracts (NEC and/or JCT preferred)
• Excellent cost control, reporting, and collaboration skills
• Desirable: experience with public-sector healthcare clients
• Desirable: understanding of working in live healthcare environments
• Desirable: knowledge of healthcare technical standards and compliance frameworks

• Stakeholder management
• Collaborative working
• Analytical thinking and problem-solving
• Cost control and forecasting
• Risk management and mitigation
• NEC4 ECC compliance and incentives

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