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Project Manager - Healthcare Construction

United States, San Antonio · Job Posted February 18, 2026
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Job Description

Our Project Manager leads all phases of construction, from preconstruction to closeout, ensuring projects are completed on time, within budget, and to the highest quality and safety standards. The ideal candidate is a strategic decision-maker with strong financial acumen, a skilled relationship builder, and a proven leader who drives results and fosters collaboration. With a background in healthcare construction, the Project Manager ensures project delivery aligns with strict regulatory requirements, infection control protocols, and safety standards while minimizing disruption to active facilities. A strong focus on budget control, contract execution, and cost management of healthcare-specific systems enables accurate forecasting, timely buyout, and efficient use of project funds. The Project Manager leads preconstruction and construction efforts with a detailed understanding of procurement, subcontractor scope alignment, and change management. The Project Manager strengthens client relationships, enhances business development, and reinforces the company's healthcare construction capabilities.

Job Responsibility

  • Safety Management: Enforce compliance with safety programs, ensuring all methods prioritize safety, quality, time, and profit
  • Contract and Legal Compliance: Manage and adhere to legal, contract, and design requirements, negotiating changes to maintain or improve project income
  • Preconstruction Planning: Analyze plans, budgets, and contracts during preconstruction to ensure readiness and alignment with project goals
  • Scheduling and Coordination: Develop and manage project schedules, ensuring timely resource availability and seamless team collaboration
  • Procurement and Subcontractor Management: Oversee subcontracts, purchase orders, and change orders while monitoring subcontractor performance for compliance
  • Quality Control: Implement Quality Control plans, address issues promptly, and deliver outcomes that meet or exceed client expectations
  • Financial Management: Monitor and control costs, forecast revenue, and maintain financial accuracy and accountability throughout the project lifecycle
  • Lean and BIM Implementation: Apply Lean principles and lead BIM processes to enhance efficiency, productivity, and scheduling
  • Communication and Reporting: Provide regular updates to leadership, prepare detailed reports, and facilitate effective team meetings
  • Environmental Compliance: Ensure adherence to environmental regulations and minimize project impact
  • Marketing and Business Development: Support marketing strategies, promote services, and provide data to improve project delivery processes

Requirements

  • Proven construction management experience
  • A degree in construction management, engineering technology or similar is a plus

What we offer

  • Employee ownership
  • Competitive pay
  • Profit sharing & project incentives
  • Vehicle allowance & phone reimbursement
  • Career development and continuing education assistance
  • Generous Paid Time Off (PTO)
  • 401(k) with 6% match (traditional and Roth)
  • Medical, dental and vision insurance with free eligible medications through Rx ‘n Go
  • Health Savings Account (HSA) with SpawGlass contribution
  • Physical and mental health wellness reimbursement (e.g. gym membership, yoga classes, massages, etc.)

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