Cost Manager / Quantity Surveyor - Healthcare Construction
turnertownsend
San Diego, California, United States · San Diego · United States
Posted May 26, 2026
- Full-time
- Remote
- Real estate
- Mid-Senior Level
turnertownsend
San Diego, California, United States · San Diego · United States
Posted May 26, 2026
Company Description Turner & Townsend is a global professional services company with over 22,000 people in more than 60 countries. Working with our clients across real estate, infrastructure, energy and natural resources, we transform together delivering outcomes that improve people’s lives. Working in partnership makes it possible to deliver the world’s most impactful projects and programmes as we turn challenge into opportunity and complexity into success. Our capabilities include programme, project, cost, asset and commercial management, controls and performance, procurement and supply chain, net zero and digital solutions. We are majority-owned by CBRE Group, Inc., the world’s largest commercial real estate services and investment firm, with our partners holding a significant minority interest. Turner & Townsend and CBRE work together to provide clients with the premier programme, project and cost management offering in markets around the world. Job Description Turner & Townsend are looking for a Cost Manager / Quantity Surveyor to join our San Diego team and support construction cost services across a portfolio of healthcare projects for key clients. The ideal candidate will be driven and promote our Turner & Townsend purpose and values. These projects include new-build healthcare facilities, hospital expansions, and renovations within active clinical environments, requiring a strong understanding of complex phasing, stakeholder coordination, and cost control in highly regulated settings. Responsibilities: Advise clients on strategies, manage prequalification of vendors, assess proposals, bids, and bid levelling documents, make final recommendations to the client, attend and chair bid interviews, and manage the appointment process. Manage estimating services for full project lifecycles by developing project estimates (relating to construction, fees, direct work, and other costs), reviewing estimations prepared by junior team members, presenting estimates to clients, providing value engineering recommendations and risk assessments, meeting with vendors to validate and challenge costs, and utilizing benchmark data from similar healthcare projects. Manage cost reporting by establishing reporting schedules, reviewing and presenting cost reports and forecasts, reviewing project budgets and spend forecasts with the client, developing and maintaining commercial risk registers, and hosting periodic meetings with project teams and vendors. Manage cost control processes by reviewing payment application assessments prepared by junior team members, liaising with project managers to recommend contractor entitlements, reviewing requests for change orders from vendors, and making recommendations to the client, while applying dispute prevention and resolution procedures. Manage and monitor the invoicing process. Benchmark performance against other successful commissions and comparable healthcare projects. Manage all facets of the final accounting process, including post-contract audits and account closeouts. Hold post-contract reviews with the client to establish lessons learned and apply insights toward continuous improvement. Develop procedures governing project handover, particularly within operational healthcare environments. Perform all duties through the use and preparation of Bid Analysis Sheets, Change Control Forms, Cost Estimating Software, and Take-off Software. SOX control responsibilities may be part of this role, which are to be adhered to where applicable. Qualifications Bachelor’s degree in construction management, cost management, quantity surveying, engineering, or a related field. Minimum 3–5 years of experience in a cost management or quantity surveying role within the construction industry. RICS accreditation or progress toward certification is valuable. Experience supporting cost management on medium to large-scale construction projects, ideally including healthcare or complex building environments. Construction consultancy experience is strongly preferred. Good knowledge of construction industry technical matters, including procurement routes, value management, and value engineering. Strong communication and stakeholder management skills. Additional Information *On-site presence and requirements may change depending on our clients' needs.* The base salary range for this role is $100K-$130K USD. This range reflects the company's good faith estimate of the base salary for this position at the time of the posting. Final compensation will be determined based on factors including experience, skills, qualifications, and internal equity. In addition to base salary, employees may be eligible for bonuses and a comprehensive benefits package. Our inspired people share our vision and mission. We provide a great place to work, where each person has the opportunity and voice to affect change. We want our people to succeed both in work and life. To support this we promote a healthy, productive and flexible working environment that respects work-life balance. Turner & Townsend is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees and actively encourage applications from all sectors of the community. Please find out more about us at www.turnerandtownsend.com/ Turner & Townsend does not accept any speculative or unsolicited CV’s that have been sent to our internal recruitment team or hiring managers from agencies outside of our preferred supplier list or that have not followed due process. Any speculative or unsolicited CV’s will be treated as a direct application. All your information will be kept confidential according to EEO guidelines. #LI-MB1 Join our social media conversations for more information about Turner & Townsend and our exciting future projects: Twitter Instagram LinkedIn It is strictly against Turner & Townsend policy for candidates to pay any fee in relation to our recruitment process. No recruitment agency working with Turner & Townsend will ask candidates to pay a fee at any time. Any unsolicited resumes/CVs submitted through our website or to Turner & Townsend personal e-mail accounts, are considered property of Turner & Townsend and are not subject to payment of agency fees. In order to be an authorised Recruitment Agency/Search Firm for Turner & Townsend, there must be a formal written agreement in place and the agency must be invited, by the Recruitment Team, to submit candidates for review.