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Sr Project Manager, Healthcare

XL ConstructionSan Francisco, California

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Job Description

Description

Position at XL Construction Corp.

SUMMARY:
At XL Construction, the Senior Project Manager – Healthcare is a strategic and hands-on leader responsible for delivering complex healthcare projects from pursuit through closeout. This role requires deep healthcare industry experience, strong business development and preconstruction capabilities, and a proven ability to manage teams and clients with integrity and excellence.
The Sr. Project Manager has direct responsibility for all aspects of a large, complex project or multiple small to mid-size projects. They lead across all phases—estimating, procurement, scheduling, financials, field execution, and client engagement—while mentoring project teams and driving accountability. Success in this role depends on technical expertise, relationship-building, and a strong commitment to XL’s culture and high standards.
KEY RESPONSIBILITIES:
Project Acquisition & Preconstruction 
  • Lead new healthcare project pursuits, proposals, and strategy development
  • Guide design-build and design-assist project planning
  • Conduct conceptual estimating and unit cost development
  • Develop and manage GMP estimates, internal budgets, and project schedules
  • Plan and execute bid processes with a strong focus on risk mitigation and scope clarity
Project Execution & Operations 
  • Develop and manage contracts to reduce risk and maximize opportunities
  • Lead subcontractor buyout, negotiation, and agreement execution
  • Oversee all project phases: preconstruction, procurement, submittals, RFIs, cost forecasting, change orders, billing, and close-out
  • Partner with Superintendents and field teams to ensure schedule adherence and quality delivery
  • Ensure project permits, inspections, and compliance activities are well-coordinated and risk-free
Client & Team Leadership 
  • Maintain strong, proactive relationships with clients, designers, owner reps, and trade partners
  • Lead OAC meetings and communications to ensure alignment and satisfaction
  • Supervise and mentor project staff, ensuring their development in both technical and soft skills
  • Champion XL’s culture, values, and safety practices at all times
KNOWLEDGE, SKILLS, AND ABILITIES:
  • Bachelor’s degree in Construction Management, Engineering, or related field
  • 10+ years of progressive experience, with a strong background in healthcare construction
  • Proven project portfolio in Education, Life Sciences, Civic, and/or Healthcare sectors
  • OSHA 10 certification; LEED AP and/or DBIA preferred
  • Strong knowledge of all trades, MEP systems, and permitting processes
  • Expertise with MS Project, PowerPoint, Timberline, and Viewpoint (Vista)
  • Experience with complex delivery methods (Design-Build, GMP, IPD)
  • Excellent interpersonal, written, and verbal communication skills
  • Strong leadership, mentoring, and team development capabilities
COMPENSATION & BENEFITS:
In accordance with California’s pay transparency requirements, the base salary range for this position is $193,000 – $203,000 annually, depending on experience and qualifications. Total compensation may also include performance-based bonuses.
XL Construction offers a comprehensive benefits package, including:
  • Medical, dental, and vision insurance
  • 401(k) plan with company match
  • Paid time off, holidays, and parental leave
  • Career development and leadership training opportunities
  • A high-performance culture grounded in purpose, people, and impact
 

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