Commercial Manager - Healthcare Construction

Commercial Manager - Healthcare Construction

Full‑time

At Turner & Townsend we’re passionate about making the difference. That means delivering better outcomes for our clients, helping our people to realise their potential, and doing our part to create a prosperous society.

Every day we help our major global clients deliver ambitious and highly technical projects, in over 110 offices worldwide.

The Commercial Manager is responsible for assuring the cost and contract management of healthcare construction projects following contract award through to final account and close out. The role comprises central programme responsibilities working closely with delivery of large‑scale hospital schemes.

The role ensures cost control, risk management, compliance with wider programme requirements, and delivery of value for money.

Key Responsibilities

Monitor commercial performance

Maintain forecast vs. baseline for cost, incentive provisions, defined cost vs target, payment and commercial KPIs using dashboards and trend analysis

Visit site routinely; complete health checks/reviews so emerging commercial risks are escalated with clear recovery actions and owners

Commercial assurance of change control

Test that change procedures are understood and followed: scope definition, pricing method, defined cost build‑up, risk allowances, approvals and audit trail

Assess changes requiring approval and review to confirm compliance and value for money before commitment

Undertake trend analysis incorporating scheme data from across the Programme

Commercial close out and final account

Plan and implement close‑out and rolling final account settlement

Support the maintenance of live threats/opportunities with review of quantified impact and report net effect to scheme forecast

Endorsing and validation NEC4 ECC (KPIs / Incentives)

Assure KPI definitions, measurement and evidence aligned to NEC4 ECC and incentive mechanisms

Validate monthly submissions, challenge unsupported claims, and confirm governance before trigger of pain/gain or incentive payments

Provision of project data to Data team

Provide clean, timely datasets (cost, change, risk, carbon, life cycle) to the Data team so benchmarks and analytics are accurate and comparable

Build and maintain collaborative relationships with contractors and suppliers

Use structured engagement to resolve commercial issues

Ensure satisfaction of contract and alliance framework conditions

Undertake Trust and Contractor engagement to confirm team familiarisation with framework conditions and processes

Undertake periodic compliance checks against contract conditions and alliance protocols (governance, reporting, behaviours)

Record non‑conformances with corrective actions and due dates

Defined cost assurance

Implement robust approaches to defined cost assurance

Qualifications

Proven experience in commercial management within construction of other major programmes and projects

Strong knowledge of construction contracts (NEC and/or JCT preferred)

Excellent cost control, reporting, and collaboration skills

Experience with public‑sector healthcare clients

Understanding of working in live healthcare environments

Knowledge of healthcare technical standards and compliance frameworks

Degree in Quantity Surveying, Commercial Management, Construction Management, or related field

Professional membership (or working towards) RICS, CIOB, or equivalent

All your information will be kept confidential according to EEO guidelines.

SOX control responsibilities may be part of this role, which are to be adhered to where applicable.

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