Commercial Manager - Healthcare Construction

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

1. Monitor commercial performance
   1. Maintain forecast vs. baseline for cost, incentivisation provisions, defined cost vs target, payment and commercial KPIs using dashboards and trend analysis
   2. Visit site routinely; complete health checks/reviews so emerging commercial risks are escalated with clear recovery actions and owners.
2. Commercial assurance of change control
   1. Test that change procedures are understood and followed: scope definition, pricing method, defined cost build‑up, risk allowances, approvals and audit trail.
   2. Assess changes requiring approval and review to confirm compliance and value for money before commitment.
   3. Undertake trend analysis incorporating scheme data from across the Programme.
3. Commercial close out and final account
   1. Plan and implement close-out and rolling final account settlement
4. Risk (Threat & opportunity) management –
   1. Support the maintenance of live threats/opportunities with review of quantified impact and report net effect to scheme forecast.
5. Endorsing and validation NEC4 ECC (KPI’s / Incentives)
   1. Assure KPI definitions, measurement and evidence aligned to NEC4 ECC and incentive mechanisms.
   2. Validate monthly submissions, challenge unsupported claims, and confirm governance before trigger of pain/gain or incentive payments.
6. Provision of project data to Data team
   1. Provide clean, timely datasets (cost, change, risk, carbon, life cycle) to the Data team so benchmarks and analytics are accurate and comparable.
7. Stakeholder management (trusts / tier 1 / suppliers etc)
   1. Build and maintain collaborative relationships with contractors and suppliers
   2. Use structured engagement to resolve commercial issues
8. Ensure satisfaction of contract and alliance framework conditions
   1. Undertake Trust and Contractor engagement to confirm team familiarisation with framework conditions and processes.
   2. Undertake periodic compliance checks against contract conditions and alliance protocols (governance, reporting, behaviours).
   3. Record non conformances with corrective actions and due dates.
9. Defined cost assurance
   1. Implement robust approaches to defined cost assurance

Essential:

• 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

Desirable:

• Experience with public-sector healthcare clients
• Understanding of working in live healthcare environments
• Knowledge of healthcare technical standards and compliance frameworks

Qualifications

• 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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