Turner & Townsend
Commercial Manager - Healthcare Construction

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Commercial Manager
Company Description
At Turner & Townsend we’re passionate about making the difference. That means delivering better outcomes for our clients, helping our people 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.
About the Role
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 encompasses central programme responsibilities, working closely with the delivery of large-scale hospital schemes.
Key focus areas include:
- Ensuring cost control
- Managing risk and compliance
- Delivering value for money
- Overseeing contract management
Key Responsibilities
Commercial Performance Monitoring
- Maintain and analyse forecast vs. baseline for:
- Cost
- Incentivisation provisions
- Defined cost vs. target
- Payment and commercial KPIs
- Utilise dashboards and trend analysis
- Conduct routine site visits
- Complete health checks/reviews to escalate emerging commercial risks with clear recovery actions and owners
Commercial Assurance of Change Control
- Ensure change procedures are understood and followed, including:
- Scope definition
- Pricing methods
- Defined cost build-up
- Risk allowances
- Approvals and audit trails
- Assess changes requiring approval and review
- Confirm compliance and value for money before commitment
- Conduct trend analysis using scheme data across the Programme
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Commercial Close-out & Final Account
- Plan and implement close-out and rolling final account settlement
Risk Management (Threat & Opportunity)
- Support the maintenance of live threats and opportunities
- Review quantified impact
- Report net effect to scheme forecasts
NEC4 ECC Endorsement & Validation
- Assure NEC4 ECC KPI’s and incentive mechanisms
- KPI definitions, measurement, and evidence alignment
- Validate monthly submissions
- Challenge unsupported claims
- Confirm governance before pain/gain or incentive payments
Project Data Provisions
- Provide clean, timely datasets (cost, change, risk, carbon, life cycle) to the Data team for accurate benchmarks and analytics
Stakeholder Management
- Trusts, Tier 1, suppliers, contractors
- Build and maintain collaborative relationships
- Resolve commercial issues through structured engagement
- Ensure contract and alliance framework conditions are met
- Conduct Trust and contractor engagement to confirm:
- Familiarity with framework conditions and processes
- Undertake periodic compliance checks against:
- Contract conditions
- Alliance protocols (governance, reporting, behaviours)
- Record non-conformances, corrective actions, and due dates


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Defined Cost Assurance
- Implement robust approaches to defined cost assurance
Requirements
Essential Qualifications & Experience
- Proven experience in commercial management within construction or major programmes/projects
- Strong knowledge of construction contracts (preference for NEC and/or JCT)
- Expertise in:
- Cost control
- Reporting
- Collaboration
Desirable Qualifications & Experience
- Experience with public-sector healthcare clients
- Understanding of live healthcare environments
- Knowledge of healthcare technical standards and compliance frameworks
Education & Professional Affiliation
- Relevant degree in:
- Quantity Surveying
- Commercial Management
- Construction Management
- Professional membership (or pursuing) in:
- RICS
- CIOB
- Equivalent sector bodies
Department
Real Estate
Additional Information
- Confidentiality compliance in line with EEO guidelines.
- SOX control responsibilities may apply (to be adhered where relevant).
Turner & Townsend Policy
- Permits no payment for job applications.
- No recruitment agency can request fees from job candidates.
- Only authorised agencies submitting candidates will be involved.
For more details about Turner & Townsend and our projects, follow us on: [Twitter] • [Instagram] • [LinkedIn]
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