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CBRE Healthcare Project(s) Cost Manager in Des Moines, Iowa

Healthcare Project(s) Cost Manager

Job ID




Service line

GWS Segment

Role type


Areas of Interest

Construction, Project Management


Remote - US - Remote - US - United States of America

About the role

The Healthcare Cost Manager will lead best practices for individual multi-disciplined real estate cost solutions for our Healthcare client with direct accountability for commercial management cost delivery.

In this role you will engage with the project management team, the client and all stakeholders and work on a host of projects across the country. This is a fantastic opportunity to be able to create the framework for commercial cost management / cost consultancy for this client and CBRE.

What you’ll do

  • Manage all facets of commercial cost management (budget, schedule, procurement, quality & risk) for a Healthcare real estate portfolio throughout planning, design, construction, occupancy, and closeout.

  • Produce concept level estimates to aid feasibility studies and assist with business cases, leveraging a range of information from simple internal benchmarking to detailed market data and estimates taken from drawings and specifications. Issue recommendations for the application of an estimator to produce costing of greater detail; incorporate estimator into project team - manage performance of estimating tasks/deliverables.

  • Evaluate project scope and client needs to develop and present recommended rough order of magnitude (ROM) budgets based on historical averages for necessary pre-bid and pre-construction cost estimating and cost planning services. Partner with project team to source and oversee the pre-bid and pre-construction services associated with the development of project budgets and cost plans.

  • Assist PM’s with budgets to accompany SBAR’s for capital approvals and lead the administration associated with funding all project work, including creation of funding documents in use by the client (such as purchase orders or Capital funding requests). Work with client and Project Manager to ensure compliance with these systems; promote proactive creation/submission of all vital funding documents to ensure all project work is funded in compliance with Client's internal funding policies.

  • Be available for the APD’s to assist in TI allowance evaluations in lease discussions. Support project manager and leasing team to estimate costs associated with the lease (upfit, abatement, reinstatement, etc.) to optimize landlord contribution/tenant improvement allowances on behalf of the Client. Ensure contracts with project team (designers, contractors) include language aligned with lease requirements for the solicitation of all landlord contributions. Provide support if/as needed in M&A for replacement evaluations.

  • Support the project management team in the implementation of all project procurement in accordance with CBRE corporate policies and guidelines; make recommendations on the project procurement strategy. Lead the analysis of bid/tender responses, leveling all responses and prioritizing the data into a concise yet detailed report for presentation to the Client. Include recommendations for items such as allowances, contingencies, and reserves.

  • Build and manage a detailed cost plan; produce and maintain detailed cost reports on a regular basis and present these reports. Align cost plan with project master schedule; provide cost guidance and direction to achieve cost goals with scope/schedule. Establish strategy to manage cash flows and project accruals and report progress in a manner consistent with CBRE policy yet flexible to adapt to client's needs/systems.

  • Lead architectural / GC IDIQ. Promote Value Engineering (VE) as a continual process to be implemented throughout the duration of the projects and where necessary lead (or support if lead by Project Manager) Value engineering workshops, exercises and provide ideas and initiatives to add value. Act as a resource for implementing best practices to optimize the outcome of all VE efforts including tools, reports and goals - track/report progress against cost savings and value to fee targets.

  • Complete full cycle detailed contract audits and analysis; identify the greatest areas of cost opportunities for alternatives.

  • Help negotiate all change orders with quantity and pricing to reconcile all estimates and change orders; scrutinize, analyze and perform due diligence on all CO's; lead reconciliation meetings with General Contractors, Construction Managers and third-party consultancies. Update cost plan/report accordingly and advise project team of cost risk mitigation strategies required to main cost compliance; advise project team and Client of high-risk cost issues.

  • Assist the Client and design team with life cycle costing of LEED/sustainability initiatives (as appropriate).

  • Review all invoices against cost plan; provide valuation services and signoff to project team in collaboration with team members charged with validation work has been completed to required scope and level of quality. Review and approve all requests to apply costs toward allowances, contingencies and reserves; update cost plan accordingly.

  • Ensure appropriate liquidated damages (LD’s) are included in contracts prior to going to legal. Support cost/budget aspects of the project closeout; negotiate, agree and settle final accounts and close[1]out statements. Issue release of all withholdings/retainage (subject to CBRE approval limits); close all funding approvals in accounting systems (purchase orders).

  • Capture project costs for contribution to CBRE cost benchmarking/estimating databases and tools.

  • Facilitate and oversee the administration of tasks required by the lease to collect landlord contributions/tenant improvement allowances.

  • Create best practices for negotiated general conditions.

  • Create an on-account program with the CBRE procurement group.

  • Identify areas to drive value via Principal Project Delivery team.

  • Integrate with on account design resource to help understand cost drivers and sensitivities that impact the overall cost and project budgets on account.

  • Track and publish cost trend by client Division by quarter for QBR and provide quarterly update on market / industry trends by quarter for QBR.

  • Lead 3rd party project delivery resources/team. Responsible for identifying training needs, tracking performance, coaching, and motivating team members. May provide informal assistance such as technical guidance, and/or training to coworkers. May lead cost teams and/or plan and supervise assignments of lower level employees.

  • Other duties as assigned.

What you’ll need

  • Bachelor's degree (BA/BS/BEng/BArch) from College or University in a technical area of study and a minimum 4 years of related experience and/or training, preferably in the Healthcare Construction Industry.

  • Minimum 3-5 years of experience with large Healthcare projects such as ground up facilities, hospitals, acute / non-acute care, and / or ambulatory surgical centers is required.

  • Experience and knowledge with OSHPD, ICRA, ILSM, and AHCA is preferred.

  • RICS (Royal Institute of Chartered Surveyors) or CIOB (Chartered Institute of Building) accreditation preferred.

  • Strong organizational and problem-solving skills.

  • Ability to provide efficient, timely, reliable and courteous service to customers. Excellent written and verbal communication skills and the ability to effectively present information.

  • Requires sophisticated analytical and quantitative skills. Ability to calculate intermediate figures such as percentages, discounts, and commissions; conduct advanced financial analysis.

  • Ability to comprehend, analyze, and interpret complex documents. Ability to solve problems involving several options in various situations.

  • Advanced skills with Microsoft Office Suite. Working knowledge in Projecto is helpful.

  • Knowledge with estimating software such as OST preferred. Ability to read and understand architectural drawings. Knowledge of leases, contracts, and construction practices preferred.

  • Applicants must be currently authorized to work in the United States without the need for visa sponsorship now or in the future.


  • Forbes Named one of the best large employers in America!

  • U.S. Environmental Protection Agency’s 2022 ENERGY STAR Sustained Excellence Award; 15th consecutive year of “Partner of the Year” recognition


Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Equal Pay Disclaimer: CBRE Carefully considers multiple factors to determine compensation, including a candidate’s education, training, and experience. The minimum salary for this position is $120,000 USD annually and the maximum salary for this position is $155,000 USD annually. The compensation that is offered to a successful candidate will depend on the candidate’s skills, qualifications, and experience. Successful candidates will also be eligible for a discretionary bonus based on CBRE’s applicable benefit program. This role will provide the following benefits: 401(K), Dental Insurance, Health Insurance, Life Insurance, and Vision Insurance.

The application window is anticipated to close on September 21, 2024 and may be extended as needed. Or to express interest in similar roles, visit

Equal Employment Opportunity: CBRE is an equal opportunity employer that values diversity. We have a long-standing commitment to providing equal employment opportunity to all qualified applicants regardless of race, color, religion, national origin, sex, sexual orientation, gender identity, pregnancy, age, citizenship, marital status, disability, veteran status, political belief, or any other basis protected by applicable law.

Candidate Accommodations: CBRE values the differences of all current and prospective employees and recognizes how every employee contributes to our company’s success. CBRE provides reasonable accommodations in job application procedures for individuals with disabilities. If you require assistance due to a disability in the application or recruitment process, please submit a request via email at or via telephone at +1 866 225 3099 (U.S.) and +1 866 388 4346 (Canada).

NOTE: Some, but not all, of our positions may have an additional requirement to comply with COVID-19 health and safety protocols, including COVID-19 vaccination proof and/or rigorous testing. If you have questions about the requirement(s) for this position, please inform your Recruiter.

CBRE, Inc. is an Equal Opportunity and Affirmative Action Employer (Women/Minorities/Persons with Disabilities/US Veterans)