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Construction Cost Management Lead, US

Neko Health· Operations & Markets
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Hybrid (New York)$236.3k - $288.8kFull-timePosted 3mo ago

About the role

Senior construction cost management leader responsible for cost planning, procurement, and commercial control of Neko Health’s US build-out program across markets, ensuring budget adherence, design standards, and regulatory compliance.

Responsibilities

  • Establish a US cost benchmarking database and vendor ecosystem with measurable commercial SLAs.
  • Own end-to-end cost management of Neko Health centers across the US from feasibility budgets to project closeout.
  • Develop and maintain cost plans, takeoffs, bid analyses, schedules of values, progress payment applications, change orders, and cost-to-complete reports.
  • Conduct regular site visits to verify work in place and challenge contractor claims.
  • Provide cost advice and value engineering options to inform design decisions and protect the budget.
  • Lead commercial administration of construction contracts including change orders, claims, time extensions, and closeout.
  • Track and report on commercial KPIs such as cost performance against budget, cash flow, and value engineering savings.

Qualifications

  • 10+ years of proven experience as a Cost Manager, Senior Estimator, or Preconstruction Manager (consultancy or owner/client-side), preferably in healthcare, retail, or related fit-out.
  • AACE CCP/CEP, ASPE CPE, or equivalent certification preferred; degree in Construction Management, Engineering, or Quantity Surveying.
  • Experience supporting growing organizations with commercial management of prestigious projects.
  • Strong understanding of interior fit-out construction, US cost methodologies and estimate classes (CSI MasterFormat, UniFormat, AACE Class 1–5), and standard US contract forms (AIA A101/A201, ConsensusDocs, lump sum, GMP, design-build).
  • Ability to collaborate with diverse teams, manage cross-functional projects across multiple US jurisdictions, and navigate regional labor markets, permitting variations.
  • High adaptability to fast-paced, evolving environments.
  • Excellent written and verbal communication in English.

Skills

Required:Cost managementEstimating and preconstructionContract administration

Benefits

  • Not specified in description
Last updated Oct 16, 2026. Interested? Apply on the company site.
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