Senior Estimator - Healthcare & Commercial Construction
AlphaHire · Nashville, Tennessee, United States · Posted Jun 23, 2026
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We are hiring an experienced Senior Estimator to lead preconstruction and estimating for healthcare, institutional, and commercial construction projects.
We are specifically looking for a senior-level estimator with direct general contractor experience who has independently priced hospitals, medical facilities, occupied healthcare renovations, or similarly complex projects. The right candidate must be able to own an estimate from early conceptual budgeting through final proposal and turnover to operations.
This is a hands-on estimating role. You will develop and validate takeoffs, build detailed project budgets, manage subcontractor coverage, identify scope gaps and risk, and help create competitive strategies for negotiated, GMP, and hard-bid opportunities.
Responsibilities
Lead conceptual, schematic, design-development, GMP, and final bid estimates
Perform and validate quantity takeoffs across architectural, structural, civil, and MEP scopes
Solicit subcontractor and supplier pricing, level bids, and confirm complete trade coverage
Identify missing scope, constructability concerns, escalation exposure, schedule risks, and pricing gaps
Develop value-engineering options, bid clarifications, cost-saving recommendations, and proposal documentation
Participate in client meetings, site visits, pre-bid discussions, and pursuit strategy reviews
Complete detailed project turnover to Project Managers, Superintendents, and operations teams