Senior Estimator - Healthcare Construction
AlphaHire · Nashville, Tennessee, United States · Posted Jun 30, 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 someone with a strong general contractor background who has independently estimated hospitals, medical facilities, occupied healthcare renovations, or similarly complex projects.
This is a hands-on role with full ownership of project pursuits from conceptual budgeting through final bid submission and turnover to operations. You will be responsible for estimate accuracy, subcontractor coverage, scope review, risk identification, and competitive bid strategy.
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 scope gaps, constructability concerns, escalation risks, schedule impacts, and pricing exposure
Develop value-engineering options, bid clarifications, cost-saving recommendations, and proposal documents
Participate in client meetings, site visits, pre-bid discussions, and pursuit strategy reviews
Complete detailed turnover of awarded projects to Project Managers, Superintendents, and operations teams