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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

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