Design Integration, Senior Manager - Healthcare

Compensation Range

$175,000.00 - $205,000.00 Annual Salary

Job Description Summary:

• Leads and manages the end-to-end design process with design partners from pursuit through construction documentation and key phases of construction, ensuring alignment with contract requirements for scope, budget, and schedule to deliver best-value solutions. Integrates support services (including VDC, MEP, and scheduling) and leverages self-perform capabilities to enhance design development and execution.
• Partners closely with clients, architects, engineers, and contractors to drive coordinated, high-quality design outcomes. As a subject matter expert, provides strategic leadership on design approach, validation, technical decision-making, and cost management, applying Swinerton’s design-build best practices to achieve design excellence, mitigate risk, and support successful project delivery.

• Healthcare Specific: Leads end-to-end design integration for healthcare projects from pursuit through construction, ensuring alignment with scope, budget, and schedule to deliver best-value solutions. Integrates VDC, MEP, and scheduling while leveraging self-perform capabilities to enhance execution.
• Partners with clients, designers, and trade partners to drive coordinated outcomes and informed decision-making. Provides strategic leadership on design, cost, and risk management using Swinerton’s design-build best practices.

Ensures compliance with healthcare regulations and alignment with clinical operations, leading infection control planning, patient safety, and operational continuity to deliver high-performing healthcare facilities.

Job Description:

Position Responsibilities and Duties:

Leadership & Core Responsibilities

Perform all essential Design Integration Manager responsibilities at an advanced, strategic level.

Oversee daily design‑services activities, including resource planning, workload management, and budget oversight.

Supervise team assignments and support coaching, mentoring, and hiring design integration and preconstruction talent.

Ensure the use of and advancement of VDC’s contribution to risk management and project success.

Build and maintain strong partnerships with internal teams, external designers, trade partners, and stakeholders.

Serve as the design-builder’s primary liaison to the Owner, design team, and trade-partners fostering trust and strong professional relationships.

Healthcare Specific

• •Lead integration of healthcare-specific design criteria, including clinical workflow, patient safety, and operational efficiency.
• •Ensure compliance with healthcare regulatory requirements, including applicable codes and standards (e.g., HCAI/OSHPD, FGI, NFPA, and governing authorities).
• •Coordinate specialized healthcare systems with Designer and internal MEP coordinator, including medical gas, imaging equipment, nurse call, and critical MEP redundancy systems.
• •Lead planning and coordination of phased design and construction in active healthcare environments, minimizing disruption to ongoing operations.

Design Integration & Technical Oversight

Manage the design process from initial concept through final design across multiple projects or large, complex programs.

Identify early contractual, technical, and project risks; ensure appropriate design development for pursuits and milestone pricing.

Lead A/E partnerships, including contract negotiations, scope alignment, fee validation, and milestone expectations.

Apply technical expertise to support early system selections and guide Owner decision‑making.

Review design documents for quality, compliance, accuracy, and alignment with program requirements and project goals.

Conduct and coordinate peer reviews and technical reviews of building systems to reduce issues related to cost, procurement, or constructability.

Coordinate design‑assist, design‑build, and trade partner involvement to ensure timely and accurate input into design development.

Scheduling, Permitting & Procurement Integration

Develop and maintain design schedules; track milestone deliverables and communicate progress and changes.

Coordinate design milestones with bid package preparation to support overall project schedule, permitting, and construction sequencing.

Partner with project teams to integrate procurement strategies, long‑lead materials, and vendor input with design milestone schedules.

Collaborate with project teams to coordinate Owner and authority having jurisdiction (AHJ) submittals for timely reviews, approvals, and permits.

Healthcare Specific

Develop and manage complex permitting strategies for healthcare projects, including coordination with healthcare authorities, construction sequencing (with Superintendent), and plan review agencies.

Cost Management, Value, and Budget Alignment

• •Provide budget oversight and collaborate with estimators to ensure trade costs and estimates accurately reflect project requirements, including clear documentation of assumptions throughout design development.
• •Help design teams and Owners understand design impacts on cost and schedule; provide options and guidance to maintain budget alignment.
• •Lead value‑management efforts, cost‑effective material and system evaluations, and best value communication with design teams and internal partners.

Healthcare Specific

Lead value management strategies specific to healthcare projects, balancing clinical performance requirements, regulatory compliance, and lifecycle cost considerations.

Client Interaction & External Representation

• •Serve as the primary point of contact for the client on design-related matters, proactively facilitating collaboration, aligning project goals, and guiding informed decision-making consistent with Swinerton’s Design-Build best practices.
• •Translate client objectives, values, and performance criteria into clear design direction, ensuring expectations are understood, documented, and consistently integrated into the evolving design in support of reliable outcomes.
• •Conduct client design reviews to solicit direction, obtain approvals, and ensure internal teams remain aligned with design updates.
• •Participate in business development initiatives, including proposals, interviews, and industry events.

Healthcare Specific

Lead engagement with clinical user groups, facility leadership, and healthcare stakeholders to validate program requirements and design outcomes.

Minimum Experience and Requirements:

Bachelor’s degree in Architecture, Engineering, Construction Management, or related field.

10+ years of Architecture, Engineering, or construction management experience, including extensive working experience with the design build delivery process.

Minimum four years of experience with Design-Build delivery experience in all phases of design.

Demonstrated ability in design-build project management and delivery, including management of external design and design-build trade partners, staff coordination, cost management, scheduling, and quality control/quality assurance.

Thorough understanding of project management control systems (design phase scheduling, cost control, procurement and estimating)

Strong organization and leadership skills, with experience with team building, training, and managing daily activities.

Excellent organizational and (listening, written and verbal) communication skills when interacting with clients, designers, and internal team members.

Excellent understanding of a designer’s business model.

Ability to negotiate design service scope and associated fees.

Ability to assist with the A/E contract execution.

Excellent understanding of the technical aspects of all building systems.

Command of building code and standards.

Command of sustainability practices and principles.

Proven excellence with management of a design team (inclusive of a designer’s subconsultants).

Effectively balances data, intui