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Agent guide: [/agents.md](https://www.wearedevelopers.com/agents.md). --- # Design Integration, Senior Manager - Healthcare - **Company:** Swinerton Inc. - **Location:** San Diego, CA, United States - **Experience:** Expert - **Salary:** $175,000.0 - $205,000.0 - **Contract:** Permanent contract - **Skills:** Adobe InDesign, Autodesk Revit, Building Information Modeling, Software Design Documents, Imaging Technology, Project Management Software - **Published:** October 26, 2026 - **Apply:** https://www.careerbuilder.com/job-details/design-integration-senior-manager-healthcare-san-diego-ca--af17f920-e598-4cfb-a213-154699a06cb7 ## About the Role Healthcare Management, Construction, Documentation, Budgeting, Contract Requirements, Customer Support/Service, Cost Control, Best Practices, Leadership, Risk Management, * 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, intuition, experience, and diverse perspectives in decision-making and problem solving. * Able to foster collaboration and navigate conflict effectively amongst internal and external stakeholders * Strong computer skills and experience with project management software and platforms. * Experience in Virtual Design, Construction (VDC) and Revit/Building Information Modeling (BIM) software. Healthcare Specific * Experience delivering healthcare projects (acute care, ambulatory, or specialized facilities), including coordination with clinical stakeholders and regulatory agencies. * Working knowledge of healthcare codes, standards, and approval processes (e.g., HCAI/OSHPD, FGI, NFPA, Joint Commission). * Experience managing projects in occupied or operational healthcare environments, including phasing and infection control planning. Qualifications: * DBIA Certified Credential * Licensed Architect or Engineer (preferred) * LEED accredited professional (preferred) Healthcare Specific * Experience with ICRA implementation and healthcare compliance processes ## Description 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., 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.