Job Description & Qualifications
The Construction Estimator provides independent cost estimating, cost planning, and financial analysis for University Hospitals’ capital construction program. Serving as the owner’s cost expert, this position develops and validates project budgets, evaluates estimates prepared by architects, engineers, contractors, and construction managers, and advises project leadership on cost risks, market conditions, procurement strategies, and value-management opportunities.The Construction Estimator supports projects from initial planning through design, procurement, construction, and closeout. This role establishes consistent estimating standards, improves the accuracy and reliability of capital forecasts, and provides University Hospitals with an independent basis for evaluating project costs, contractor proposals, change orders, allowances, contingencies, and escalation.The position works closely with project managers, facilities leadership, finance, supply chain, legal, design professionals, contractors, and other internal stakeholders to ensure capital decisions are supported by complete, transparent, and defensible cost information.
What You Will Do
- Prepare conceptual, schematic, design-development, and detailed construction estimates for healthcare renovation, infrastructure, equipment, and new-construction projects using available drawings, narratives, program information, historical data, and site conditions.
- Develop and validate comprehensive project budgets that account for construction costs, design and consulting fees, equipment, technology, permits, testing, temporary conditions, escalation, contingency, owner costs, and other project-specific requirements.
- Independently evaluate estimates submitted by architects, engineers, construction managers, general contractors, and specialty consultants for accuracy, completeness, quantity assumptions, unit pricing, labor rates, general conditions, markups, allowances, escalation, contingency, and scope coverage.
- Lead estimate reconciliation efforts between University Hospitals, design teams, contractors, and consultants. Identify material cost differences, scope gaps, duplicate costs, unsupported assumptions, and unresolved risks, and document the final reconciled position.
- Support contractor and vendor procurement by reviewing bids, proposals, guaranteed maximum price submissions, bid leveling documents, alternates, qualifications, exclusions, allowances, and unit prices. Provide recommendations regarding cost reasonableness and overall value.
- Analyze contractor change-order proposals for entitlement, scope, quantities, labor productivity, material pricing, equipment costs, subcontractor markups, general conditions, schedule impacts, and compliance with contractual requirements. Develop independent estimates when needed to support negotiations.
- Identify cost drivers, evaluate design alternatives, and recommend value-management strategies that maintain clinical, operational, quality, safety, and regulatory requirements while improving project affordability and lifecycle value.
- Develop and maintain a centralized database of historical project costs, unit prices, escalation factors, regional market conditions, contractor pricing, change-order trends, and healthcare construction benchmarks. Use this information to improve future estimates and capital planning.
- Provide estimating support for annual and multiyear capital planning, project prioritization, funding requests, business cases, feasibility studies, and executive approvals. Communicate estimate ranges, assumptions, confidence levels, contingencies, and potential financial exposure.
- Create and maintain University Hospitals’ estimating procedures, templates, cost-code structures, estimate classifications, documentation requirements, benchmarking standards, and quality-control processes. Promote consistent estimating practices across the capital program.
Additional Responsibilities
- Participate in project planning, design reviews, constructibility reviews, contractor interviews, procurement activities, and project risk assessments.
- Monitor construction-market conditions, including labor availability, material pricing, supply-chain constraints, escalation, and regional bidding activity.
- Assist project managers with cash-flow projections, contingency analysis, cost-to-complete assessments, and financial reporting.
- Support audits, executive reviews, contract negotiations, and claims analysis by providing cost documentation and independent evaluations.
- Conduct site visits to understand existing conditions, construction constraints, phasing requirements, logistics, infection-control requirements, and impacts to occupied healthcare environments.
- Collaborate with project teams to improve scope definition before budgets are established or procurement activities begin.
- Perform other duties related to capital cost management and project delivery as assigned.
- Performs other duties as assigned.
- Complies with all policies and standards.
- For specific duties and responsibilities, refer to documentation provided by the department during orientation.
- Must abide by all requirements to safely and securely maintain Protected Health Information (PHI) for our patients. Annual training, the UH Code of Conduct and UH policies and procedures are in place to address appropriate use of PHI in the workplace.
- Bachelor’s Degree Construction management, engineering, architecture, finance, or related field (Required)
Work Experience
- 5+ years construction estimating, construction consulting, or project cost-management experience (Required)
- 1+ years experience working as an owner’s representative (Preferred)
- 1+ years experience working in healthcare construction (Preferred)
Knowledge, Skills, & Abilities
- Ability to independently challenge estimates and cost proposals while maintaining productive relationships with contractors, consultants, and internal stakeholders. (Required proficiency)
- Strong understanding of conceptual estimating and the ability to develop reasonable cost projections when design information is limited. (Required proficiency)
- Ability to identify missing scope, inconsistencies, unrealistic assumptions, and potential financial exposure. (Required proficiency)
- Ability to manage multiple projects and estimates with competing deadlines. (Required proficiency)
Physical Demands
- Standing Occasionally
- Walking Occasionally
- Sitting Constantly
- Lifting Rarely up to 20 lbs
- Carrying Rarely up to 20 lbs
- Pushing Rarely up to 20 lbs
- Pulling Rarely up to 20 lbs
- Climbing Rarely up to 20 lbs
- Balancing Rarely
- Stooping Rarely
- Kneeling Rarely
- Crouching Rarely
- Crawling Rarely
- Reaching Rarely
- Handling Occasionally
- Grasping Occasionally
- Feeling Rarely
- Talking Constantly
- Hearing Constantly
- Repetitive Motions Frequently
- Eye/Hand/Foot Coordination Frequently
Travel Requirements
- 10% Travel to and from UH locations as needed.
Additional Salary Detail:
The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of posting of this job advertisement and may be modified in the future. When determining a team member’s base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, union negotiated contracts, budget and internal equity). This figure does not include, unless otherwise stated incentive pay or shift differential pay or the value of University Hospitals’ comprehensive benefits package, which includes healthcare, dental, vision, retirement plan options, and additional offerings. Click here to view complete wellness and benefits details.
For over 150 years, University Hospitals has been dedicated to our mission To Heal. To Teach. To Discover. Starting as a small Cleveland hospital in 1866, UH has grown into 18 hospitals and 40 health centers, serving 1 million people annually.
UH delivers exceptional care, advances medical innovation, and trains future healthcare leaders. Now, you have the opportunity to add your talents to this legacy of care. At UH, you’ll join a collaborative team in an inspiring environment where your skills and ideas will be valued. Together, we can continue to shape the future of healthcare and deliver on the promise of our mission for generations to come.
Equal Opportunity Employer – Veterans and individuals with disabilities.
University Hospitals is a national leader in healthcare that takes pride in calling Northeast Ohio home. With more than 150 locations throughout Cleveland and the surrounding metropolitan areas, UH provides unique opportunities to deliver world-class care in the communities where our employees live, work, and play.
We want you to make a career with us and we are here to support you – both in and out of work. Our comprehensive benefits program offers choice and flexibility to meet you where you are in your life.
- Medical Plans
- Dental Plans
- Vision Plan
- Paid Short and Long Term Disability
- Life and Account Insurance
- Additional Voluntary Benefits
- Wellness Programs and Plans
- Financial Health Resources
- Career Development Resources
- And More!
*Benefits may vary based on FTE Status and Position Type.
View complete wellness and benefits details on our Why Choose Us page.

We want you to make a career with us and we are here to support you – both in and out of work. Our comprehensive benefits program offers choice and flexibility to meet you where you are in your life.
- Medical Plans
- Dental Plans
- Vision Plan
- Paid Short and Long Term Disability
- Life and Account Insurance
- Additional Voluntary Benefits
- Wellness Programs and Plans
- Financial Health Resources
- Career Development Resources
- And More!
*Benefits may vary based on FTE Status and Position Type.


Working at University Hospitals
Careers at UH offers opportunities to provide care locally in the Cleveland area with the power to impact healthcare nationwide. As leaders in our industry, our staff share a commitment to be the difference in the lives of our patients and our communities from Northeast Ohio and beyond. Look at this video to discover how we’re building an organization for the future today.
Nightshift Module
Night shift provides a unique and rewarding opportunity for caregivers who thrive in a close-knit, supportive environment. With fewer distractions and a calmer atmosphere, you’ll have the chance to foster meaningful relationships with both colleagues and patients. The quieter pace allows for more in-depth patient connections, greater autonomy, and the opportunity to refine your skills. Whether it’s the flexibility to fit your lifestyle, the teamwork and problem-solving that come with a close-knit team, or the financial benefits of shift differential pay, night shift offers a space where you can grow both personally and professionally. If you excel in a late-night environment and appreciate the independence and collaboration it offers, our night shift team is the perfect fit for you!
Hear from our team about why they enjoy working the night shift and how it has shaped their careers.
Sara H.
Multi Modality
I like nightshift because the smaller staff helps me build connections and friendships with the staff around me. Helping us to better communicate without any issues, including doctors. I can work independently, keeping my thinking skills sharp. Even when it is quiet, it is never boring.










