Senior Project Manager - Healthcare + Education

McAdams is a full-service land planning, landscape architecture, civil engineering, transportation, and geomatics firm located in North Carolina, South Carolina, Texas, and Florida. We seek to partner with our clients to create meaningful experiences through inspired design. Our employees are what make McAdams different. We bring experiences to the forefront of everything we do, and to do that takes special people.

Position Overview

We are seeking an accomplished Healthcare & Institutional Lead to spearhead the planning, design, permitting, and delivery of complex site/civil projects across the Charlotte region and greater Carolina's market. This senior civil engineering leadership role blends technical expertise, strategic vision, and client engagement to expand our presence in healthcare and other institutional sectors, while ensuring consistent excellence in project execution. The Healthcare & Institutional Lead will serve as a trusted advisor to clients, a mentor to staff, and a visible representative of the firm within the Charlotte healthcare and institutional development community.

In this role, you will lead projects including medical office buildings, patient care facilities, hospital campus expansions, central energy plants, and supporting utility and civil infrastructure. In addition, you will guide site/civil delivery for university campus development, K–12 facilities, public-sector institutions, and other mission-driven environments where reliability, resiliency, and stakeholder coordination are critical. Success requires strong command of technical design and regulatory processes, paired with the ability to anticipate client needs, manage complex project teams, and deliver predictable outcomes.

A critical component of this role is the ability to partner seamlessly with architects and multidisciplinary design teams. The ideal candidate brings an established track record of collaborating with architectural firms from concept planning through construction, understanding how site and civil decisions influence building design, cost, schedule, and approval pathways. Strong relationships with architects—and the ability to build new ones—will be essential for driving pursuits, expanding opportunities, and delivering high-quality, integrated solutions. This leader will be skilled at aligning owners, architects, and engineering teams around shared goals, ensuring projects move efficiently through permitting and execution while maintaining exceptional client service.

At McAdams, we invest in growth-minded leaders who are eager to build, innovate, and elevate those around them. You will have the autonomy to shape strategy, influence market direction, and expand capabilities—supported by a collaborative leadership team, robust internal resources, and a strong platform for long-term career development. This is an opportunity for a leader who thrives in an entrepreneurial environment, values continuous improvement, and is motivated by creating lasting impact in the communities we serve.

Key Responsibilities

• Direct healthcare-focused civil engineering projects from concept through completion, ensuring compliance with regulatory standards, healthcare codes, and client expectations.
• Develop and implement strategies to expand the firm’s healthcare market presence, leveraging industry knowledge, market trends, and client/architect relationships.
• Partner with architects, healthcare administrators, mechanical engineers, contractors, and multidisciplinary teams to deliver facilities that enhance patient care, operational efficiency, and sustainability.
• Manage project budgets, schedules, staffing, and quality control to deliver successful outcomes on time and within scope.
• Lead an engineering team to execute healthcare projects, fostering professional growth and technical excellence.
• Lead permitting efforts, working with local agencies and municipalities to ensure timely approvals and compliance with applicable regulations. Address agency comments and facilitate site permitting processes.
• Coordinate and collaborate with internal disciplines, technical specialists, and subconsultants to deliver quality outcomes. Represent the firm at conferences, client meetings, and community engagements to strengthen partnerships, visibility, and thought leadership.
• Identify and mitigate project risks, ensuring compliance with environmental, safety, and healthcare facility standards.
  
  

Skills Experience

• Four-year bachelor’s degree from an accredited program in Civil Engineering, Environmental Engineering, Biological and Agricultural Engineering, Civil Engineering Technology, or related field required
• EI required; PE or on track to obtaining PE strongly preferred
• 10 years of civil engineering experience with significant exposure to healthcare or campus projects.
• Proven track record managing complex, multidisciplinary projects and leading diverse teams.
• Strong knowledge of healthcare facility design standards, site development, utilities, stormwater management, and environmental considerations.
• Exceptional communication, negotiation, and relationship-building skills to engage stakeholders and build trust.
• Experience working with multidisciplinary architect teams, including building and site mechanical engineers.
• Experience in various project delivery models including traditional design-bid-build, design-build, CMAR, etc.
• Ability to identify market opportunities, develop business strategies, and contribute to firm-wide growth initiatives.
  
  

Why Join Us

• Shape healthcare infrastructure that directly improves patient outcomes and strengthens communities.
• Senior role with influence across the firm and recognition within the healthcare industry.
• Work in a multidisciplinary environment that values innovation, sustainability, and teamwork.
• Opportunities for advancement into executive leadership and participation in firm-wide strategic initiatives.
• Compensation and benefits aligned with senior-level responsibilities, including performance incentives, professional development support, and flexible work arrangements.
• Be part of a firm consistently ranked among top civil engineering and healthcare design leaders.
  
  

Work Environment Physical Demands

The characteristics described below are representative of those encountered while performing the essential functions of this position. When properly requested and when feasible (without undue hardship to the company), reasonable accommodations will be made to enable individuals with disabilities to perform essential job functions.

• Work will primarily be in an office setting with limited opportunities to be exposed to adverse environmental conditions.
• Work will be primarily working with fingers by picking, pinching, typing, and grasping often with repetitive motion.
• Must have visual acuity for viewing a computer screen, the ability to talk, hear and sit for extended periods of time.
• Must be able to carry, lift and push/pull up to 5 pounds frequently and up to 30 pounds occasionally.
• Additional physical duties may be required as necessary.
  
  

McAdams is an equal opportunity employer. All qualified candidates will receive consideration for employment without regard for race, color, religion, gender (including pregnancy, sexual orientation, or gender identity), national origin, age, disability, genetic information, veteran's status, or any other legally protected status.

If you need assistance with our online application system process, please contact the Human Resources Team at 919.361.5000 or hrteam@mcadamsco.com.

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