Healthcare Architectural Project Manager

Architecture Billings, Montana


Description

Position Description 
Join an innovative firm delivering a portfolio of high-impact healthcare environments across the U.S.—from hospitals to complex care networks—shaping spaces where clinical performance, patient outcomes, and operational efficiency converge. 
This is not a traditional project management role.
As an Architectural Project Manager, you will operate as a program-level leader, owning delivery performance, driving standardization, and elevating how healthcare design gets done across multiple projects and clients. You will influence not just what gets delivered—but how work happens at scale.
You’ll lead complex healthcare programs while introducing smarter systems, stronger controls, and higher standards of execution. Your work will directly impact patient environments, caregiver experience, and client operational success.
Working alongside architects, engineers, clinicians, and executive healthcare stakeholders, you’ll align multidisciplinary teams around a single goal: deliver consistent, high-quality outcomes—faster, smarter, and with fewer gaps.
This role is ideal for someone who sees inefficiencies and can’t ignore them—who instinctively builds better processes, scales what works, and raises the bar for everyone around them.
Beyond project delivery, you will:
  • Build alignment across teams and clients
  • Identify breakdowns and turn them into repeatable solutions
  • Drive consistency across multi-site programs
  • Strengthen long-term client trust and strategic partnerships

Position Salary Range*
The expected salary range for this position is $95,000 to $125,000 annually, with performance-based growth tied to impact, not tenure. 

Required Qualifications** 
  • Bachelor’s or Master’s degree in Architecture or related field
  • 15+ years leading complex healthcare design delivery or large-scale program management
  • Proven experience managing multi-site healthcare programs, systems, or capital portfolios
  • Deep understanding of healthcare design standards, regulatory frameworks, and compliance environments (FGI, state health authorities, etc.)
  • Track record of improving operational performance, consistency, and delivery outcomes across multiple projects
  • Ability to translate ambiguity into clear systems, workflows, and execution plans
  • Experience across both interior and exterior healthcare architectural documentation 
  • Strong command of project and program tools (Deltek Vantagepoint, Bluebeam, Microsoft Office, Adobe)
  • Ability to influence teams without relying on authority—driving accountability, clarity, and momentum
  • Exceptional communication skills with clinical leaders, executives, and technical teams
  • Experience navigating permitting and regulatory processes within healthcare environments

Preferred Qualifications** 
  • Background in healthcare-focused architecture or multidisciplinary design firms
  • Professional licensure or advanced project/program management certification
  • Experience driving enterprise-level process improvements or design standardization initiatives
  • Exposure to health system strategy, capital planning, or campus transformation efforts
Don’t opt out too early:
If you bring strong experience, clear thinking, and a track record of improving how work gets done—even if your background doesn’t match every bullet—we want to hear from you.

Position Responsibilities*** 
  • Own delivery performance across a portfolio of healthcare projects—quality, speed, cost, and consistency
  • Build and lead systems that ensure predictable, repeatable project execution at scale 
  • Partner with leadership to define and track budgets, forecasting, and performance metrics 
  • Standardize contracts, scopes, and fee structures to improve clarity and reduce risk
  • Drive project planning from concept through documentation with clear, enforceable milestones
  • Lead QA/QC efforts with a focus on patient safety, regulatory compliance, and zero-defect delivery mindset
  • Identify recurring breakdowns and implement real, lasting solutions—not workarounds
  • Run structured program reviews to assess performance, identify risk, and align teams quickly
  • Ensure data integrity and reporting accuracy within Deltek Vantagepoint
  • Create actionable work plans and resource strategies—not just schedules
  • Oversee billing, financial tracking, and payment timelines with discipline and accuracy
  • Spot growth opportunities within existing clients and expand service value strategically
  • Lead project closeouts that actually improve the next project—not just document lessons learned
  • Develop and mentor team members to raise overall team capability and accountability
  • Support strategic growth of healthcare practice through stronger delivery and client trust

Working at Cushing Terrell 
Cushing Terrell is a multidisciplinary design firm with 17 offices and 500+ professionals working together to design environments that improve how people live, heal, and work.
Our healthcare work focuses on real-world impact—creating spaces that support better care, stronger systems, and healthier communities. 

Why Cushing Terrell 
We don’t just design buildings—we improve how systems function.
Here, high performers are trusted to:
  • Challenge outdated ways of working
  • Build better processes
  • Influence outcomes beyond their immediate scope
You’ll be part of a culture that values:
  • Clarity over complexity
  • Action over discussion
  • Impact over activity
We invest in people who want to raise standards—not maintain them.
You’ll find:
  • A collaborative, no-ego environment
  • Real ownership and accountability
  • Opportunities to shape how healthcare design is delivered—not just participate in it

Things to Note 
*Actual pay will be determined based on experience, licensure, location, and demonstrated impact. This role is also eligible for a performance-based bonus. 
**Applicants must be authorized to work in the United States. We are unable to sponsor visas at this time. 
***This role is primarily office-based with standard physical requirements. 
Cushing Terrell is an Equal Opportunity Employer. All qualified applicants will be considered without regard to protected characteristics. 
Note to agencies: Unsolicited resumes will not be accepted.