Posted Sep 17, 2026

Associate Manager, Pre-Construction

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Overview

USRC's greatest strength in being a leader in the dialysis industry is our ability to recognize and celebrate the differences in our diverse workforce. We strongly believe in recruiting top talent and creating a diverse and inclusive work climate and culture at all levels of our organization.


Responsibilities

The Associate Manager, Pre-Construction - a Leadership role nationally that includes managing several cross-different actions and activities that have broad impact on the overall operation of the Real Estate portfolio and growth program of USRC.

 

This position will create and manage the development and evolution of capital budgets for USRC Dialysis capital construction projects. This position manages and coordinates the full process of Pre-Construction activities such as; initial capital budget creation, design intent and review, final capital budget review and approval with Design - Construction Management staff, management of all construction solicitation, bidding and subsequent contracting, oversight of large change management events, and management of a historical cost database for use in future budgets, all allowing for cost containment strategies and balance between Quality, Price and Service Life. This, while maintaining cost transparency and communication with USRC internal clients and investors. This position will coordinate with USRC Design staff and Supply Chain staff to ensure that all potential cost saving measures are explored.

 

Essential Duties and Responsibilities , under the direction of the Director, Pre-Construction

 

application of cost estimating expertise maximizing use of Capital Expenditures.

resources, and delivery.

financial outcome related to set business plan.

departments; participate in the development of project reporting.

 

TECHNICAL REQUIREMENTS:


Qualifications

Qualifications/Requirements:

EDUCATION

  • Bachelor's Degree in Architecture, Engineering or Construction Management, or accepted equivalent, with strong focus on Pre-Construction practices required. Must have direct Pre-Construction and construction estimating hands on experience (3 years minimum)

 

REQUIRED SKILLS

  • Minimum of (3) years Pre-Construction and/or construction estimating experience in a multi-project environment
  • Thorough familiarity with construction practices, materials, means, methods, and techniques
  • Basic understanding of Construction Contracts, Insurance and Lien Right Laws and practices.
  • Basic understanding of Safety, Insurance and how they relate to pre-qualification
  • Possess knowledge of construction management from pre-construction to construction completion
  • Ability to assist in the implementation Pre-Construction, processes, and procedures
  • Ability to manage administrative personnel
  • Possess a team orientation to management and USRC Mission, Vision, Values and culture
  • Attention to detail, accuracy, and timeliness
  • Possess strong written and oral communication skills
  • Ability to Multi-task in an efficient, professional and calm manner

TECHNICAL REQUIREMENTS:

  • Proficiency in the use of:
    • Industry Standard Pre-Construction software (Destini or equal) & web based tools
    • ProCore, E-Builder, ProjectMates (or other) -- Project Management Information System (PMiS) Document Control and Budgeting
    • Advanced Excel -- used in estimating, bid comparison, budgeting, Org. Charting,
    • Bluebeam
    • MS Word
    • MS Outlook
    • MS Project - scheduling and reporting
    • Proficient in use of Power Point presentations
  • Focused requirements.
    • Basic knowledge of healthcare laws, CMS regulations and standards.
    • Basic knowledge of local building codes and permit processes.

MISCELLANEOUS

  • Valid driver's license in applicable state. License must be maintained as current, without restrictions and good driving record.

 

Benefit Details 

All Full-Time employees are eligible for the following benefits: 
* Medical / Pharmacy 
* Dental 
* Vision 
* Voluntary benefits 
* 401k with employer match 
* Virtual Care 
* Life Insurance 
* PTO 
 

All Part Time employees are eligible for the following benefits: 
* 401k with employer match 
* PTO 

Bachelor's degree in architecture, engineering, or construction management; 3+ years of pre-construction or estimating experience; construction knowledge; team management; and proficiency with estimating, project management, and Microsoft Office tools.

Key Responsibilities

Skills & Tools

Destini, Procore, E-Builder, ProjectMates, Microsoft Excel, Bluebeam, Microsoft Word, Microsoft Outlook, Microsoft Project, PowerPoint, Revu

Job Details

Benefits

About U.S. Renal Care, Inc.

A healthcare provider operating dialysis services and related facility development programs. — Industry: Healthcare