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 toplex care networks—shaping spaces w clinical performance, patient oues, 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 leadplex 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 oues—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 leadingplex 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, andpliance environments (FGI, state health authorities, etc.
)
Track record of improving operational performance, consistency, and delivery oues across multiple projects
Ability to translate ambiguity into clear systems, workflows, and execution plans
Experience across both interior and exterior healthcare architectural documentation Strongmand of project and program tools (Deltek Vantagepoint, Bluebeam, Microsoft Office, Adobe)
Ability to influence teams without relying on authority—driving accountability, clarity, and momentum
Exceptionalmunication 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, regulatorypliance, 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 healthiermunities. 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 oues beyond their immediate scope
You'll be part of a culture that values:
Clarity overplexity
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.