Senior Project Manager - Hospital

Salary/Rate:£75000.00 - £100000.00 per annum
Job Type:Hybrid
Contract Type:Perm
Town/City:City of London
County:Greater London
Sector:Construction and Commercial Management
Job ref:JN -112026-85985_1794409205
Post Date:11. 11. 2026
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Meet Our Recruiter

About the Role

Cobalt Recruitment is working in partnership with a leading Tier 1 main contractor to recruit an experienced Senior Project Manager (Fit Out) for a major, high-profile healthcare development in Central London.

This is an exciting opportunity to take a leading role in the delivery of a technically complex fit-out project within a live hospital environment, where meticulous planning, specialist coordination and exceptional delivery standards are essential.

The development incorporates highly serviced clinical environments, specialist medical facilities and complex mechanical and electrical infrastructure. Working within an operational healthcare setting brings an additional layer of complexity, requiring careful management of logistics, safety, access and construction activities to minimise disruption to ongoing hospital operations.

Reporting directly to the Project Director, you will take ownership of the fit-out delivery, leading a multidisciplinary project team and overseeing the remaining procurement, design coordination, construction, commissioning and handover activities.

This is an excellent opportunity for an ambitious Senior Project Manager who enjoys the challenge of delivering technically demanding projects and wants to play a key role in a landmark development with a lasting impact.

The Role

As Senior Project Manager, you will be responsible for driving the successful delivery of the fit-out works, ensuring the project is completed safely, on programme, within budget and to the highest quality standards.

Your responsibilities will include:

  • Taking overall responsibility for the day-to-day delivery of a major, technically complex fit-out project.
  • Leading and coordinating a multidisciplinary team of Project Managers, Construction Managers, Package Managers, engineers and specialist subcontractors.
  • Managing construction activities within a live hospital environment, ensuring works are carefully coordinated to minimise disruption to ongoing operations.
  • Overseeing complex fit-out packages, including highly serviced clinical areas, specialist installations and extensive MEP infrastructure.
  • Managing outstanding procurement activities, including specialist subcontractor packages and long-lead materials.
  • Coordinating design completion, technical reviews and buildability assessments alongside consultants and specialist designers.
  • Maintaining control of project programmes, key milestones, budgets and risks, implementing recovery strategies where necessary.
  • Working closely with commercial teams to manage costs, variations and overall project performance.
  • Building strong relationships with the client, consultants, subcontractors and key stakeholders.
  • Overseeing quality assurance, technical compliance, commissioning and final handover activities.
  • Promoting the highest standards of health, safety and environmental performance throughout the project.

About You

We are looking for an experienced and driven construction professional with a proven ability to deliver large-scale, technically challenging fit-out projects.

The ideal candidate will have:

  • A strong track record as a Senior Project Manager or experienced Project Manager within a main contracting environment.
  • Experience delivering major fit-out, refurbishment or technically complex construction projects.
  • Previous experience working on projects within live, operational or highly regulated environments, where safety, logistics and stakeholder coordination are critical.
  • A solid understanding of MEP coordination, specialist subcontractor management and complex construction sequencing.
  • Experience managing multidisciplinary teams, procurement, design coordination, programme delivery and commissioning.
  • Strong commercial awareness and the ability to identify and mitigate project risks.
  • Excellent leadership, communication and stakeholder management skills.
  • A proactive, solutions-focused approach and the ability to perform effectively within demanding project environments.

Previous experience delivering projects within live hospitals, healthcare facilities, prisons, custodial environments or other operationally sensitive buildings would be highly advantageous.

Candidates with experience in life sciences, pharmaceutical facilities, laboratories or similarly complex, MEP-intensive projects are also strongly encouraged to apply.

We are particularly interested in individuals who understand the challenges of delivering construction works within environments where existing operations must continue safely and with minimal disruption.

Why This Opportunity?

This is not your typical fit-out project.

You will be joining an established Tier 1 main contractor to deliver a significant healthcare development, with responsibility for some of the most technically demanding elements of the scheme.

The role offers:

  • A landmark project: Play a key role in delivering a major healthcare development that will support essential services for years to come.
  • Technical complexity: Work on specialist facilities involving extensive MEP coordination, sophisticated building systems and complex fit-out packages.
  • A unique working environment: Oversee construction activities within a live hospital setting, where careful planning and coordination are critical.
  • Senior leadership responsibility: Lead an experienced project team, reporting directly to the Project Director and taking genuine ownership of delivery.
  • Career progression: Develop your career within a respected Tier 1 main contractor, with exposure to major projects and opportunities for long-term development.
  • Competitive package: Salary of £75,000 - £100,000, plus a £7,000 annual car allowance.

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