Senior Design Manager - Tier 1 Main Contractor London & South East | Healthcare Schemes | Major Projects An outstanding opportunity has arisen for an experienced Senior Design Manager to join a leading Tier 1 main contractor delivering a portfolio of high-value healthcare projects across London and the South East. With a strong pipeline of complex hospital schemes, this role offers the chance to play a key leadership position across multiple projects, contributing to the successful delivery of technically challenging and high-profile developments. The Role As Senior Design Manager, you will take ownership of the design management function across several healthcare schemes, ensuring design excellence from pre-construction through to project completion. This is a dynamic, multi-site role requiring travel between projects, working closely with internal teams, consultants, and stakeholders to drive coordination, quality, and programme certainty. Key Responsibilities Lead and manage the design process from pre-construction through delivery Coordinate and oversee consultant and subcontractor design outputs Ensure design compliance with statutory, regulatory, and employer's requirements Carry out design assurance, technical reviews, and buildability assessments Identify and manage design risks, driving value engineering opportunities Lead design change control, assessing programme and cost implications Maintain accurate records of design submissions, approvals, and revisions Collaborate closely with construction, commercial, and procurement teams Provide leadership, mentoring, and guidance to Design Managers within the team Skills & Experience Proven track record in a Senior Design Manager or Design Manager role on major projects Experience working for a Tier 1 or large main contractor Strong understanding of RIBA Stages 3-6 Background in delivering complex, site-based projects (healthcare experience advantageous) Ability to lead multidisciplinary teams and manage complex design interfaces Excellent communication, coordination, and leadership skills Relevant professional qualification (desirable but not essential) Why Apply? Opportunity to work on high-profile, technically complex healthcare schemes Involvement across multiple major projects rather than a single site Long-term pipeline offering stability and career progression Key leadership role within a highly respected Tier 1 contractor Apply If you are seeking a senior design leadership position within a forward-thinking Tier 1 contractor, we would be keen to hear from you. Please submit your CV or contact Francesca Cainelli on 0207 288 0166 for a confidential discussion.

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