Construction Cost Management

Mission

Neko is redefining what prevention means, from treating illness when it arrives, to sustaining health before it's ever at risk. Our mission: make data-driven, preventative care accessible to more people, before symptoms appear.

In a single, non-invasive visit under an hour, proprietary technology and direct clinical care combine to deliver personalised, actionable insights. It's a team that thinks in 10x, not 10%. Every role here plays a part in building a world where prevention is the norm, and where your work genuinely helps people live longer, healthier lives.

Role Purpose

We are seeking a highly motivated and detail-oriented senior professional to join the growing Neko Health team as our Construction Cost Lead/Senior Estimator for the US. In this crucial role, you will lead commercial management of Neko Health's construction program across US markets, responsible for cost planning, procurement, and commercial control of the build-out of a high-precision healthcare experience that meets stringent technical, operational, and regulatory expectations. This is a unique opportunity to shape the future of healthcare delivery by ensuring best-in-class cost management and commercial governance. The role requires someone with 10+ years of experience in construction cost management, strong analytical skills, deep estimating and preconstruction expertise, high autonomy, high accountability, and experience working across multiple US markets.

What You'll Deliver in the First 6–12 Months

Cost management and commercial control

• Establish a US cost benchmarking database and vendor ecosystem (general contractors, MEP trades, millwork, design consultants) with rates benchmarked across markets and measurable commercial SLAs.

• Own the end-to-end cost management of Neko Health centers across the US, from feasibility budgets and conceptual estimates through final reconciliation and project closeout, ensuring each site is delivered within budget without compromising the precision, safety, and design standards required for our scanning technology.

• Develop and maintain cost plans, quantity takeoffs, bid analyses, schedules of values, progress payment applications, change orders, and cost-to-complete reports, while effectively managing commercial risks and contingencies.

• Conduct regular site visits to verify work in place for progress payments, identify commercial risks and variations, and challenge contractor claims where appropriate.

• Support design excellence by working closely with the Locations Design Manager and Project Managers, providing cost advice and value engineering options to inform design decisions and protect the budget.