--- title: 'Construction Cost Management Lead, US at Neko Health' canonical: 'https://feeny.ai/job/construction-cost-management-lead-us-neko-health-new-york-82akbt0ss5wa' type: 'job' last_seen: '2026-11-08' --- # Construction Cost Management Lead, US at Neko Health - **Company:** [Neko Health](https://feeny.ai/companies/neko-health) - **Location:** New York, NY - **Employment:** full-time - **Work type:** hybrid - **Posted:** 2026-09-15 - **Last confirmed live:** 2026-11-08 - **Apply:** https://jobs.ashbyhq.com/neko-health/8c82685a-41e6-43a0-b4a1-0a1edc3731da ## Job description 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. - Lead the commercial administration of construction contracts (e.g., AIA A101/A201, ConsensusDocs, or owner-form agreements) including change orders, claims, time extensions, and project closeout. - Track and report on commercial KPIs including cost performance against budget, cash flow, committed vs. forecast spend, and savings from value engineering. Feasibility and preconstruction - Produce feasibility budgets and order-of-magnitude (ROM / AACE Class 4–5) estimates for potential sites across US markets to inform leasing decisions. - Identify and communicate commercial risks that may affect leasing terms, budget, or project timelines, including landlord work letters and tenant improvement allowances, restoration obligations, and base-building condition exposure. - Lead the bid process for vendors and general contractors, including preparing bid documentation, issuing invitations to bid, leveling returns, and producing bid recommendation reports. Strategic and operational alignment - Collaborate with in-house and external design teams to provide cost input at each design stage (SD, DD, CD) and ensure designs remain within budget. - Drive value engineering and life-cycle cost analysis to deliver cost-effective solutions while maintaining high-quality standards. - Lead the effort to build a clear cost playbook, standardize commercial rates for space types, and train contractors and vendors on using established work breakdown structures (CSI MasterFormat / UniFormat). - Support preconstruction efforts across US markets including test-fit pricing, feasibility estimates, and budget validation in partnership with local consultants. - Develop and maintain commercial documentation, including cost reports, commercial risk registers, change logs, and stakeholder reports. - Capture and analyze cost data from completed projects to refine benchmarks and inform future feasibility estimates. ## Minimum Qualifications - 10+ years of proven experience as a Cost Manager, Senior Estimator, or Preconstruction Manager (consultancy or owner/client-side), preferably in healthcare, retail, or a related fit-out industry. AACE (CCP/CEP), ASPE (CPE), or equivalent certification preferred; degree in Construction Management, Engineering, or Quantity Surveying. - Experience supporting growing organizations, with a track record of commercial management of prestigious projects. - Strong understanding of interior fit-out construction, US cost methodologies and estimate classes (CSI MasterFormat, UniFormat, AACE Class 1–5), and standard forms of contract used across US markets (e.g., AIA A101/A201, ConsensusDocs, lump sum, GMP, design-build). - Excellent problem-solving and decision-making skills with the ability to effectively collaborate with diverse teams and stakeholders. - Experience working with cross-functional teams and managing projects across multiple US jurisdictions, including familiarity with regional labor markets, prevailing wage considerations, and permitting variations. - High adaptability and ability to work in a fast-paced, evolving environment. - Excellent written and verbal communication skills in English. ## About Neko Health ## Company Overview - **One-liner**: Neko Health is a healthcare technology company that has engineered a proprietary, data-driven preventive health scan to detect early signs of disease in otherwise healthy individuals. - **Entity Type**: Private (Funding Stage: Series A) - **Headquarters**: Stockholm, Sweden - **Founded**: 2018 - **Founders**: Daniel Ek (Co-founder, also founder/CEO of Spotify) and Hjalmar Nilsonne (Co-founder) ## Core Business - Primary industry/industries: Healthcare Technology, Preventive Medicine, Clinical Diagnostics - Target customers: B2C – Health-conscious individuals; B2B Potential – Self-insured employers - Mission or purpose statement: “To provide healthcare that’s proactive instead of reactive – so that people can live longer, healthier lives.” ## Products & Services - **[The Neko Health Scan]**: A 60-minute, full-body health check that captures millions of data points across the skin, heart, blood, and circulation using four proprietary devices (Derma, Spectrum, Echo, and Neko Lens). Includes an unrushed consultation with a doctor where results are discussed immediately. The scan is priced at approximately 2750kr (~$260) in Sweden and is designed for asymptomatic, healthy individuals looking for prevention. ## Market Standing - **Valuation/Market Cap**: Not publicly disclosed (as of mid-2026). - **Key Metric**: Total Funding – **$325.1M** (one prior funding round). - **Notable Investors/Partners**: Backed by “investors who have built and scaled some of the most ambitious technology companies of the last two decades” (individual names not publicly listed on career page). The company has strong ties to the tech and startup ecosystem. - **Growth Signals**: Over 1,000 employees (more than half in clinical roles). Aggressive expansion with active clinic locations in London, Manchester, Birmingham, Stockholm, and plans for more. Job postings have increased +344.4% year-over-year (as of mid-2026), indicating rapid scaling. ## Competitive Advantages - **Proprietary Hardware**: All four scanning devices are designed, engineered, and assembled in-house in Stockholm, creating a hard-to-replicate technological moat. - **Integrated Clinical Model**: Unlike traditional clinics or digital health apps, Neko combines its proprietary hardware with on-site doctors, clinical researchers, and data science under one roof with a low patient volume per doctor ( ~9 members/day vs. 30+ in standard care). This enables a focus on prevention, not just treatment. - **Data Moat**: The system captures millions of structured data points per scan, allowing for peer benchmarking and longitudinal tracking over years, creating a powerful, network-effect dataset for preventive health insights. - **Leadership**: Co-founded by Daniel Ek (Spotify) and Hjalmar Nilsonne. ## Strategic Focus - **Scaling the Scan Room**: Neko is actively testing a second-generation modular scan room platform designed to capture more signals and scale to new locations. - **Global Expansion**: Opening new clinics across the UK and Europe, with a clear intent to make the service more accessible. - **Clinical Research & Governance**: Continued focus on validating their devices with clinical studies and building a clinical leadership team (including ex-NHS and Amazon Health executives) to establish preventive care as a formal clinical discipline. ## Why Work Here - **Mission-Driven**: The company was founded to solve the fundamental problem of late-stage diagnosis by focusing on prevention. The work is presented as having a direct, positive impact on human longevity. - **Culture & Engineering**: The company actively showcases a deep engineering culture where “clinical insight can become a hardware iteration overnight.” Clinicians and engineers share the same floor, fostering rapid iteration and innovation. - **Compensation & Benefits**: Salaries are benchmarked via market research. Benefits include comprehensive Medical, Dental, and Vision Insurance, 401K, Paid Time Off, Life Insurance, Disability Insurance, CME Days, and Commuter Benefits. - **Work Model**: Roles are **on-site** at specific clinic locations. Training for medical roles is fully paid. The interview process is designed to give candidates a feel for the culture and mission. - **Growth Trajectory**: With 80+ active job postings and triple-digit growth in hiring, the company is in a high-growth phase, offering significant career development opportunities. ## Sources 1. [nekohealth.com](https://www.nekohealth.com/en) 2. [nekohealth.com](https://www.nekohealth.com/us/en/about) 3. [linkedin.com](https://www.linkedin.com/company/nekohealth) 4. [nekohealthcareers.com](https://www.nekohealthcareers.com/) 5. [jobs.ashbyhq.com](https://jobs.ashbyhq.com/neko-health) ## Other roles at Neko Health - [Executive Assistant Lead, SE](https://feeny.ai/job/executive-assistant-lead-se-neko-health-stockholm-dhmpf944r4gm) — Stockholm, Sweden - [Lead Program Manager](https://feeny.ai/job/lead-program-manager-neko-health-stockholm-03r6ashx54yb) — Stockholm, Sweden - [Medical TA Lead](https://feeny.ai/job/medical-ta-lead-neko-health-new-york-gs9pbmxnm77b) — New York, NY - [Family Medicine Physician](https://feeny.ai/job/family-medicine-physician-neko-health-miami-7xghg55er0y7) — Miami, FL - [Physician](https://feeny.ai/job/physician-neko-health-miami-0cncf2wwvecp) — Miami, FL - [Nurse Practitioner](https://feeny.ai/job/nurse-practitioner-neko-health-miami-yqddgxx21cdh) — Miami, FL - [Nurse Practitioner](https://feeny.ai/job/nurse-practitioner-neko-health-washington-2dfedzz2enhm) — Washington, DC - [Field Service Engineer](https://feeny.ai/job/field-service-engineer-neko-health-london-r80d8mtp4ejc) — London, United Kingdom - [Principal Clinical Scientist, Medical Devices & AI](https://feeny.ai/job/principal-clinical-scientist-medical-devices-ai-neko-health-new-york-ye048s51gzqa) — New York, NY - [Laboratory Technical Supervisor](https://feeny.ai/job/laboratory-technical-supervisor-neko-health-new-york-ns3kqabf7p86) — New York, NY