Job Description
Senior Commercial Manager - Healthcare (PFI / Hard FM)
Homebased with UK travel (Midlands & North bias)
We are working with a leading infrastructure / services organisation delivering complex Healthcare PFI portfolios across the UK. With a strong pipeline of technical services growth and upcoming CoBP / Handback activity, they are now looking to appoint a Senior Commercial Manager to act as a key No.2 to the Commercial Director.
This is a high-impact, strategic role suited to someone who combines technical FM understanding with strong commercial acumen and thrives in complex, multi-stakeholder PFI environments.
The Role
You will take a lead position across a diverse portfolio of Hard and Soft FM PFI contracts, including:
Multiple healthcare PFI schemes (Hard FM-led, alongside Soft FM demobilisation activity)
Involvement in CoBP (Code of Best Practice) and Handback strategy
Oversight of both standalone and bundled service models
Supporting growth across technical / engineering services within healthcare
This role goes beyond traditional QS/commercial management - you'll be expected to think like a consultant, challenge positions, and unlock value across contracts.
Key Responsibilities
Provide commercial leadership across PFI contracts, including interpretation of complex payment mechanisms
Lead and support Handback & CoBP processes, including survey alignment and risk mitigation
Advise operational teams on contractual obligations, compliance, and commercial strategy
Identify and drive margin improvement and commercial opportunities
Support and lead on disputes, variations, benchmarking, and lifecycle positions
Engage with SPVs, lenders, and stakeholders across the PFI structure
Act as a true business partner to operations, regularly visiting sites
What We're Looking For
Strong background in PFI / PPP environments (Healthcare highly desirable)
Proven experience in Hard FM / Technical Services (engineering-led contracts)
Ability to understand payment mechanisms and build robust commercial positions
Experience across CoBP, Handback, or lifecycle / asset condition (Condition B etc.)
Commercially astute with a consultative, solutions-led mindset
Exposure to SPVs / ProjectCo structures (e.g. Semperian, Innisfree, Equitix, InfraRed) advantageous
Why Join?
Opportunity to step into a true No.2 role with a pathway to Commercial Director level
Be part of a business actively growing its Technical Services capability in Healthcare
Work across a diverse and complex PFI portfolio with real influence
Join at a critical time with Handback activity and long-term strategic projects
If you're a commercially sharp PFI professional, ideally with a technical grounding and want to step into a broader, more strategic role - this is a standout opportunity.
RG Setsquare is acting as an Employment Agency in relation to this vacancy.
