Senior Quantity Surveyor (MEP) Exeter (On-site) Project: Hospital, Plymouth I’m currently recruiting for a Senior Quantity Surveyor (MEP) to join a flagship healthcare project at a Hospital in Plymouth. This is a fantastic opportunity to take full commercial ownership of an MEP package on a major Emergency Care Building development. Working with the contractor, you’ll report directly to the Commercial Manager and play a key role in ensuring the successful commercial delivery of this complex, high-value installation. This position offers genuine responsibility, autonomy, and exposure to a major regional healthcare scheme. The Role You will take ownership of all day-to-day commercial activities on site, ensuring strong governance, compliance, profitability and performance across the MEP package. Key responsibilities include: * Managing robust commercial governance and maintaining transparency throughout the project lifecycle * Preparing and submitting accurate applications, invoices and CVRs * Pricing, negotiating and securing variations, loss & expense claims and entitlements * Supporting budgeting, forecasting, reporting and overhead reviews * Managing subcontract procurement, tender assessments and subcontract account administration * Producing subcontract documentation and overseeing supply chain performance * Measuring works, agreeing variations and assessing claims including prolongation and L&E * Building strong relationships with clients, consultants, subcontractors and end users * Mitigating commercial risk and managing potential disputes * Providing commercial support to operations teams * Mentoring and supporting junior commercial staff * Working collaboratively with both main contractors and subcontractors What We’re Looking For * Degree (or equivalent) in Quantity Surveying or Commercial Management * RICS accredited or working toward chartership (desirable) * Minimum 5 years’ experience in an MEP QS or Senior QS position * Experience delivering projects of similar scale and complexity * Strong contract administration background * Proven success securing time- and cost-based variations * Excellent stakeholder management and negotiation skills * High attention to detail and strong commercial acumen * Proficient in Microsoft Office; experience with Payapps or similar systems beneficial * Full UK driving licence You’ll need to be commercially sharp, highly organised, and confident operating in a fast-paced, high-value project environment. Why Apply? * Work on a major healthcare development of significant regional importance * Take ownership of a MEP package on a complex installation * Join a high-performing commercial and MEP delivery team * Access strong career progression and development opportunities * Be part of a business that values its people and supports long-term growth If you're an experienced MEP Senior QS looking for a role where you can genuinely influence commercial outcomes on a flagship healthcare scheme, I’d be very interested in speaking with you