Engineering Jobs in Madison, TN

Construction Estimator – Commercial & Healthcare Projects

Location: Franklin, TN

About the Role

Join a growing construction firm as a Construction Estimator. You’ll prepare bids, budgets, and proposals, analyze subcontractor quotes, and represent the company in client meetings.

Key Responsibilities

• Prepare estimates, budgets, and proposals for commercial & healthcare projects
• Analyze blueprints, project documents, and subcontractor bids
• Manage and pre-qualify subcontractors; maintain sub database
• Present proposals to owners and clients
• Mentor junior estimating staff
• Reconcile budgets, timelines, and scope of work
• Conduct value engineering and research permit/code requirements

Skills & Qualifications

• Bachelor’s in Construction Science, Mechanical/Civil Engineering, or related field
• 2–5 years estimating experience in commercial/healthcare construction
• Proficient in Timberline or equivalent estimating software; BIM preferred
• Strong knowledge of construction methods, materials, and trades
• Excellent leadership, communication, and problem-solving skills
• Self-motivated and able to work independently

Why You’ll Love This Role

• Collaborative, growing company environment
• Mentor and develop a driven team
• Work on diverse commercial & healthcare projects

Perks & Benefits

• Competitive salary & bonus
• PTO & holidays
• Health, dental & vision insurance
• Retirement plan

Required Skills & Experience:

10+ years of experience in Quality Engineering, including at least 3 years in a QE Lead role.

Extensive experience in Human Resources and Financial Solutions domains.

Strong hands-on experience testing time and absence, workforce management, and related HR systems.

Proven experience with Oracle implementations for backend and financial processing systems.

Experience validating integrations and data flows using Google Cloud Platform (Google Cloud Platform).

Strong understanding of Agile/Scrum methodologies and enterprise delivery models.

Hands-on experience with:

Functional and automation testing for HR and finance platforms

API, integration, and data validation testing

Enterprise test management and defect tracking tools such as JIRA

Excellent communication, leadership, and stakeholder management skills.

Preferred Qualifications:

ISTQB or equivalent Quality Engineering certification.

Experience in large-scale enterprise HR or financial transformation programs.

Familiarity with compliance-driven testing, data reconciliation, and audit readiness.

Exposure to CI/CD pipelines and automated testing in cloud-based enterprise environments.

OSP Design Engineer

Location: Nashville, TN

Salary: 65 yearly

Position Overview

We're expanding—and we're looking for a skilled, detail‐driven, and highly motivated OSP Design Engineer to join our team of innovators.

As an OSP Design Engineer, you will play a key role in shaping reliable, future‐proof fiber networks. This position covers the full engineering lifecycle—from high‐level route planning and field coordination to delivering construction‐ready, precision‐engineered design packages. The ideal candidate is proactive, technically sharp, organized, and committed to producing top‐tier work.

Key Responsibilities

• Develop high‐level preliminary route designs for HLE requests, including initial cost estimates.
• Coordinate with fielding teams for site visits, data collection, and project alignment.
• Perform detailed OSP designs that strictly follow customer design standards.
• Prepare and deliver complete, construction‐ready design packages.
• Consistently maintain high quality control scores across all assigned projects.
• Process revisions, cost changes, and as‐built redlines to ensure accurate records.
• Support additional project tasks as needed to drive overall success.

Required Qualifications

• Strong understanding of fiber optic design standards and industry best practices.
• Hands‐on experience with ARCGIS and field data collection tools.
• Solid knowledge of FTTH network architecture.
• 3+ years of experience in OSP Design or related telecom engineering roles.
• Ability to read and interpret engineering prints and construction drawings.
• Proficiency in Microsoft Word, Excel, and Smartsheet.
• Skilled with GIS‐based design software, particularly ARCGIS.

Benefits

• 401(k) with company match
• Health, Dental & Vision Insurance
• Life Insurance
• Paid Time Off
• Paid Holidays
• Paid Sick Time

Senior Full-Stack Software Engineer – Healthcare Technology (Nashville, TN)

A healthcare technology startup is seeking a Senior Full-Stack Software Engineer to join their growing team as a full-time employee. This role is based in the greater Nashville, TN area and offers an onsite work environment with some remote flexibility, along with competitive salary and excellent benefits.

In this role, you will help design, build, and maintain data-intensive applications that support clinical and operational workflows within healthcare environments. This is an opportunity to work on meaningful technology solutions while contributing to the foundation for future AI-driven capabilities.

What You’ll Do

• User-focused development: Learn about end users through interviews, surveys, and observation to better understand their workflows and advocate for their needs in the products you help build.
• Full-stack application development: Contribute to both frontend and backend systems using TypeScript, Vue 3, Node.js, and Express.
• Healthcare data integration: Work with healthcare data standards, including FHIR R4, to maintain consistent and interoperable data across applications.
• Testing and quality assurance: Develop, maintain, and improve unit and end-to-end integration tests to ensure reliable, production-ready software.
• Collaboration and code review: Participate in code reviews and team discussions to maintain high engineering standards and software quality.
• CI/CD and infrastructure: Support automated build, deployment, and infrastructure practices that enable efficient development and delivery.
• Analytics and continuous improvement: Work with product and engineering teams to analyze application usage and identify opportunities for improvement.

What You’ll Need to Succeed

• Web development: Experience with HTML, CSS, JavaScript, and modern frontend frameworks, particularly Vue 3.
• Backend/data engineering: Experience with Node.js/Express, API design patterns, SQL, and NoSQL technologies such as PostgreSQL and BigQuery, along with familiarity with streaming systems like Google Pub/Sub.
• Cloud experience: Familiarity with Google Cloud Platform, including services such as Cloud Storage, Memorystore/Redis, and GKE.
• Experimentation mindset: Comfortable gathering and analyzing data to improve applications and system architecture.
• Healthcare knowledge or curiosity: Interest in learning about healthcare operations, regulations (HIPAA, HL7, FHIR), and industry data standards.
• FHIR familiarity or enthusiasm: Experience with FHIR R4 is a plus, or a strong willingness to learn quickly.

Values That Matter

• Do good: Focus on solving meaningful problems that improve healthcare systems and outcomes.
• Extreme ownership: Take responsibility for challenges and see solutions through to completion.
• Humble curiosity: Stay curious, collaborate well with others, and continuously learn.
• Velocity and delivery: Build and ship solutions efficiently with attention to quality and detail.
• Adaptability: Thrive in a fast-moving environment where priorities may evolve.

This opportunity offers competitive compensation, strong benefits, and the chance to work closely with a small, high-impact engineering team building technology that supports healthcare organizations.

Company Description

Spiras Health delivers personalized healthcare services at home, focusing on patients at high risk of emergency events or hospitalizations. By addressing the unique needs of individuals with chronic diseases, multiple health conditions, and other social determinants of health, Spiras Health enhances quality of life and reduces healthcare costs. Through collaboration with health plan providers and care management teams, the company employs local Clinical Care Teams to deliver tailored home-based care. Leveraging innovative technology, Spiras Health ensures efficient and effective program delivery. For more information, visit .

Who We Are:  Excellence, Innovation, Passion, Compassion, Communication

Spiras Health is a value-based, nurse practitioner led clinical provider of care-at-home and other health-related services to individuals with complex and polychronic needs. Spiras’ comprehensive approach to care delivery includes a combination of home-based services, telehealth, two-way digital communications, and remote patient monitoring. Proprietary predictive modeling identifies and assesses individuals with an elevated probability of avoidable costs. Spiras Health then develops actionable plans of care, addresses barriers including social determinants of health and delivers high quality patient care in collaboration with the patient’s treating physicians. Spiras’ innovative multi-modal care approach delivers improved satisfaction and clinical metrics as well as financial savings to its partners, through a geographically and economically scalable delivery model. Our culture is anchored on a promise of full accountability and integrity in everything we do.

How We Serve:

The Senior Data Analyst, in partnership with the Chief Financial Officer and Chief Commercial Officer, will design and develop market and opportunity analysis, monitor and measure contract performance, and model operational strategies and initiatives. Additionally, this role offers opportunity to engage with senior management and business unit leaders, contributing key insights that inform strategic decision making that ultimately supports the company’s growth.

Job Summary:

The Sr Analyst - Data & Analytics owns the integrity, analysis, and interpretation of payer claims data to support performance measurement, utilization management, and value-based care initiatives. This role is hands-on and accountable for claims QA, utilization metrics, and analytics outputs used by clinical, operations, and executive stakeholders.

This is an individual contributor role with strong technical depth in payer claims data and healthcare analytics platforms, including MedeAnalytics.

Key Responsibilities

Claims Data Quality & Governance

• Own QA processes for medical and pharmacy claims data, including eligibility, provider, diagnosis, procedure, and financial fields
• Identify, quantify, and resolve data anomalies (e.g., lag, duplication, missing claims, inconsistent coding)
• Partner with data engineering, vendors, and payers to remediate data quality issues
• Define and maintain claims data validation rules and documentation

Analytics & Utilization Management

• Analyze and report on core utilization metrics, including:
• Inpatient admits / 1,000
• ED visits / 1,000
• Readmissions
• PMPM cost trends
• Length of stay
• Avoidable admissions
• Apply payer benchmarks (national, regional, risk-adjusted where applicable) to contextualize performance
• Support matched cohort, pre/post, and trend analyses
• Translate claims data into actionable insights for clinical and operations teams

Platform Ownership (MedeAnalytics)

• Serve as a power user and analytics owner of the MedeAnalytics platform
• Build, validate, and QA dashboards, reports, and analytic views
• Ensure alignment between platform outputs and internal data models
• Act as internal SME for MedeAnalytics capabilities and limitations

Stakeholder & Team Collaboration

• Partner closely with:
• Clinical leadership
• Operations
• Finance
• Growth
• Present findings to senior leadership in clear, non-technical language

Required Qualifications

• 5–8 years of healthcare analytics experience
• Deep experience working with payer medical and pharmacy claims data
• Strong understanding of utilization metrics and healthcare cost drivers
• Hands-on experience with MedeAnalytics (required)
• Advanced SQL/SAS skills; experience with data visualization tools (Tableau, Power BI, or equivalent)
• Proven ability to QA complex healthcare datasets
• Bachelor’s degree in Analytics, Statistics, Health Informatics, or related field

Preferred Qualifications

• Experience supporting value-based care, MA, D-SNP, or ACO programs
• Familiarity with HEDIS, Stars, or CMS reporting concepts
• Experience with risk adjustment (HCCs)

Physical Requirements:

• Prolonged periods of sitting at a desk and working on a computer.
• This job operates in a hybrid professional environment free from noise and distraction. This role routinely uses standard office equipment such as computers and phones.
• The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. 
• Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus. 
• While performing the duties of this job, the employee is regularly required to talk and hear.
• This position requires the ability to occasionally lift office products and supplies, up to twenty pounds.

EEOC STATEMENT:  

• All qualified candidates will receive consideration for employment without regard to age, race, color, national origin, gender (including pregnancy, childbirth or medical conditions related to pregnancy or childbirth), gender identity or expression, religion, physical or mental disability, medical condition, legally protected genetic information, marital status, veteran status, or sexual orientation.  

Sr. End User Engineer – Azure Virtual Desktop (AVD)

Contract: 12 Months (No Conversion Expected)

Location: Remote / Hybrid (TBD)

Client Industry: Healthcare

About the Opportunity

Medasource is seeking a Senior End User Engineer with deep Azure Virtual Desktop (AVD) experience to support a large healthcare organization undergoing a cloud transformation from on-premises infrastructure to Azure.

This engineer will play a critical role in designing, implementing, and supporting the Azure Virtual Desktop environment, ensuring secure connectivity, optimal performance, and scalability for enterprise users. The ideal candidate has experience with AVD implementations, hybrid infrastructure environments, and enterprise virtual desktop solutions.

Experience supporting Epic environments and Nerdio Manager for AVD is strongly preferred.

Key Responsibilities

• Design, implement, and support Azure Virtual Desktop (AVD) infrastructure
• Assist in migrating on-premises end user computing environments to Azure
• Configure and manage AVD host pools, session hosts, and FSLogix profile containers
• Support AVD image management, automation, and scaling
• Implement networking, security, and connectivity required for AVD
• Collaborate with infrastructure, cloud, and security teams to ensure successful deployment
• Troubleshoot performance issues and optimize the virtual desktop experience
• Follow enterprise best practices for cloud infrastructure and end user computing

Required Qualifications

• Strong hands-on experience implementing Azure Virtual Desktop (AVD)
• Experience supporting enterprise VDI or cloud-based virtual desktop environments
• Solid knowledge of Azure infrastructure and networking
• Experience working in hybrid cloud/on-prem environments
• Background in End User Computing / EUC engineering

Preferred Qualifications

• Experience supporting Epic healthcare environments
• Experience with Nerdio Manager for AVD
• Healthcare industry experience
• Experience with FSLogix, Intune, or Azure AD / Entra ID

Project Manager - Commercial Construction

R.C. Mathews Contractor | Nashville, TN

About R.C. Mathews Contractor

Founded in 1941, R.C. Mathews Contractor is a family-owned general contractor located in Nashville, Tennessee. For more than 84 years, we’ve delivered high-profile commercial construction projects across Middle Tennessee.

Our core purpose is to serve our employees, clients, and community, and our 10-year vision is to be the most trusted builder of lasting places and lasting careers. We are a trusted partner to our clients, mitigating risk, listening carefully, and delivering results. We stake our decades-long reputation for quality and integrity on it.

We hire exceptional people and empower them with the autonomy, trust, and resources to perform at a high level, reflected in our 10 year average employee tenure and five consecutive Top Workplace Awards. As we continue to grow, we are seeking motivated employees who want to help us continue to build the future of Middle Tennessee. 

Position Overview

The Project Manager (PM) is responsible for overseeing and delivering a range of commercial construction projects. This role ensures projects are completed safely, on schedule, within budget, and to the highest quality standards.

Responsibilities include scheduling, estimating and takeoff support, subcontractor buyout, subcontract preparation, project submittal and RFI oversight, profit projections, field coordination, safety oversight, cost management, and project closeout. The Project Manager works closely with Senior Project Managers, field leadership, subcontractors, and clients to drive accountability, performance, and execution.

Responsibilities

Project Planning

• Develop comprehensive project plans including scope, schedule, budget, and procurement strategy
• Coordinate with the estimating team during preconstruction to ensure accurate scope alignment and pricing
• Participate in early design team meetings thru SD/DD/CD phases
• Participate in takeoffs and scope reviews as needed
• Develop site logistics plans and identify early site-specific challenges
• Identify project risks early and develop mitigation strategies

Execution & Oversight

• Drive the project schedule and hold subcontractors accountable to commitments
• Manage day-to-day project activities and resolve issues before they escalate into delays
• Ensure materials, equipment, and manpower are aligned with schedule requirements
• Maintain disciplined cost control and monitor budget-to-actual performance
• Support preparation of subcontract agreements and the subcontractor buyout process

Team & Stakeholder Management

• Lead project meetings with owners, architects, engineers, and subcontractors
• Communicate clearly with field teams to support safe and efficient execution
• Mentor and develop Assistant Project Managers, Project Engineers, and support staff
• Build and maintain strong client and trade partner relationships
• Represent R.C. Mathews with professionalism and integrity

Quality & Safety

• Enforce contract requirements, specifications, and quality standards
• Conduct regular site walks in coordination with field leadership
• Support and enforce the project safety plan
• Address unsafe conditions immediately and promote a culture of accountability

Documentation & Reporting

• Oversee RFIs, submittals, change orders, and meeting documentation
• Maintain accurate project logs and records
• Provide monthly cost, schedule, and risk updates to leadership and ownership
• Assist with profit projections and financial forecasting

Financial Management

• Review and approve subcontractor pay applications
• Review and approve project material invoices
• Oversee project billings
• Support financial tracking and forecasting using CMiC
• Forecast project costs and maintain profitability targets
• Identify and pursue value engineering opportunities
• Estimate project change orders
• Support negotiation and execution of change orders

Project Closeout

• Oversee punch list, commissioning, O&M documentation, and final turnover
• Ensure timely completion of all contract closeout requirements
• Deliver organized and complete project documentation

Preferred Qualifications

• Bachelor’s degree in Construction Management, Engineering, or related field (or equivalent industry experience)
• 5+ years of commercial construction experience
• Strong understanding of construction processes throughout the full project lifecycle
• Experience with CMiC, Autodesk Build, Sage, GC Pay, and Bluebeam
• Proficiency in Microsoft Office Suite (Word, Excel, Outlook)
• Strong organizational skills and attention to detail
• Ability to manage multiple priorities in a fast-paced environment
• Collaborative mindset and ability to work effectively within a team environment

Why Join R.C. Mathews?

• Five-time Top Workplace Award winner
• Long-term employee retention and clear career growth opportunities
• High-profile, meaningful projects across Middle Tennessee
• Strong company culture built on trust, accountability, and respect
• Opportunity to lead impactful projects in one of the fastest-growing markets in the country
• Competitive compensation packages

Job Summary

BELL Construction is looking for a Project Manager to join their team in Nashville, TN. The Project Manager (PM) is responsible, with the Project Superintendent, for the overall management and administration of commercial construction projects ($5 - $50 million). This includes involvement in preconstruction services, estimating, subcontractor management, submittal processing, meeting the schedule budget, and achieving high quality on all projects.

Job Responsibilities

• Has a solid understanding of construction safety practices. Has full ability to stop work if unsafe conditions exist and reports concerns to the Project Superintendent and Safety department.
• Understands all trades, including MEP, and has strong knowledge of ground up construction.
• Conducts constructability reviews as design progresses and develops conceptual and detailed quantity survey estimates.
• Assists preconstruction department with solicitation of subcontractor proposals, development of subcontractor bid packages, review of subcontractor scopes and pricing, and preparation of project estimate.
• Accurately and efficiently prepares detailed schedules, making adjustments as needed.
• Forecasts costs throughout the lifecycle of the project.
• Understands different delivery methods and contract types and able to foster and maintain construction management, design-build, and design-assist relationships.
• Provides guidance and oversight to project team members responsible for project documentation and regularly verifies for accuracy and deficiencies.
• Supervises the submittal process, identifying and resolving any high impact issues that occur.
• Makes subcontractor selection and manages entire subcontract process. Can negotiate and resolve nearly all subcontractor issues and knows when to include higher level team members from both sides.
• Trains, mentors, coaches, and evaluates Assistant Project Managers and Project Engineers.
• Develops financial management skills by reviewing financial statements with Senior Team Leadership.
• Understands and monitors construction insurance and bonding process.
• Develops project-specific punchlist approach and integrates owner, CM, and designers into the program. Arranges and attends the punchlist walkthrough.
• Manages project closeout from beginning to end.
• Monitors costs on Self-Performed Work, developing mitigating measures as needed.
• Understands and manages all costs associated with a change request.
• Partners with the Safety Director and Quality Control Director to manage and ensure compliance with each program’s policies, protocols, and government regulations for all projects.
• Ensures a harassment-free workplace for all employees.
• Performs additional responsibilities as assigned.

Education & Experience

• Minimum required – Bachelor’s Degree in Construction Management, Engineering, or related field.
• Minimum required – Two (2) years Assistant Project Management experience.

Knowledge & Skills

• Proficient in Microsoft Office Suite, including Excel, PowerPoint, Outlook, and Word.
• Ability to use and implement new tools and technologies, such as Viewpoint, Bluebeam, and other Building Information Models (BIM) software.
• Knowledge of local markets with ability to develop and maintain business relationships.
• Excellent verbal and written communication skills, including delivering clear and persuasive presentations.
• Basic understanding of construction finance, scheduling, engineering, estimating, and purchasing processes and techniques.
• Able to read, comprehend, and interpret contracts, drawings, blueprints, specifications, schedules, and scopes of work.

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. All interested candidates are encouraged to apply.