Senior Architect (Licensed) - Healthcare Market

About Us

At Gresham Smith, we call it Genuine Ingenuity. Our culture is the cornerstone of who we are, and our people are at the heart of everything we do. United by our Core Purpose—to plan, design, and consult to create healthy and thriving communities—we deliver innovative solutions for life’s essential infrastructure and institutions.

What sets us apart is our dedication to care for our people, our clients, and the places we call home. We are more than a team of professionals—we’re a community built on commitment, integrity, respect, and teamwork.

Why Gresham Smith?

When you join Gresham Smith, you’re joining a place where you can connect and thrive. Our employees consistently recognize us as a Best Place to Work because we go above and beyond to ensure that you feel valued, supported, and empowered.

About You

We’re looking for someone who has:

• 5-year Bachelor’s or Master’s degree in Architecture from an NAAB-accredited University program.


• Licensed Architect.


• Minimum of 10 years of acute and outpatient healthcare architecture experience preferred.


• Demonstrated proficiency using Revit and AutoCAD is required.


• Proficient in Microsoft Office applications, particularly in Outlook, Word, and Excel.


• Excellent knowledge of architectural building systems, accessibility guidelines, building codes, and Quality Control skills.


• Ability to interact professionally and comfortably with various personalities and communication styles, and build and maintain excellent interpersonal relationships.


• Strong presentation, time management, and organizational skills.

* Please include a portfolio of work samples along with a resume/CV in your online application.

Most importantly, you bring genuine curiosity, creativity, and a collaborative spirit—someone who wants to do great work with great people.

About the Role

Gresham Smith is seeking a Senior Architect to join our Healthcare Studio. In this role, you will collaborate with multi-disciplinary teams to deliver exceptional human experiences in healthcare settings. You should have strong technical skills, the ability to coordinate across multiple disciplines, and strong communication and organization skills. Experience directly with Healthcare projects is a plus.

As a Senior Architect, you will:

• Lead the design and delivery of small to medium-sized healthcare projects; support teams on large-scale facilities.


• Direct consultants and technical staff to ensure accurate execution of design and deliverables.


• Work alongside the Project Executive and Project Manager to create and oversee production timelines, clearly defining and meeting deadlines.


• Prepare, review, and coordinate design documentation while upholding QA/QC standards.


• Supervise code and zoning analysis, ensuring compliance with all applicable requirements.


• Collaborate on projects that may involve federal healthcare facilities (VA, DoD, USACE), applying knowledge of agency design standards when applicable.


• Facilitate design discussions and lead collaborative work sessions with clients, agencies, and consultants.


• Conduct site visits, review submittals, and provide technical field support.


• Mentor junior design staff and promote a positive, collaborative studio culture.


• Advocate for design excellence by integrating resilient and sustainable practices.

Your work will directly contribute to shaping environments where people live, work, and thrive, all while growing your career within a supportive, people-first culture.

Join Us

If you’re excited to bring your talents to a collaborative, people-first environment where you can make an impact while growing your career, we’d love to hear from you.

Here’s what you can expect:

Professional Growth: In-house Learning, Tuition Reimbursement, Licensure Support, Professional Organization Engagement.

Culture that Cares: 93% of employees say they feel cared for, and 96% are confident in our future success.

Competitive Benefits:

• Flexible Schedules & Generous PTO


• Healthcare (Medical, Dental, Vision, Wellness Programs)


• 401(k) with Company Match


• Short- & Long-term Disability, Paid Life & AD&D


• Supplemental, Critical Care, Pet, Legal & ID Theft Insurance


• Family Planning and Parental Leave


• Mass/Public Transit Program


• Telemedicine and Employee Assistance Program

Gresham Smith is an equal opportunity employer and does not discriminate. Everyone is invited to apply!

GRESHAM SMITH does not accept unsolicited resumes from recruiters, headhunters, search firms, or agencies. No referral or recruiter fees will be paid without a fully executed GRESHAM PLACEMENT SERVICES AGREEMENT (PSA) in advance. Submissions made without a PSA may be recruited and hired by GRESHAM SMITH with no financial obligation to the submitting party. Any such unsolicited resumes or candidate information sent to hiring managers or any employee becomes the property of GRESHAM SMITH.