Vice President - Advisory Services - 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:

• Bachelor’s degree required; Master’s degree preferred.


• Minimum of 20 years of healthcare industry experience, including at least 10 years leading an advisory program.


• Proven creative and effective team leadership skills in program building.


• Proficient in analytical tools and software to independently perform building analysis and data analytics.


• Strong skills in the Microsoft Office Suite.


• Critical thinker with the ability to lead independently and integrate the advisory program within wider business objectives.


• Willingness and ability to travel significantly (50-60%) across client sites and firm Healthcare Studio locations.


• Position based in Nashville, TN.


• Preferred background as a hospital administrator, healthcare facilities planner, or clinician within a healthcare system.


• Preferred experience managing healthcare consultant teams in design services firms or large healthcare organizations.

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

About the Role

The Vice President of Advisory Services will lead and be primarily responsible for the Advisory Consulting program within Gresham Smith’s Healthcare Market.  This program represents the relationship and early engagement with clients, providing strategic planning, problem definition, and setting direction for future capital projects. The role also leads the Research & Insights Program, both of which drive early client relationships, increase company visibility, and enhance innovative design solutions.

As the Vice President of Advisory Services, you will be responsible for the following:

People & Culture

• Lead, build, and nurture a high-performing team of advisory services experts.


• Recruit, onboard, and mentor team members to develop internal capabilities.


• Strengthen and expand relationships with internal and external consultants to support pre-project advisory services.


• Provide education to internal staff about the value and use of advisory services.


• Create and maintain a collaborative program culture aligned with firm-wide business and cultural goals.

Practice Delivery

• Organize and drive the vision for the Advisory Services program, creating a new service line within the Healthcare Market.


• Develop and integrate the program with the core architect-engineer service lines.


• Lead strategic transformation efforts focusing on design thinking, functional programming, problem definition, data analytics, operational planning, and change management.


• Manage the implementation of project programming benchmarking in the Vision database.


• Promote and advance the market's six healthcare design drivers under Value-Added Design.


• Monitor industry trends, anticipate shifts, and adapt the program to meet evolving healthcare and workplace needs.

Clients & Business Outcomes

• Directly engage clients during early project phases, assisting with problem definition, strategic planning, feasibility, and program validation.


• Collaborate closely with the Healthcare Market Executive Vice President (EVP) to align program goals with strategic plans.


• Lead and participate in business development by researching and targeting clients that align with the firm's strategy.


• Enhance Gresham Smith’s reputation as a thought leader through published materials, conference presentations, and social media engagement.


• Lead team presentations and client interactions in partnership with marketing to win new business.


• Identify business opportunities based on emerging healthcare trends and client feedback.

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.