Neko Health

Building Engineer Lead, US

New York, Remote. Posted a month ago

The role

This senior individual contributor will act as the technical authority for mechanical, electrical, plumbing, fire protection, and life safety across the U.S. clinic portfolio. You will review and validate designs produced by external engineering firms to ensure they are correct, buildable, and cost-effective.

What you will do

  • Publish a Neko basis of design for MEP, fire protection, and life safety.
  • Set engineering deliverable standards and acceptance criteria.
  • Build a portfolio engineering dataset for design reviews and site selection.
  • Review landlord work letters and base building conditions.
  • Issue a standard Neko infrastructure requirements package to landlords and brokers.
  • Own Neko's fire protection and life safety position across the portfolio.
  • Represent Neko in front of fire officials and code reviewers.
  • Lead value engineering on MEP and fire scope.
  • Review contractor pricing, change orders, and substitutions.
  • Pursue prefabrication, modularization, and standardized assemblies.

Required qualifications

  • Bachelor's degree in Mechanical, Electrical, Architectural, or Fire Protection Engineering, or a closely related discipline.
  • 12+ years of engineering experience, including substantial time on the owner, developer, or owner's-representative side.
  • A track record leading designs on client engagements.
  • Deep working knowledge of HVAC, electrical distribution, plumbing, fire suppression, fire alarm, and life safety systems in commercial or healthcare environments.
  • Proven ability to review, challenge, and correct the work of external engineering consultants.
  • Direct experience with code officials, fire departments, and plan reviewers across more than one jurisdiction.
  • Strong cost fluency to price system concepts and defend positions to Finance and Estimating.
  • Excellent written and verbal communication.

Nice to have

  • Professional Engineer (PE) license, or fire protection credentials such as PE (Fire Protection), SFPE, or NICET.
  • Experience in ambulatory care, outpatient clinic, diagnostic imaging, or medical device environments.
  • Multi-site rollout experience in healthcare, retail, hospitality, or commercial interiors.
  • Landlord-side or base building engineering background.
  • Familiarity with Revit, BIM coordination, or energy modeling.
  • Exposure / experience with AI-enabled design review, automation, BMS, or technical knowledge management.

About the company

Neko Health aims to transform healthcare through the mass adoption of preventative healthcare enabled by technology. The U.S. Construction team builds a scalable delivery platform to support rapid expansion of clinics.