What Sets Us Apart
We grow with intention.
Collaboration is at the heart of everything we do. We pride ourselves on being ego-free, adaptable teammates who work seamlessly with clients, engineers, and contractors alike. This spirit of partnership builds trust, reduces friction in complex projects, and creates lasting relationships. It’s a culture rooted in respect and teamwork — one that makes great buildings and strong communities possible.
Focused Expertise
We’re built for the complexity of healthcare, combining sharp specialization with agility to cut through red tape and deliver solutions that matter. Our experience sets us apart, allowing us to focus fully on what our clients and their patients need.
Entrepreneurial Spirit
We pair the agility of a boutique firm with the resources of a national player, moving quickly and decisively to keep projects progressing. Clients count on us for responsiveness, candor, and a client-first approach that saves time and money.
Continuous Innovation
Healthcare never stands still—and neither do we. By embracing new ideas and technology with speed and expertise, we deliver forward-thinking design solutions that improve outcomes and keep our clients ahead of the curve.
Purpose Driven
Every project begins with people—the patients, families, and providers at its heart. With humility and empathy, we design intentionally and pragmatically, ensuring each solution supports healthcare’s vital purpose.
People First
Strong relationships drive great design. We listen deeply, collaborate openly, and advocate for our clients’ vision, creating spaces that reflect their goals while delivering functional, beautiful solutions for the communities they serve.
ASSOCIATES PROGRAM
Paving your path forward.
Our Associates Program is built for driven professionals ready to take their careers to the next level. With tiered benefits that reflect your impact and contributions, the program rewards initiative and fosters leadership—giving you the tools to grow alongside our firm and make your mark on the future of Guide.
BENEFITS INCLUDE:
- Participation in the associates group bonus pool
- Additional professional development
- Dedicated firm and industry engagement budgets
- Additional professional organization dues
- Participation in associates and leadership meetings
OPEN ROLES
Join us in redefining healthcare design.
We are always looking for passionate, curious thinkers who want to make a lasting impact through design. Explore our open roles and find your place in a collaborative, people-centered firm shaping the future of healthcare environments.
Project Coordinator
Dallas / Charlotte
This role works closely with our Architecture and Project Management team to support healthcare projects through all phases, including preparing design and construction documents, producing presentations and graphics, and conducting research on design precedents, codes, and municipal processes. Responsibilities also include assisting with space planning and programming, performing site analyses and design calculations, attending client and consultant meetings, and supporting construction administration tasks such as RFIs, submittals, and shop drawings. Strong communication with clients and consultants and a positive, motivated approach to learning new skills are essential.
Qualified candidates holds a bachelor’s degree in architecture, interior design, or a related field, with 1–4 years of experience supporting design and documentation efforts. Strong Revit and Bluebeam skills are essential, along with familiarity with healthcare codes, standards, and clinical workflows. Candidates should be able to assist with design packages, coordinate consultant input, manage project communication, and support construction administration tasks. Effective organization, responsiveness, and the ability to work collaboratively with multidisciplinary teams and clients are key requirements, along with a motivated approach to learning healthcare-specific processes and technical skills.
Guide offers qualified candidates the chance to join a highly successful, rapidly growing healthcare design practice with real opportunities for career advancement and long-term upside. Our compensation package includes fully paid employee healthcare, 401(k) contributions, annual performance-based bonuses, and additional quarterly bonuses tied to firm performance. We also support and sponsor professional organization involvement and offer a flexible work schedule with optional work-from-home days to help maintain a healthy work–life balance.
Project Architect – Healthcare Architecture
Dallas / Charlotte / Remote
- Provide technical design support and direction throughout all phases of healthcare projects.
- Lead and support the development, coordination, and quality of project documentation.
- Coordinate with consultants, contractors, vendors, and internal project teams to maintain alignment and project progress.
- Apply knowledge of healthcare codes, standards, and technical requirements to project design and documentation.
- Maintain a high level of responsiveness and communication with internal teams, clients, and external partners.
- Provide technical guidance and support to project team members.
- Build and maintain strong relationships with clients, consultants, and industry partners.
- Support presentations, marketing efforts, and other initiatives that contribute to future project opportunities.
- Engage and support the broader team while contributing to a collaborative and positive work environment.
- Demonstrate curiosity and a willingness to learn new skills, tools, and techniques.
- Demonstrated construction administration experience on healthcare projects, including RFIs, submittals, site observations, and contractor coordination.
- Professional degree in Architecture from an accredited program.
- Licensure required.
- 7+ years of architecture experience, with recent healthcare project experience highly preferred.
- Relevant experience in healthcare planning, design, and technical documentation.
- Knowledge of healthcare codes, standards, and regulatory requirements.
- Ability to coordinate multidisciplinary project teams, consultants, and contractors.
- Strong proficiency in Revit.
- Strong communication and relationship-building skills with clients and project partners.
- Ability to effectively manage multiple projects, priorities, and deadlines.
- Collaborative, detail-oriented approach with strong technical problem-solving skills.
- Maintain and strengthen relationships with clients, engineers, constrictions professionals, as well as state and local authorities having jurisdiction.
Grow With Us
- Whether you’re joining our Dallas or Charlotte office or working remotely from a strategic market, you’ll play a role in our continued growth.
- Opportunities to progress from Associate through Principal.
- Collaborative culture that values innovation and continuous improvement.
Designed Around Flexibility
- Choose a compressed workweek with half-day Fridays or a traditional schedule, along with hybrid flexibility.
Investing in You
- 100% employer-paid employee medical coverage.
- Quarterly and annual performance-based bonus opportunities.
- Professional development support.
- Competitive 401(k) matching program.
- Opportunities to grow your expertise, develop as a leader, and help shape what’s next.
Project Manager – Healthcare Architecture
Dallas / Charlotte / Remote
- Lead healthcare projects from planning through construction administration.
- Manage client relationships and serve as the primary project contact.
- Coordinate internal teams, consultants, engineers, and contractors.
- Manage project scope, schedules, budgets, quality, and deliverables.
- Oversee design development, technical documentation, and regulatory compliance.
- Review drawings, specifications, RFIs, submittals, and construction activities.
- Mentor junior team members and support their professional growth.
- Contribute to proposals, presentations, and business development.
- Professional degree in Architecture from an accredited program.
- Licensure required
- 7+ years of healthcare architecture experience across all phases of design and construction.
- Knowledge of healthcare codes, clinical workflows, and complex building systems.
- Experience leading multidisciplinary teams, managing clients, budgets, schedules, and consultants.
- Proficient with Microsoft Project, Bluebeam, Procore, Excel and working knowledge of Revit preferred.
- Demonstrated construction administration on healthcare projects, including RFIs, submittals, site observations, and contractor coordination.
- Strong communication, leadership, and organizational skills.
- Business development and client presentation experience is a plus.
Grow With Us
- Whether you’re joining our Dallas or Charlotte office or working remotely from a strategic market, you’ll play a role in our continued growth.
- Opportunities to progress from Associate through Principal.
- Collaborative culture that values innovation and continuous improvement.
Designed Around Flexibility
- Choose a compressed workweek with half-day Fridays or a traditional schedule, along with hybrid flexibility.
Investing in You
- 100% employer-paid employee medical coverage.
- Quarterly and annual performance-based bonus opportunities.
- Professional development support.
- Competitive 401(k) matching program.
- Opportunities to grow your expertise, develop as a leader, and help shape what’s next.