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.
Healthcare Architect
Dallas / Charlotte / Remote
This role works closely with project teams to provide technical design support and direction on healthcare projects, ensuring strong coordination from concept through completion. Responsibilities include maintaining high responsiveness to internal and external partners, managing consultants, contractors, and vendor assignments, and supporting documentation development through technical leadership and team guidance. The position also involves promoting and engaging the broader team, nurturing client and industry relationships to help identify future opportunities, contributing to marketing efforts and presentations, and maintaining a positive, motivated approach to learning new skills and techniques.
Qualified candidates must hold a professional degree in architecture and be a licensed architect, with proven experience in healthcare planning, design, and technical documentation. Strong Revit skills, knowledge of healthcare codes and standards, and the ability to coordinate multidisciplinary teams are essential. Ideal candidates communicate effectively with clients, manage multiple project priorities, and bring a collaborative, detail-oriented approach. Experience with project leadership or business development is a plus.
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 Manager
Dallas / Charlotte / Remote
This Role leads projects from initial planning through construction, overseeing design development, technical documentation, and regulatory compliance for complex clinical environments. Responsibilities include managing client relationships, guiding internal project teams, coordinating consultants and contractors, and ensuring that project schedules, budgets, and deliverables are met. The role requires directing design and technical decisions, reviewing drawings and specifications, facilitating AHJ and regulatory reviews, and supporting construction administration through site visits, RFIs, submittals, and coordination meetings. Project managers also mentor junior staff, maintain quality control, and contribute to proposals, presentations, and business development efforts with both new and existing healthcare clients.
Qualified Candidates should be licensed architects with significant professional experience, including substantial work on healthcare facilities across all phases of design and construction. Strong knowledge of healthcare codes, regulatory agencies, clinical workflows, and complex building systems is essential. Candidates must demonstrate proven ability to lead multidisciplinary teams, manage client relationships, oversee project budgets and schedules, and coordinate consultants and contractors from concept through construction. Proficiency in Revit, technical documentation, and construction administration is expected, along with strong communication, leadership, and organizational skills. Experience in business development, fee development, and client presentations is highly valued.
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.