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Senior Continuing Cost Engineer

Agiliti · Milwaukee, WI · Full time

Posted Jun 29, 2026 · We last checked this listing on Oct 6, 2026

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Likely interview questions for this role

Written from this job description, not a generic list. Each one notes what the interviewer is really checking.

About your past

Tell me about a cost reduction you led. How much did it save and what did it take?

What they are checking: Whether they have delivered real savings and can explain the steps clearly.

Tell me about working with supply chain and manufacturing on a cost project.

What they are checking: Whether they collaborate well across teams, which the role depends on.

How would you present a cost project to leadership?

What they are checking: Whether they can clearly show savings, risks and timeline to decision makers.

What would you do

A supplier change would save money, but quality is worried about risk. How do you handle it?

What they are checking: Whether they work with quality to address risk with data instead of pushing past them.

How do you decide which cost ideas are worth pursuing?

What they are checking: Whether they weigh savings against effort, risk and regulatory impact.

About the work

Walk me through how you would find the biggest cost drivers in a medical device's BOM.

What they are checking: Whether they can use BOM analysis, supplier spend and repair data to pick the right targets.

How do you make sure a material substitution does not hurt safety or performance?

What they are checking: Whether they plan verification testing and risk review under ISO, IEC and FDA rules.

How do you manage an ECO in SolidWorks for a cost-driven change?

What they are checking: Whether they understand the change control process from drawing update to release.

How would you use field repair data to drive design changes?

What they are checking: Whether they see repair trends as a source of both cost and reliability gains.

What regulatory documentation would a design change on a medical device need?

What they are checking: Whether they understand design history, risk files and possible FDA filings.

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The full job description

As published by Agiliti.

Who We Are Agiliti is a leading provider of healthcare technology management and service solutions, helping healthcare organizations access, manage, and maintain medical equipment to enhance patient care. Our teams work collaboratively across engineering, supply chain, manufacturing, and quality to deliver innovative, compliant, and cost-effective solutions that support hospitals and clinical environments. What's in it for You? • Opportunity to drive meaningful cost savings on critical medical device products • Collaborative, cross-functional environment with exposure to engineering, operations, and leadership teams • Ability to influence product strategy and lifecycle improvements in a regulated industry • Professional growth through complex problem-solving and value engineering initiatives • Competitive compensation and benefits package • Work that directly supports improved healthcare delivery and patient outcomes What You Will Do in This Role? • Own and execute cost-reduction initiatives for medical device products, including BOM optimization, material substitutions, design simplification, and supplier changes • Identify high-impact cost drivers through BOM analysis, supplier spend reviews, labor studies, and field repair data • Lead engineering change activities (ECRs/ECOs) via SolidWorks associated with cost reduction while ensuring compliance with ISO, IEC, FDA, and QMS requirements • Partner with Supply Chain, Quality, and Manufacturing to evaluate alternate materials, processes, tooling strategies, and sourcing options • Collaborate with Mechanical and Electrical Design Engineers to assess technical feasibility and risk of proposed cost-down changes • Perform structured trade studies balancing cost, quality, risk, and manufacturability; document decisions and recommendations for leadership review • Support Design for Manufacturing (DFM), Design for Assembly (DFA), and Design for Cost (DFC) improvements on released products • Apply DFMEA, PFMEA, and Root Cause Analysis (RCA) processes to cost and quality improvements • Analyze warranty, service, and repair data to identify recurring cost opportunities and drive corrective actions • Coordinate validation, testing, and phased implementation of cost-driven changes to minimize production and field disruption • Track cost savings, implementation progress, and risk status; clearly communicate results to engineering and operations leadership What You Will Need for This Role? • Bachelor’s degree in Mechanical Engineering or related engineering discipline; advanced degree preferred • 8+ years of engineering experience supporting manufactured products; medical device or regulated industry experience strongly preferred • Demonstrated experience leading cost-reduction, value engineering, or design-to-cost initiatives on released products • Proficiency with CAD tools (SolidWorks preferred), PDM systems, BOM management, and issue-tracking tools such as Jira • Strong working knowledge of manufacturing processes such as injection molding, blow molding, machining, sheet metal, welding, wire routing, and assembly • Experience with supplier-facing engineering changes, alternate sourcing, and material/process substitutions • Working knowledge of ISO 13485, ISO 14971, applicable IEC standards, and FDA design control expectations • Ability to perform technical risk assessments and root cause analysis related to cost-driven changes • Strong analytical and financial acumen with the ability to quantify savings and articulate trade-offs • Excellent communication skills with the ability to influence across engineering, operations, and leadership It is the policy of Agiliti to provide equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, gender identity, sex, sexual orientation, national origin, age, physical or mental disability, genetic information, marital status, status as a veteran, military service, or any other characteristic protected by applicable federal, state, or local civil rights laws. In addition, Agiliti will provide reasonable accommodations for qualified individuals with disabilities. Agiliti strictly prohibits any form of retaliation against individuals who make good faith reports of alleged violations of this policy or who cooperate in Agiliti’s investigation of such reports. Affirmative Action Policy Statements You may be required to obtain certain vaccinations, or provide proof of current vaccination status, based on customer and/or company requirements. If vaccination is required, Agiliti will provide specific directions and cover the expense at a participating clinic. Please note, this includes the COVID-19 vaccination. Agiliti offers a robust suite of benefits for regular, full-time, non-union employees including: health insurance options for Medical, Dental & Vision plans, Short- and Long-Term Disability plans, Flexible Spending Accounts, Health Savings Accounts, Life Insurance Options, Paid Time Off, 401K Saving Plan with employer match, Employee Discounts, Tuition Reimbursement, Daily Pay program, Employee Assistance Program, and wellness programs. Agiliti is an equal opportunity employer and provides reasonable accommodations to employees and applicants consistent with state and federal law. If you require assistance with your application, please contact recruiting@agilitihealth.com. Primary Job Location: Milwaukee Design Center Additional Locations (if applicable): Job Title: Sr Mechanical Engineer Company: Agiliti Location City: Wauwatosa Location State: Wisconsin

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