Schedule: Part-time (24 hours/week), Sundays/Saturdays-day shift, Tuesdays/Thursdays-closing shift Who we are ERC Pathlight is an innovative, rapidly growing clinical leader in the behavioral health sector. Founded in 2008 by pre-eminent psychiatrists and psychologists in the eating disorder space, ERC Pathlight now treats over 6,000 patients per year, operates more than 30 facilities in 7 states and delivers tele-healthcare to patients nationally. We offer the most comprehensive treatment program in the country for patients who struggle with eating disorders, mood and anxiety and trauma-related disorders.
How youll serve our patients
Responsible, under the guidance of the Kitchen Supervisor and/or Practice Manager/Coordinator, for the upkeep and successful operation of the kitchen, including food preparation, cleaning, and inventory management.
You will serve patients daily in a multitude of ways:
* Assist in the preparation of all meals and snacks; read and follow recipes for food preparation
* Ensure kitchen is appropriately stocked and cleaned per Health Department and Joint Commission standards
* Maintain kitchen supply inventory and communicate regarding ordering needs
* Grocery shopping
* Receive shipments of supplies and store following FIFO standards
* Follow food preparation standards and food safety guidelines as required by local/state/federal agencies
* Other duties as assigned.
Must haves
* High School diploma, GED or equivalent required
* Food handlers or food manager certificate
* Ability and willingness to travel up to 25% of the time, which may include working occasional evenings and weekends.
How we invest in you
Every role at ERC Pathlight is essential to delivering the high-quality care we promise to our patients. This means that from day one, were here to support your role by offering ongoing training and continuing education opportunities, as well as support to achieve internal growth.
What we offer
Healthy organizations value the mental wellness of their teams, and we understand that the professionals who work for us are not immune to their own mental health conditions. In the same way we observe and guide our patients, we take the same consideration for our employees when building our benefits packages and healthcare offerings. We offer competitive pay, comprehensive benefit plans, Generous Paid Time Off, 401(K) with company match and tuition reimbursement.
#LI-SY1
#IND3
$22k-28k yearly est. 11d ago
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Milieu Coordinator- PRN schedule
Eating Recovery Center 4.1
Eating Recovery Center job in Plano, TX
Who we are ERC Pathlight is an innovative, rapidly growing clinical leader in the behavioral health sector. Founded in 2008 by pre-eminent psychiatrists and psychologists in the eating disorder space, ERC Pathlight now treats over 6,000 patients per year, operates more than 30 facilities in 9 states and delivers tele-healthcare to patients nationally. We offer the most comprehensive treatment program in the country for patients who struggle with eating disorders, mood and anxiety and trauma-related disorders.
How youll serve our patients:
$32k-36k yearly est. 60d ago
Physician Lead ( MD/DO )
Crossover Health 4.0
San Antonio, TX job
Crossover Health is coming to San Antonio and seeking a Physician Lead for our new Boeing primary care employee clinic.
(April 2026 )
M-F 8am-5pm
Crossover makes remarkable health possible by bringing people, their doctors, data, and benefits together under one connected system of health. We've built an entirely new category of primary care providing one simple place to go for trusted care-in person, online, anytime. We are working with the most innovative employer partners to integrate disconnected health and wellness benefits with tech-enabled services which allows our partners to increase access to care, decrease spending, and deliver an unrivaled experience for employees near and far.
Job Responsibilities
The Physician Lead is a key member of the clinic leadership team. The Physician Lead is responsible for providing direct primary care to patients and for leading the team of care providers. The Physician Lead provides medical oversight, expertise, and leadership across the care team. In partnership with the leadership Triad, the Physician Lead guides the clinical team towards achievement of Crossover's “quadruple aim” -- 1) highest quality of care 2) decreased spend, 3) superior patient experience, and 4) strong employee/provider engagement.
Provides direct patient care including the development of suitable treatment plans for patients/members.
Partners alongside a lead nurse and administrator to run the practice.
Implements , optimizes, and recommends improvements to Crossover's standard of care, operations and workflows.
Leads and models collaboration with the full care team to provide appropriate integrated care plans.
Implements and contributes to the development of clinical programs in coordination with the Crossover MG and program leaders.
Develops and implements annual clinic goals and operating plans in partnership with the Triad, with a goal of optimizing clinic performance (as measured by operating system, patient outcomes, utilization population health and financial metrics.
Identifies and recommends clinic and account opportunities for improvement and growth.
Co-leads daily huddles and ensures communication is shared/cascaded across the care team.
Leads the practice in achieving quality goals and metrics and implementing quality assurance programs.
Ensures compliance with all policies (quality, privacy, etc.) , procedures, and protocols of the practice, including assisting other care providers and extended care teams to comply and collaborate on clinical outcome reviews and measurements.
Hires, coaches, and develops care team talent (physicians, optometrists, behavioral health, health coaches, physical medicine). Assists in onboarding and training new team members.
Ensures all clinical data is accurately captured and reported.
Provides availability for medical and technical questions for employees, patient care staff and ancillary care providers, including after-hours coverage, as needed.
Performs other duties as assigned.
Required Qualifications
Completion of a Medical Residency in Family Medicine or Internal Medicine
Valid, state-issued medical license for the state in which you will work (license must be active on date offer letter is signed and on first date of work)
Current BLS (Basic Life Support) certification
Current DEA Registration
3 Professional References
Preferred Qualifications
Leadership experience, ideally including management of peers and responsibility for performance metrics
Knowledge of managed healthcare systems, medical quality assurance and quality improvement, and risk management, preferred
Experience and demonstrated ability to assess clinical needs and work in an integrated, holistic approach to care, including case management, disease management and/or population health programs
Demonstrated ability to work collaboratively internally and externally within a matrixed organization
2 years experience in staffing, coaching, and developing a team
$139k-245k yearly est. 3d ago
Lead Host
Crossoverhealth 4.0
Austin, TX job
About Crossover Health
Crossover Health is creating the future of health as it should be. A national, team-based medical group with a focus on wellbeing and prevention that extends beyond traditional sick care, the company delivers an entirely new model of healthcare-Primary Health-built on the foundation of trusted relationships, an interdisciplinary care team approach, and outcomes-based payment. Crossover's Primary Health model integrates primary care, physical medicine, mental health, health coaching, care navigation and more, and delivers care in surround-sound-in-person, virtually and via asynchronous messaging. Together we are building a community of members that embraces healthcare as a proactive part of their lifestyle.
Job Summary
Crossover Health is looking for an exceptional Host Lead to welcome and greet our members as they begin their care experience. The Host Lead is also responsible for providing leadership and direction to the Host Team. Hosts are responsible for helping members understand Crossover's process, helping to ensure members have an exceptional member experience, effectively utilizing the technology tools of the practice, organizing group meetings, and most importantly delivering an exceptional member experience.
Job Responsibilities
Welcomes each member and handles all member interactions with the highest level of hospitality and professionalism
Coordinates with facilities teams to help resolve clinic issues
Oversees schedules in EMR and is responsible for auditing schedules for accuracy
Manages waitlist and ensures that members are promptly contacted and scheduled
Coaches, mentors, and develops team, including interviewing, onboarding and providing career development planning to Host Team
Serves as a point of contact for all Hosts, ensuring the Host Team is up to speed on all updates and communication
Assists in resolving member concerns or issues, involving the Practice Leader, as appropriate
Assists with workflow design and process improvement
Provides support in organizing and attending assigned events
Responsible for addressing and helping to solve member billing questions
Performs other duties as assigned
Required Qualifications
Bachelor's degree or equivalent experience
3 years of experience in customer service related position
Preferred Qualifications
Experience as a Host
Excellent communication skills
Excellent computer skills and familiarity with Apple products (Mac, iPad, iPhone), or client-based systems such as Microsoft or HP.
Leadership skills and experience working in a collaborative team environment
Proven organizational skills, great interpersonal skills, and ability to work as a key team member
High level of ownership, accountability and initiative
Comfort and efficiency with multi-tasking, issue resolution, and conflict management
BLS (Basic Life Support) certification
Physical Job Requirements
Requires standing, walking and sitting for extended periods of time
Occasionally required to lift and carry items weighing up to 50 lbs
Manual and finger dexterity and hand-eye coordination
Requires corrected vision, hearing and speech within normal ranges
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Crossover Health is committed to Equal Employment Opportunity regardless of race, color, national origin, gender, sexual orientation, age, religion, veteran status, disability, history of disability or perceived disability. If you need assistance or an accommodation due to a disability, you may email us at ***************************.
To all recruitment agencies: We do not accept unsolicited agency resumes and are not responsible for any fees related to unsolicited resumes.
#LI-Onsite
$48k-108k yearly est. Auto-Apply 60d+ ago
Scrum Master II
Centene Corporation 4.5
Austin, TX job
You could be the one who changes everything for our 28 million members by using technology to improve health outcomes around the world. As a diversified, national organization, Centene's technology professionals have access to competitive benefits including a fresh perspective on workplace flexibility.
**Position Purpose:** Supports the oversight of activities managed by a delivery pod / application team while adhering to agile practices and disciplines. Works closely with Product Owners to ensure that delivery pod / application team members are working on the highest priority work items defined within their respective roadmaps. Prepares deliverables and artifacts that highlight the progress accomplished by delivery pods / application teams (velocity, sprint and feature burn ups / burn downs, cumulative flow reports, etc.) and presents those artifacts as needed. Provides hands-on coaching to support the adoption of agile practices and identifying opportunity areas for continuous improvement.
+ Supports Scrum team(s) in delivery of sprint goals and iterative delivery of software solutions that deliver business value. Partners with the product owner to support product backlog definition, refinement, and prioritization of work into sprints
+ Creates dashboards, gathers metrics, measures, and monitors team progress; disseminates relevant project information including action items to necessary stakeholders
+ Facilitates daily stand-up meetings to track and remove roadblocks for the scrum team, and escalates issues in a timely manner
+ Creates, revises, and executes timelines as appropriate to ensure projects are on track
+ Sets concrete goals for a sprint, including deadlines for completion and metrics to determine success
+ Ensures the work implemented by delivery pod and application teams adheres to the steps and procedures outlined within the definition of done (DoD) framework
+ Facilitates the sprint review of product increment planning by the scrum team
+ Collaborates with program management on process improvement initiatives; supports retrospectives
+ Develops and presents sprint level reports (ex: burnups, cumulative flows, velocity charts) to technology and business stakeholders
+ Performs other duties as assigned
+ Complies with all policies and standards
**Education/Experience:** A Bachelor's degree in a quantitative or business field (e.g., statistics, mathematics, engineering, computer science) and requires 2 - 4 years of related experience.
Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.
**Technical Skills:**
+ One or more of the following skills are desired.
+ Knowledge of Agile Leadership; Agile Management; Agile Software Development; Agile Testing; Project Management; Software Development Life Cycle
+ Experience with JIRA; Project Management; Stakeholder Management; User Story
**Soft Skills:**
+ Intermediate - Seeks to acquire knowledge in area of specialty
+ Intermediate - Ability to identify basic problems and procedural irregularities, collect data, establish facts, and draw valid conclusions
+ Intermediate - Ability to work independently
**License/Certification:**
+ SAFe Scrum Master Certification Certified Agile Practitioner, or equivalent certifications required
+ SAFe Scrum Master Certification preferred
Pay Range: $75,300.00 - $135,400.00 per year
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
$75.3k-135.4k yearly 2d ago
Senior Compliance Analyst, Duals (D-SNP) Products
Centene Corporation 4.5
Remote or Austin, TX job
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility.
**_**This position is fully remote. The ideal candidate will have experience or working knowledge of compliance laws and regulations, specifically related to Medicare, D-SNP, and applicable state regulations._**
**Position Purpose:**
Partners with leadership in maintaining Centene Corporation's Compliance with Duals (D-SNP) Program requirements. Provide regulatory interpretation, perform compliance reporting, lead special projects, and develop and implement compliance auditing and monitoring strategies for the D-SNPs.
+ Responds to external requests for information required by the organization for its Duals and SMAC regulatory filings.
+ Manages Duals (and Medicare with D-DSNP specific or separate) compliance reporting responsibilities and respond to inquiries from state and federal regulatory agencies.
+ Leads Duals compliance projects or implementations.
+ Reviews and synthesizes Duals regulatory requirements and create policy and/or position statements.
+ Partners with leadership to manage annual SMAC assessment and tracking of caps.
+ Communicate Duals (state and federal) requirements to internal and external clients.
+ Provides development guidance and leads the identification, implementation, and maintenance of Duals and overlapping Medicare compliance policies, procedures and work instructions.
+ Leads the identification, analysis, and resolution of Duals compliance issues.
+ Maintains and reviews D-SNP regulatory documentation necessary to maintain corporate standards.
+ Partners with leadership in developing, producing and conducting Duals compliance training programs.
+ Perform periodic compliance audits, risk assessments and conducts related to ongoing Duals compliance monitoring activities.
+ Partners with Duals Manager and health plans in managing relationships with regulatory agencies and seek to confirmation and clarification of D-SNP requirements and implementations where needed.
+ Performs interim Duals Compliance manager responsibilities to include supporting the health plan compliance officer with D-SNP specific responsibilities. Serve as a company-wide resource and liaison on policies, contract issues and provisions, communications, workflow, and quality improvements initiatives.
+ Serves as a company-wide resource and liaison on Duals policies, SMAC items and provisions, communications, workflow, and quality improvements initiatives.
+ Performs other duties as assigned.
+ Complies with all policies and standards.
**Education/Experience:**
+ Bachelor's Degree Law or related field; or, equivalent experience required
+ 4+ years Compliance and/or regulatory affairs required
+ Experience in project management with working knowledge of laws and/or regulations in area of compliance, in particular Medicare, D-SNP, and state regulations required
Pay Range: $70,100.00 - $126,200.00 per year
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
$70.1k-126.2k yearly 60d+ ago
Dental Director
Dental Care Alliance 4.7
Texas City, TX job
Lead, Mentor, and Transform Multi-State Dental Practices
Dental Care Alliance is seeking an exceptional Dental Director to drive clinical excellence and operational success across our practices in TX, AZ, AR, TN, and CO. This is your opportunity to leverage your business acumen and clinical expertise to make a real impact while maintaining work-life balance.
What You'll Do
Provide strategic leadership and mentorship to doctor teams across five states
Drive practice performance through coaching, development, and accountability
Lead onboarding, training, and career development initiatives
Partner with operational leaders to strengthen clinical and financial outcomes
Review KPIs and implement performance improvement strategies
Ensure compliance standards while fostering a culture of growth and excellence
What We're Looking For
Licensed dentist with proven practice management experience (P&L ownership, DSO leadership strongly preferred)
Strong business acumen with ability to analyze metrics and drive results
Natural mentor who builds positive, productive relationships
Excellent organizational skills to balance clinical and leadership responsibilities
Experience collaborating effectively with operations and cross-functional teams
What We Offer
Base Salary: $150k +
Performance Bonus: 20-30%
Schedule: 2 days/week dedicated to DD duties | 1 week/month travel
Impact: Lead meaningful change across multiple practices while maintaining clinical touchpoints
Ready to elevate your career and shape the future of dental care? Join us in building excellence across the Dental Care Alliance network.
Qualifications
DDS/DMD from an accredited Dental School
Active Dental License in the state of practice
We comply with all minimum wage laws as applicable. All benefits are subject to potential vesting and eligibility requirements.
The Company is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment that is protected by applicable law.
$150k yearly Auto-Apply 34d ago
Medicare Sales Representative
Centene Corporation 4.5
Houston, TX job
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility.
**Position Purpose:** Provide sales coverage and develop best possible market penetration for all products to present and prospective accounts in his/her assigned territory in accordance with company's policies and programs. Provide greater access to health insurance, by providing education and assistance to Medicare individuals. Distribute health education materials and arrange for health screenings. Provide Facilitated Enrollment, help facilitate the continuance of health insurance, and offer assistance with recertification.
+ Identify prospective enrollees and determine eligibility for participation in the Advantage Medicare product
+ Understand and apply all policies and procedures pertaining to: Disclosures and provisions of the Advantage Medicare product, enrollment and disenrollment
+ Develop a presence in the local community to help generate enrollments
+ Conduct home visits and personalized appointments as needed to complete the enrollment process
+ Market Advantage on-site at hospitals, senior centers, assisted living facilities, community events and other sites as designated
+ Understand the covered benefits, non-covered benefits, exclusions and exemptions
+ Assist members in accessing health care, transportation needs and other services or issues as they occur and pertain to members
+ Keep informed and adhere to current information pertaining to marketing activity guidelines set forth by various regulatory agencies-this includes providing enrollees with all corresponding materials and documentation
+ Keep alert to competitive products and marketing practices, and to keep management informed concerning them
+ Conduct and participate in telemarketing/outreach efforts as required
+ Attend and participate in sales meetings, training programs, conventions, and special events
+ Complete applications in a timely and accurate manner
+ Submit special reports regarding the operation of the territory, acceptance or rejection of products, and competitive conditions beneficial to other Marketing representatives and company operations
+ Performs other duties as assigned
+ Complies with all policies and standards
**Education/Experience:** High School Diploma , GED or equivalent required
1+ years marketing, sales or community relations experience including previous managed care experience, preferably in Medicare required
**Bilingual in Spanish preferred:** Specific language skills by some plans may be required
**State Accident and Health Insurance Agent License Upon Hire required:** Current state driver's license Upon Hire required Pay Range: $47,400.00 - $80,800.00 per year
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
$47.4k-80.8k yearly 60d+ ago
Yoga Instructor
Eating Recovery Center 4.1
Eating Recovery Center job in The Woodlands, TX
is a 1099 contract position Schedule: Every Thursday 12:30 PM - 2:30 PM Must be registered with Yoga Alliance Who we are ERC Pathlight is an innovative, rapidly growing clinical leader in the behavioral health sector. Founded in 2008 by pre-eminent psychiatrists and psychologists in the eating disorder space, ERC Pathlight now treats over 6,000 patients per year, operates more than 30 facilities in 7 states and delivers tele-healthcare to patients nationally. We offer the most comprehensive treatment program in the country for patients who struggle with eating disorders, mood and anxiety and trauma-related disorders.
How youll serve our patients
Facilitates yoga groups during scheduled programming times in accordance with patients' physical, social, and emotional needs.
You will serve patients daily in a multitude of ways:
* Plans and facilitates yoga group lessons to support patients in a mental heathcare setting. Teaches yoga aligned with Health At Every Size (HAES) principles. Interacts with patients in a trauma-informed manner. Manages patient sign in sheet for each group. Reports any concerns to clinical leadership.
Must Haves
* Registered Yoga Teacher (RYT)- Required
* Knowledge of trauma informed care principles- Required
* At least 200 hours of yoga teacher training. Experience teaching yoga to adolescents and adults- Required
Bonus Qualities:
* Bachelor's Degree- Preferred
* Experience teaching yoga in a mental healthcare setting- Preferred
How we invest in you
Every role at ERC Pathlight is essential to delivering the high-quality care we promise to our patients. This means that from day one, were here to support your role by offering ongoing training and continuing education opportunities, as well as support to achieve internal growth.
What we offer
Healthy organizations value the mental wellness of their teams, and we understand that the professionals who work for us are not immune to their own mental health conditions. In the same way we observe and guide our patients, we take the same consideration for our employees when building our benefits packages and healthcare offerings. We offer competitive pay, comprehensive benefit plans, Generous Paid Time Off, 401(K) with company match and tuition reimbursement.
#LI-SY1
#IND3
$41k-51k yearly est. 1d ago
Dental Hygiene Assistant
Dental Care Alliance 4.7
Friendswood, TX job
Made Ya Smile Dental is looking for a Dental Hygienist Assistant in Friendswood, Texas, to join our clinical team. We are committed in providing a high level of patient care and satisfaction while operating team-based environment. We take pride in providing comprehensive, personalized care in warm and welcoming environment, prioritizing patient comfort and advanced treatments for optimal oral health.
Position Overview:
As a Dental Hygiene Assistant, you are an integral part of care team in providing support to the office and assisting the professional dental staff with treatment. We are passionate about preventive oral health care and value our hygiene team. Join our dynamic dental practice as a Dental Hygiene Assistant! We pride ourselves on providing exceptional care in supportive, friendly environment with opportunities for professional growth. Candidates must have prior dental assisting experience to be considered.
What we offer:
Competitive Pay
Full time: Monday-Friday 8am-5pm
Health, dental, and vision insurance (individual and family coverage)
Life insurance and disability benefits
401(k)
Support for professional growth and continuing education
Team-oriented work environment with access to modern dental technology
How to Apply:
We are excited to meet you! Apply today with your resume using the link below.
Be part of our journey to shape the future of dentistry. Apply today to join our mission-driven team!
Responsibilities
Prepare and set up treatment rooms, ensuring cleanliness and proper sterilization
Assist Dental Hygienists during patient treatment progress
Update patient health history and chart treatment progress
Expose and develop radiographs (if certified)
Educate patients on proper oral hygiene and preventive care
Cordinate with clinical staff to manage inventory and sterilization of dental instruments
Support the hygienist with patient scheduling and treatment recommendations and office recall systems
Perform routine tasks while ensuring compliance with the industry regulations including HIPAA & OSHA
Qualifications
High school diploma or GED (Required)
Registered Dental Assistant - Required
Radiology certification
CPR certification (Preferred but can be obtained upon hiring)
Strong communication and interpersonal skills
Detail-oriented with a commitment to patient care and comfort
Legal Disclaimer:
We comply with all minimum wage laws as applicable. All benefits are subject to potential vesting and eligibility requirements.
The Company is an Equal Employment Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, ancestry, color, age, national origin, ethnicity, religious creed or belief, physical or mental disability, marital or familial status, legally protected medical condition, genetic information, military or veteran status, sex, gender, sexual orientation, citizenship status, or any other characteristic protected by applicable law.
$29k-35k yearly est. Auto-Apply 6d ago
Pharmacy Resolution Specialist
Centene Corporation 4.5
Remote or Austin, TX job
You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.
* **Remote based position anywhere in the United States, must be available to work Monday - Friday; 10:30 a.m. 7:00 p.m. EST.**
**Position Purpose:** The Pharmacy Resolution Specialist receives and responds to calls from members, provider/physician's offices, and pharmacies. This role makes outbound calls and enters pharmacy overrides into systems based on approved guidelines and approvals provided from clinical pharmacists.
+ Takes member/prescriber/pharmacist inquiry calls for benefit questions including prior authorization requests
+ Offers options including submission of a prior authorization request
+ Thoroughly researches issues and takes appropriate action to resolve them using the appropriate reference material within turnaround time requirements and quality standards
+ Logs, tracks, resolves, and responds to all assigned inquiries and complaints while meeting all regulatory, CMS, and Centene Corporate guidelines in which special care is required to enhance Centene relationships, while meeting and exceeding all performance standards
+ Maintains expert knowledge on all pharmacy benefits and formularies, including CMS regulations as they pertain to this position
+ Responsible for knowing and interpreting pharmacy and medical benefits
+ Answers and conducts inbound and outbound calls with members and provider offices to provide resolution to claims (i.e.: additional information requests and medication determination updates)
+ Actively involved in the initiation and providing status for prior authorization/coverage determination, appeal / redetermination phone calls
+ Responsible for ensuring outstanding attention to detail
+ Identify root cause issues to ensure enterprise solutions and communicate findings as needed to ensure first call resolution
+ Assists with special projects as assigned
+ Performs other duties as assigned
+ Complies with all policies and standards
**Education/Experience:** High School Diploma / GED and 1 year of Job Specific call center/customer service.Pay Range: $15.87 - $27.25 per hour
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
$15.9-27.3 hourly 60d+ ago
Senior Internal Auditor
Centene Corporation 4.5
Austin, TX job
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility.
**Position Purpose:** Perform complex internal audits, including the execution of strategic, operational, financial, IT, and compliance risk based audits for the entire company and its subsidiaries.
+ Design, perform, and manage risk-based audits, including evaluating controls and processes for scalability, effectiveness, efficiency, and risk mitigation strategies
+ Perform audit planning, fieldwork, and wrap-up of engagements, including development and refinement of work programs
+ Assist in drafting audit reports, including summarizing key findings and recommendations and consolidation of metrics and graphing
+ Develop and communicate audit observations, recommendations, process improvement opportunities, and best practices and obtain management responses
+ Monitor and report on the status and findings of audits.
+ Serve as contact for corporate, field, and external auditors regarding auditing, fraud matters, and projects
+ Work with external professionals and specialists to complete audits/projects
+ Collaborate with team members to ensure coordination, timely documentation, and adherence to audit methodology throughout the engagement.
+ Develop and clearly communicate audit observations, recommendations, and best practices; obtain management responses and support department-level process improvement initiatives.
**Education/Experience:** Bachelor's degree in Accounting, Finance, related field or equivalent experience. 3+ years of public accounting, internal audit, or related operational auditing experience. Working knowledge of Generally Accepted Accounting Principles (GAAP) and Statutory Accounting Principles (SAP). Experience and knowledge of compliance requirements, including Medicare, Marketplace, Medicaid, and CMS regulations; familiarity with the health care insurance industry is preferred. Proficiency in data analytics tools and techniques to support audit testing and insights.
**License/Certification:** CPA, CIA and CISA preferred.
Pay Range: $70,100.00 - $126,200.00 per year
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
$70.1k-126.2k yearly 11d ago
Primary Therapist
Eating Recovery Center 4.1
Eating Recovery Center job in Fort Worth, TX
Schedule: Full-time, Monday-Friday, working with adults at our Pathlight Mood and Anxiety IOP program. Who we are ERC Pathlight is an innovative, rapidly growing clinical leader in the behavioral health sector. Founded in 2008 by pre-eminent psychiatrists and psychologists in the eating disorder space, ERC Pathlight now treats over 6,000 patients per year, operates more than 30 facilities in 9 states and delivers tele-healthcare to patients nationally. We offer the most comprehensive treatment program in the country for patients who struggle with eating disorders, mood and anxiety and trauma-related disorders.
How youll serve our patients:
$30k-59k yearly est. 17d ago
Registered Dietitian
Crossoverhealth 4.0
Austin, TX job
About Crossover Health
Crossover Health is creating the future of health as it should be. A national, team-based medical group with a focus on wellbeing and prevention that extends beyond traditional sick care, the company delivers an entirely new model of healthcare-Primary Health-built on the foundation of trusted relationships, an interdisciplinary care team approach, and outcomes-based payment. Crossover's Primary Health model integrates primary care, physical medicine, mental health, health coaching, care navigation and more, and delivers care in surround-sound-in-person, virtually and via asynchronous messaging. Together we are building a community of members that embraces healthcare as a proactive part of their lifestyle.
Job Summary
Job Profile Summary
The Registered Dietitian assists our members with a variety of health concerns including, but not limited to, weight management, stress management, tobacco cessation, nutrition, physical activity and other healthy lifestyle changes. Using a collaborative process that includes assessment, planning, implementation and evaluation, the Registered Dietitian will provide quality coaching programs that are part of an integrated and comprehensive primary care model.
Job Responsibilities
Delivers, measures, and improves high quality coaching programs for our members
Collaborates with members and care teams to assess, develop, implement, and evaluate action plans related to achieving and maintaining an optimal health status
Engages individual members and groups in healthy lifestyle changes using evidence-based coaching techniques that align behaviors to personal values while fostering an environment of individual responsibility and accountability
Conducts coaching assessments, follow-up sessions, and delivers onsite wellness classes
Provides recommendations for healthy behavior changes based on established protocols
Serves as a consultant and educational resource to providers and members
Performs other duties as assigned
Required Qualifications
Bachelor's degree in a relevant health field (i.e. Health Education, Nutrition, Nursing, Public Health, Exercise Physiology, Psychology)
Current Registered Dietitian license
Minimum 3 years experience as a Registered Dietitian in an out-patient primary care setting
Current BLS (Basic Life Support) certification
Preferred Qualifications
Master's degree and/or prior clinical experience
Health Coaching certificate from an approved ICHWC organization or completion within 1-year
Prior work-site health experience
Demonstrated ability to communicate, problem solve, and work effectively with people while using good judgment in new and challenging situations
Knowledge and proficiency in current, evidence-based methods of health coaching including motivational interviewing and cognitive behavioral therapy with an emphasis on health promotion and risk reduction
Experience utilizing electronic health record systems
Physical Job Requirements
May require standing, walking and sitting for extended amounts of time.
Occasionally lift and carry items weighing up to 50 lbs.
Manual and finger dexterity and hand-eye coordination
Includes full range of body motion including potential of handling and lifting patients.
Requires corrected vision, hearing and speech within normal ranges. Must be able to effectively communicate with patients and team members.
Crossover Health is committed to Equal Employment Opportunity regardless of race, color, national origin, gender, sexual orientation, age, religion, veteran status, disability, history of disability or perceived disability. If you need assistance or an accommodation due to a disability, you may email us at ***************************.
To all recruitment agencies: We do not accept unsolicited agency resumes and are not responsible for any fees related to unsolicited resumes.
#LI-Onsite
$49k-60k yearly est. Auto-Apply 34d ago
Senior Manager, Value Based Performance Management
Centene Corporation 4.5
Austin, TX job
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility.
**Position Purpose:** Leads team of Provider Relations Representatives, Network Performance Advisors and/or Provider Relations Supervisors to effectively manage assigned region and/or market territory. Develops Provider Relations Team to achieve market performance targets through the implementation and execution of network transformation strategies in order to improve overall Network Performance. Candidate Education: Required A Bachelor's Degree in a related field
+ Leads and develops a team of Provider Relations Representatives, Provider Relations Supervisors and/or Network Performance Advisors.
+ Conducts ride-alongs with Reps in the field to develop skills and behaviors and document progress/provide formative feedback through timely and consistent Field Trip Reports.
+ Identifies team skill set deficiencies and implements proper professional development plans.
+ Monitors Provider Performance action plans and tracks provider performance improvement.
+ Ensures compliance with enterprise provider performance and relationship model and team engagement of provider performance reporting.
+ Responsible for understanding the differences between Risk and Value-Based contractual arrangements.
+ Responsible for understanding HEDIS and STARS measures and partners with Quality Team to drive improvement of quality provider performance.
+ Plans, prepares and executes effective group meetings/discussions with proper objectives and outcomes.
+ Ensures adherence to contractual obligations and to regulatory requirements.
+ Identifies areas of opportunity to improve Provider Satisfaction and Provider Experience.
+ Assists in monitoring and developing High Performing Practices and driving Network Transformation Strategies to optimize member outcomes.
+ Educates and enhances provider partnerships and implements market and enterprise initiatives.
+ Strategizes membership growth for High Performing Practices and/or sophisticated complex provider relationships.
+ Provides training, mentoring and guidance to new managers.
+ Special projects as assigned or directed.Additional Responsibilities: * Leads and develops Provider Operations staff.
**Required or equivalent work experience Candidate Experience:** Required 6+ years of experience in provider relations or similar background
Required 3+ years of management experience
Pay Range: $87,700.00 - $157,800.00 per year
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
$87.7k-157.8k yearly 2d ago
Senior Security Compliance Analyst
Centene Corporation 4.5
Austin, TX job
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility.
**Position Purpose:**
Develops, monitors, maintains and improves the enterprise security program. Assists in the compliance of enterprise security initiatives and creates reports that will impact decisions made at both the executive and Board levels.
+ Mature and automate processes, where possible, to manage security risk including.
+ Maintain awareness of existing and proposed enterprise security policies and standards. Provide support in security policy and standard development.
+ Identify regulatory changes that will affect information security policies, standards and procedures, and recommends appropriate changes.
+ Support security control owners with control design and implementation
+ Lead the design, evaluation and oversight of controls for key security and security IT projects, programs, applications and systems, e.g. the Enterprise Control Framework
+ Partner to ensure appropriate corrective actions for data security incidents.
+ Partner with Information Security, Business Continuity, Vendor Management, Information Technology, Risk Management, Audit, and Privacy Officer to ensure appropriate follow up and closure of findings and issues are completed.
+ Perform assigned tasks within the GRC tool (Archer) within the defined SLAs.
+ Perform related duties as assigned or requested, including security metrics reporting and information security process improvements.
+ Performs other duties as assigned.
+ Complies with all policies and standards.
**Education/Experience:**
Bachelor's degree in Information Security, related field, or equivalent experience required.
4+ years of experience with security domains required.
Knowledge of NIST 800-53, HITRUST, and ISO 27001 required.
**License/Certification:**
CISA, CGEIT, CRISC, CISM, or CISSP preferred
Pay Range: $87,700.00 - $157,800.00 per year
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
$87.7k-157.8k yearly 60d+ ago
Part-Time Field Marketing Coordinator-San Antonio, TX
Dental Care Alliance 4.7
San Antonio, TX job
Dental Practice is seeking a dynamic Marketing Coordinator to join our team.
We are passionate about what we do and the difference our dentists make in our community. The Marketing Coordinator we hire will work diligently to build and maintain solid business relationships with our surrounding dental community. Our Marketing Coordinators work closely with our entire team to identify marketing opportunities and develop traditional media, digital marketing, social media marketing, and community-based initiatives to reach new patients.
Responsibilities
Field Marketer Responsibility
Promote and represent the practice to its target audience. Their primary responsibility is to build and strengthen the brand's reputation, increase its visibility, and engage with consumers.
Promotion and Advocacy: Act as an enthusiastic advocate for the offices and their values.
Content Creation: Go to offices and capture photos, videos, review for social media posts that feature the practice. Distribute this content directly on the practice pages and/or submit to the Brand Manager
Events and Promotions: Represent the offices at events, trade shows, or other promotional activities. Assist with giveaways and other marketing initiatives.
Feedback and Insights: Collaborate with office managers and provide insights into market trends, consumer preferences, and competitor activities in the markets and report.
Qualifications
Bachelor's degree in marketing/communications or related field.
· Critical thinker with strong problem-solving and research proficiencies.
· Ability to comprehend and interpret competitor strategies and consumer behavior.
· Creative mind with superb written and verbal communication skills.
· Ability to build relationships through social skills and friendly disposition
· Ability to gather large amounts of data and convert it into meaningful analysis.
· Solid organizational skills and detail oriented.
· Experience in event coordination and planning.
· Ability to work under pressure and meet strict deadlines.
· Ability to simplify complex information into a user-friendly format.
· Proficiency in Microsoft Office with the capacity to learn and utilize other software platforms to enhance our marketing efforts.
· Must have reliable transportation and be willing to travel to areas surrounding the practice
· Ability to work outside normal business hours occasionally is required. Events may be held in evening hours or on weekends.
$39k-51k yearly est. Auto-Apply 11d ago
Dental Practice Manager
Dental Care Alliance 4.7
Austin, TX job
Austin Children's Dentistry is looking for a Dental Practice Manager in Austin, Texas, to assist our clinical team by providing a high level of patient care and satisfaction while operating in a team-based environment.
As a Dental Practice Manager you will oversee daily operations, ensuring seamless employee and patient relations while driving operational efficiency. The role is responsible for managing office profit and loss, including scheduling, staff productivity, collections, receivables, and expense management. Additionally, you will support business growth through sales, marketing, and promotional initiatives. The ideal candidate will lead office personnel, streamline workflows, and oversees essential administrative functions such as financial reporting, payroll, and banking to maintain a well-organized and high-performing practice.
What we offer:
Competitive pay
Health, dental, and vision insurance (individual and family coverage)
Life insurance and disability benefits
401(k) plan
Support for continuing education and professional development
Team-oriented work environment with access to modern dental technology
How to Apply:
If you are a excellent Dental Office Manager looking to advance your career in a modern, patient-centered practice, we invite you to apply by submitting your CV.
Be part of our journey to shape the future of dentistry. Apply today to join our mission-driven team!
Responsibilities
Oversee daily operations to ensure office efficiency, compliance, and a high standard of patient care.
Supervise and support patient coordinators, dental assistants, hygienists, and treatment coordinators to maintain smooth workflows.
Manage scheduling, staffing, and front-office operations to optimize productivity and patient experience.
Support dentists and staff with treatment planning, billing, and insurance processes while ensuring accurate financial transactions.
Monitor office finances, including expense management, invoice submission, collections, and receivables, to maintain profitability.
Maintain office inventory by overseeing supplies, equipment, and facility cleanliness for an organized and professional environment.
Lead hiring, training, and staff development while addressing patient and employee concerns professionally to foster a positive workplace culture.
Qualifications
2+ years of management experience within dental setting.
Experience working in a dental or medical office is required.
Experience in insurance processes and billing is a must.
Strong organizational and leadership skills to work independently in fast paced environment.
Proficiency in Microsoft Office Suite and practice management software.
Strong attention to detail, compliance, and confidentiality in handling patient records and office operations.
Legal Disclaimer:
We comply with all minimum wage laws as applicable. All benefits are subject to potential vesting and eligibility requirements.
The company is an Equal Employment Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, ancestry, color, age, national origin, ethnicity, religious creed or belief, physical or mental disability, marital or familial status, legally protected medical condition, genetic information, military or veteran status, sex, gender, sexual orientation, citizenship status, or any other characteristic protected by applicable law.
#MAE
$31k-57k yearly est. Auto-Apply 6d ago
Milieu Therapist- Part time
Eating Recovery Center 4.1
Eating Recovery Center job in Plano, TX
Who we are ERC Pathlight is an innovative, rapidly growing clinical leader in the behavioral health sector. Founded in 2008 by pre-eminent psychiatrists and psychologists in the eating disorder space, ERC Pathlight now treats over 6,000 patients per year, operates more than 30 facilities in 9 states and delivers tele-healthcare to patients nationally. We offer the most comprehensive treatment program in the country for patients who struggle with eating disorders, mood and anxiety and trauma-related disorders.
What you'll be doing:
The Milieu Therapist is a licensed therapist who facilitates skills groups and psychotherapy groups based on core curriculum, provides meal monitoring and meal support, and offers milieu support, de-escalation and behavior coaching to patients in inpatient, residential, partial hospitalization and intensive outpatient levels of care.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
* Facilitates curriculum-based groups
* Provides meal monitoring and support.
* Documentation of groups, meals and patient check-ins and observations 15% Provides support to Milieu including the following:
* De-escalation and crisis management
* Bathroom monitoring and support for eating disorder patients
* Monitoring outside breaks Conducts self-harm and suicide assessment
* Support morning routine in IP/Res programs
* Collects and reports weights, vitals and urine in some settings
* Implements individual behavior management plans for some patients and serves as clinical lead for the program in standalone programs in evenings and weekends. Will lead some psychotherapy groups.
* Coverage for Primary Therapists (for individual, family and group therapies as well as for patient assessments) with support from Clinical Manager or Clinical Director
Must Haves:
* Graduate degree in mental health or related degree program- required
* Bachelors degree- required
* Intern or associate license from appropriate state licensing board- required
* Strong knowledge of therapeutic principles and techniques- required
* Ability to manage group dynamics effectively Proficient in keeping timely, detailed and accurate records- required
* Demonstrated ability to handle crisis situations effectively- required
* Excellent written and verbal communication skills- Required
Bonus Qualities:
* 1+ year facilitating group-based treatment interventions- preferred
* 1+ year providing crisis management support and interventions- preferred
* 1+ year performing safety assessments and implementing safety management plans to patients in treatment at higher levels of care- preferred
How we invest in you
Every role at ERC Pathlight is essential to delivering the high-quality care we promise to our patients. This means that from day one, were here to support your role by offering ongoing training and continuing education opportunities, as well as support to achieve internal growth.
What we offer
Healthy organizations value the mental wellness of their teams, and we understand that the professionals who work for us are not immune to their own mental health conditions. In the same way we observe and guide our patients, we take the same consideration for our employees when building our benefits packages and healthcare offerings. We offer competitive pay, comprehensive benefit plans, Generous Paid Time Off, 401(K) with company match and tuition reimbursement.
$32k-39k yearly est. 38d ago
Milieu Therapist Part-Time
Eating Recovery Center 4.1
Eating Recovery Center job in The Woodlands, TX
Schedule: Part-Time, 24 hours/week, working with adults and children at Pathlight Mood and Anxiety in The Woodlands, TX. Must be licensed in the state of TX. Who we are ERC Pathlight is an innovative, rapidly growing clinical leader in the behavioral health sector. Founded in 2008 by pre-eminent psychiatrists and psychologists in the eating disorder space, ERC Pathlight now treats over 6,000 patients per year, operates more than 30 facilities in 9 states and delivers tele-healthcare to patients nationally. We offer the most comprehensive treatment program in the country for patients who struggle with eating disorders, mood and anxiety and trauma-related disorders.
What you'll be doing:
The Milieu Therapist is a licensed therapist who facilitates skills groups and psychotherapy groups based on core curriculum, provides meal monitoring and meal support, and offers milieu support, de-escalation and behavior coaching to patients in inpatient, residential, partial hospitalization and intensive outpatient levels of care.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
* Facilitates curriculum-based groups
* Provides meal monitoring and support.
* Documentation of groups, meals and patient check-ins and observations 15% Provides support to Milieu including the following:
* De-escalation and crisis management
* Bathroom monitoring and support for eating disorder patients
* Monitoring outside breaks Conducts self-harm and suicide assessment
* Support morning routine in IP/Res programs
* Collects and reports weights, vitals and urine in some settings
* Implements individual behavior management plans for some patients and serves as clinical lead for the program in standalone programs in evenings and weekends. Will lead some psychotherapy groups.
* Coverage for Primary Therapists (for individual, family and group therapies as well as for patient assessments) with support from Clinical Manager or Clinical Director
Must Haves:
* Graduate degree in mental health or related degree program- required
* Bachelors degree- required
* Intern or associate license from appropriate state licensing board- required
* Strong knowledge of therapeutic principles and techniques- required
* Ability to manage group dynamics effectively Proficient in keeping timely, detailed and accurate records- required
* Demonstrated ability to handle crisis situations effectively- required
* Excellent written and verbal communication skills- Required
Bonus Qualities:
* 1+ year facilitating group-based treatment interventions- preferred
* 1+ year providing crisis management support and interventions- preferred
* 1+ year performing safety assessments and implementing safety management plans to patients in treatment at higher levels of care- preferred
How we invest in you
Every role at ERC Pathlight is essential to delivering the high-quality care we promise to our patients. This means that from day one, were here to support your role by offering ongoing training and continuing education opportunities, as well as support to achieve internal growth.
What we offer
Healthy organizations value the mental wellness of their teams, and we understand that the professionals who work for us are not immune to their own mental health conditions. In the same way we observe and guide our patients, we take the same consideration for our employees when building our benefits packages and healthcare offerings. We offer competitive pay, comprehensive benefit plans, Generous Paid Time Off, 401(K) with company match and tuition reimbursement.
#MATR
#LI-SY1
#IND3
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