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About Longitude Rx Longitude Rx was designed to transform the way specialty medications are accessed and managed through tech-enabled solutions. Our platform focuses on building integrated capabilities that drive better patient outcomes, reduce total cost of care, and scale efficiently across healthcare organizations. By supporting hospital-based specialty pharmacies, we serve patients with complex, chronic, and rare conditions requiring expert clinical oversight. Position Summary The Director of Specialty Pharmacy Operations will play a pivotal leadership role in shaping and executing the operational, financial, and strategic direction of our specialty pharmacy services. This individual will thrive in a fast-paced, entrepreneurial environment, bringing a balance of strategic foresight and hands on operational expertise. By building integrated capabilities that align with our mission, the director will ensure compliance, optimize performance, enhance patient care, and accelerate business growth all while fostering a culture of innovation, agility, and collaboration. Core Responsibilities Operational Leadership: • Oversee daily specialty pharmacy care coordinators, ensuring efficiency, accuracy, and compliance., • Manage specialty clinic workflows to improve capture of prescriptions., • Develop and implement policies, procedures, and best practices to optimize workflow and patient outcomes., • Monitor and enhance medication fulfillment, adherence programs, and patient support services., • Leverage technology, automation, and data driven insights to improve workflows and drive scalable solutions., • Ensure specialty pharmacy services remain nimble, responsive, and aligned with health system partners’ needs. Strategic Planning & Business Development: • Design and execute strategies that expand Longitude Rx's specialty pharmacy footprint and advance our mission to transform access to complex therapies., • Identify and cultivate new opportunities with payers, manufacturers, and health systems to fuel sustainable growth and market differentiation., • Analyze market trends and competitor activities to position the organization for success. Regulatory & Compliance Management: • Maintain adherence to policies regarding medication safety, HIPAA, and controlled substances., • Ensure adherence to federal, state, and accreditation standards (URAC, ACHC, Joint Commission) while fostering a culture of integrity and accountability., • Lead proactive audit preparation and continuous improvement initiatives that align with our values of excellence and transparency. Financial Performance & Cost Management: • Develop and manage budgets, ensuring financial sustainability and profitability., • Monitor revenue cycles, reimbursement strategies, and cost-saving initiatives., • Oversee contract negotiations with pharmaceutical manufacturers, payers, and vendors. Patient-Centered Care & Clinical Collaboration: • Partner with healthcare providers to improve access, adherence, and specialty medication management., • Lead initiatives that reflect Longitude Rx's patient-first culture, advancing personalized medicine and specialty drug therapies., • Build scalable programs that reduce barriers to care while ensuring a seamless patient experience. Team Leadership & Development: • Lead, mentor, and develop pharmacy staff, ensuring high performance and engagement., • Foster a culture of excellence, continuous learning, and innovation., • Collaborate with interdisciplinary teams to improve service delivery and patient care., • Inspire, mentor, and develop specialty pharmacy staff, fostering a culture that values collaboration, curiosity, and continuous learning. Minimum Qualifications • Education: Bachelor’s or Doctor of Pharmacy (PharmD) required; Master’s in Business Administration (MBA) or Healthcare Administration (MHA) preferred., • Experience: Minimum 7–10 years of experience in pharmacy operations, with at least 5 years in a leadership role in specialty pharmacy., • Licenses and Certifications: Active pharmacist license in good standing in the state where work will be performed. Knowledge, Skills, and Abilities • Strong understanding of specialty pharmacy regulations, payer models, and accreditation standards., • Expertise in financial management, reimbursement strategies, and contract negotiations., • Proven leadership ability to drive operational excellence and business growth., • Excellent communication, problem-solving, and organizational skills. Why Join Our Team? Joining the Longitude Rx team presents an exciting opportunity to be part of an early stage company developing bold solutions with solid financial backing. You will be part of a mission-driven team that is reimagining specialty pharmacy to support health systems, reduce barriers to care, and improve the lives of the patients we serve. Longitude Rx is committed to providing equal employment opportunities to all employees and applicants for employment. Employment decisions are made without regard to race, color, religion, gender, national origin, age, disability, sexual orientation, gender identity, genetic information, or protected veteran status, in accordance with applicable federal laws. This policy applies to all terms and conditions of employment, including but not limited to hiring, placement, promotion, termination, layoff, transfer, leaves of absence, compensation, and training. Longitude Rx also provides reasonable accommodation for the known physical or mental limitations of qualified individuals with disabilities, in accordance with applicable law.

Job Description Fastest growing HRT company seeking a Mid-Level Provider for the role of Assistant Clinic Director (ACD) at our Vintage Park, Houston, Texas clinic! The role of ACD entails direct patient interaction, treatment of patients through defined, established, and peer-reviewed protocol; along with full evaluation of the root cause of this condition. The ACD shares in the administrative functions that directly impact medical services and collaborates with the CD, operations, and management team in overall success of The Low T Center. Overview SynergenX-Low T Center-HerKare are leading providers of hormone replacement and targeted wellness services. Currently are seeking fitness-conscious, wellness-oriented medical professionals (PA, APN, APRN, FNP) in connection with a planned expansion of clinical offerings and rapid escalation of remotely managed care options. The ideal candidate will thrive in a fast-paced, customer service focused environment, employing proprietary treatment protocols and programs to help change patients' lives. Assistant Center Directors work in conjunction with a physician medical director and the Center Director to coordinate the care of patients receiving hormone replacement, targeted wellness (such as management of sleep apnea, weight control, hypertension, low libido), and aesthetic services (some locations). Minimal Supervisory duties of support staff. Requirements: • Licensed Physician Assistant, Advanced Practice Nurse in Texas, • DEA Registration current, • Prior management or supervisory experience preferred., • A minimum of 1 year practice experience 2 Straight weeks Monday to Friday. Training is paid as well. Hours of Operation • Monday: 8:00 AM - 5:00 PM, • Tuesday: 8:00 AM - 7:00 PM, • Wednesday: 8:00 AM - 1:00 PM, • Thursday: 7:00 AM - 5:00 PM, • Friday: 8:00 AM - 5:00 PM, • Saturday: 8:00 AM - 12:00 PM (2 per month with incentivized pay) Must be able to train for 2 full weeks 10 consecutive business days, paid. Compensation: $130,000 base plus $400 each Saturday (2 per month) which adds $10,400 to annual base = $140,400 Benefits • PTO accrual with increases over time, • Malpractice insurance covered, • Scrubs provided, • Major medical, dental, and vision insurance, • Short-term and long-term disability insurance, • CME allowance and CME PTO, • Licensure renewal reimbursement, • 401(k) with excellent employer match, • And more! Do you have sound medical decision-making skills? Are you a team player who always puts patients first? Do you have excellent interpersonal skills? Do you find it easy to establish a good rapport with patients? Are you patient and respectful? Are you able to explain technical health issues and treatment plans in layman's terms? If so, then you might just be perfect for this Mid-Level Provider position! Powered by JazzHR f0iatHF17w

Job Description Do you thrive in a small clinic environment and have a passion for helping patients look and feel great? Are you interested in working with leaders in hormone replacement therapy and weight management? Would you like to be part of the foundation of a company with a bright future? If so, please read on! SynergenX, leading providers of hormone replacement and targeted wellness services, are seeking fitness-conscious, wellness-oriented medical professionals (PA, APN, APRN, FNP) in connection with a planned expansion of clinical offerings and rapid escalation of remotely managed care options. The ideal candidate will thrive in a fast-paced, customer service focused environment, employing proprietary treatment protocols and programs to help change patients' lives. Mid-Level Providers work in conjunction with a physician medical director and the Center Director to coordinate the care of patients receiving hormone replacement, targeted wellness (such as management of sleep apnea, weight control, hypertension, low libido) Candidates must have excellent medical and academic credentials, be technologically savvy, and able to effectively manage staff and operations at their location. QUALIFICATIONS • Active Texas NP or PA license in good standing without disciplinary actions., • Current DEA license-REQUIRED We offer 2 full weeks of paid training. Hours of operation: • Monday: 8:00 AM - 5:00 PM, • Tuesday: 8:00 AM - 7:00 PM, • Wednesday: 8:00 AM - 1:00 PM, • Thursday: 7:00 AM - 5:00 PM, • Friday: 8:00 AM - 5:00 PM, • Saturday: 8:00 AM - 12 PM, • Sunday: Closed This position will primarily be scheduled To PRN in South Houston. You will float to Pasadena, Friendswood, Webster, Galleria, Sugarland and Katy. Compensation: Saturdays are $400 per 4-hour shift, minimum of 2 per month. Weekday shifts are $60 per hour. Powered by JazzHR 9tUh9hlBWX

Job Description Butterfly Effects' Mission is to make a socially meaningful change in the lives of children and families by hiring passionate, caring people to serve children and families affected by autism. We are looking for passionate ABA Registered Behavior Technicians to teach young children affected by autism. This isn't just another place to work, it's a welcoming environment with a leadership team that champions every individual to achieve their potential. We want you to enjoy coming to work, so we dedicate ourselves to making our teams feel valued, respected, and heard. Why Work at Butterfly Effects? • Children and families are at the heart of our work, and we take care of the people who make all the difference - People like You!, • Part-time opportunity to make a full-time impact in a child's life!, • Bring calm, protection, and happiness to families and children affected by autism, • Build a rewarding and valued career with education and training support. Our treatment involves working directly with the child and the family in their natural environment (most often their home but also in schools and our centers), to teach them how to communicate, share, play, wait, and other essential skills. BE's Behavior Technician / Child Interventionist makes the session fun by teaching through play-based activities. We offer training to all staff, so they feel confident in the skills required to instruct children affected by autism. The best fit for this role is someone very outgoing, energetic, and friendly. What do you bring to the role? • Minimum of High School diploma. College course work a plus, • Registered Behavior Technician Certification, • A love and Passion for working with children, • Interest in learning, • Valid driver's license & personal vehicle, • Web Enabled Device (laptop or tablet), • At least 3 weekdays w/ same availability We believe in fair and competitive compensation. As such, we provide benefits outside of your hourly rate to give you the support and energy you need to bring your best self to your role. Our team members may be eligible for the following benefits: • Tuition Assistance, • Drive-time pay between sessions Working with clients in their natural environments may require you to lift or move approximately 50 lbs. and be able to assume and maintain a variety of postures (kneeling, squatting, sitting, standing) for extended periods of time. Who are we? Butterfly Effects has served more than 10,000 families since our inception in 2005. We have a long history of improving the lives of children and families affected by autism spectrum disorder through our family-centric applied behavior analysis (ABA) approach. Our mission is to deliver ABA treatment in partnership with families affected by autism to foster a more joyous life. A national leader in autism treatment, Butterfly Effects employs more than 100 board-certified behavior analysts (BCBA) and 800 behavior technicians. The 12 states we serve are locally managed by a regional director and team of BCBAs. Our corporate office located in Deerfield Beach, Florida is home to our leadership team and administrative staff who assist with daily operations, including client services, human resources, talent acquisition, finance, revenue cycle management, quality assurance, compliance, professional development, and professional ethics. Our butterfly logo was chosen as a symbol of love, rebirth, and metamorphosis. Together, the name and logo represent our common purpose and deep commitment to helping families create lasting change through individualized ABA therapy. For more information, please visit . Job Posted by ApplicantPro

Job Description Butterfly Effects' Mission is to make a socially meaningful change in the lives of children and families by hiring passionate, caring people to serve children and families affected by autism. We are looking for passionate ABA Registered Behavior Technicians to teach young children affected by autism. This isn't just another place to work, it's a welcoming environment with a leadership team that champions every individual to achieve their potential. We want you to enjoy coming to work, so we dedicate ourselves to making our teams feel valued, respected, and heard. Why Work at Butterfly Effects? • Children and families are at the heart of our work, and we take care of the people who make all the difference - People like You!, • Part-time opportunity to make a full-time impact in a child's life!, • Bring calm, protection, and happiness to families and children affected by autism, • Build a rewarding and valued career with education and training support. Our treatment involves working directly with the child and the family in their natural environment (most often their home but also in schools and our centers), to teach them how to communicate, share, play, wait, and other essential skills. BE's Behavior Technician / Child Interventionist makes the session fun by teaching through play-based activities. We offer training to all staff, so they feel confident in the skills required to instruct children affected by autism. The best fit for this role is someone very outgoing, energetic, and friendly. What do you bring to the role? • Minimum of High School diploma. College course work a plus, • Registered Behavior Technician Certification, • A love and Passion for working with children, • Interest in learning, • Valid driver's license & personal vehicle, • Web Enabled Device (laptop or tablet), • At least 3 weekdays w/ same availability We believe in fair and competitive compensation. As such, we provide benefits outside of your hourly rate to give you the support and energy you need to bring your best self to your role. Our team members may be eligible for the following benefits: • Tuition Assistance, • Drive-time pay between sessions Working with clients in their natural environments may require you to lift or move approximately 50 lbs. and be able to assume and maintain a variety of postures (kneeling, squatting, sitting, standing) for extended periods of time. Who are we? Butterfly Effects has served more than 10,000 families since our inception in 2005. We have a long history of improving the lives of children and families affected by autism spectrum disorder through our family-centric applied behavior analysis (ABA) approach. Our mission is to deliver ABA treatment in partnership with families affected by autism to foster a more joyous life. A national leader in autism treatment, Butterfly Effects employs more than 100 board-certified behavior analysts (BCBA) and 800 behavior technicians. The 12 states we serve are locally managed by a regional director and team of BCBAs. Our corporate office located in Deerfield Beach, Florida is home to our leadership team and administrative staff who assist with daily operations, including client services, human resources, talent acquisition, finance, revenue cycle management, quality assurance, compliance, professional development, and professional ethics. Our butterfly logo was chosen as a symbol of love, rebirth, and metamorphosis. Together, the name and logo represent our common purpose and deep commitment to helping families create lasting change through individualized ABA therapy. For more information, please visit . #INDTX Job Posted by ApplicantPro

Job Description Come join us in reshaping the future! Immediately Hiring – Nuclear Medicine Technologist Regional Staffing Manager Are you looking to advance your career? At CDL Nuclear, we’ve been helping our Cardiology Facility Clients by providing innovative healthcare and medical life science products and service solutions around the country for more than 30 years. CDL Nuclear has provided advanced imaging services to more than 850 healthcare facilities since 1992. We provide a stable career environment and have set the pace in Cardiac PET for the past 15 years as the visionaries and the leader in advanced cardiovascular imaging. Job Type: Manager: Full-time/Salaried/with bonuses Job Location: Houston, TX; Remote with travel to client facilities throughout Houston, TX What you will do as the Regional Staffing Manager: The Regional Staffing Manager at CDL Nuclear Technologies is responsible for overseeing the clinical staffing needs of CDL Nuclear Technologies. They will manage day to day functions of all clinical staff in CDL Nuclear Technologies PET/CT to include but not limited to recruiting, retention, training programs, skill assessments, scheduling, communication, departmental rounding, staff meetings, operational efficiency, and continuing education of all clinical staff. Personnel management includes assisting with the hiring of additional clinical personnel, orientation of new employees, overseeing staff schedules, and working with upper management in the preparation and completion of performance appraisals. Cultivate a positive relationship with the referral community within a given territory by bringing an understanding and respect for all Nuclear Medicine communities. The Regional Staffing Manager is accountable for setting long-term goals and facilitating the growth of CDL’s clinical departments in conjunction with ongoing client needs. The Staffing Manager will collaborate at all levels of personnel procurement. RESPONSIBILITIES: • Work under the National Staffing Manager and Regional Director of Operations PET/CT on regional staffing objectives., • Directly interface with the Regional Director of Operations and Senior Recruiter to identify, target, facilitate, and acquire top-notch personnel to fill critical roles throughout CDL Companies Clinical Divisions., • Manage the schedules of all Central Region CDL clinical staff, including Certified Nuclear Medical Technologists, Cardiac Stress Technicians, Paramedics and RNs., • Collaborate weekly with the National Staffing Manager, Director of Operations, and Senior Recruiter to provide updates on the current state of staffing and provider needs., • Outline training plans for each service and staff, and provide monthly updates to National Staffing Manager PET/CT., • As directed, draft policy provisions and provide interpretation of functions or department policies. Identifies the need for and draft or define procedures/protocols in collaboration with operational input, goals, and objectives; modify procedures/protocols as necessary., • Monitor the quality and quantity of workflow to ensure work is completed. Initiates or recommends personnel actions such as hires, fires, disciplines, etc. Ensures the timely completion of annual performance reviews in coordination with the VP of HR., • Assist in the development of process improvement matrices and complete reports for all managed areas., • Coordinate training sessions: Develop training agenda, training materials, and accountability sign-in sheets for all sessions., • Monthly review of clinical performance, training needs, individual and team goal progression, individual morale and self-care opportunities., • Set clinical staff expectations and goal manage disciplinary needs in a timely manner, while upholding CDL’s “Best Appropriate Care” Values., • Administer and coordinate the Nuclear Medicine internship programs; and serve as the primary contact., • Ensure client personnel follow ALARA principles., • Ensure on-going operations of the Cardiac PET laboratory runs efficiently and all staff are comfortable with all processes., • Assist in ensuring the objectives of patient care, personnel and equipment management, quality assurance, in-service education, new client start-up, customer satisfaction and radiation safety are met., • Provide routine updates on progress and issues to customer, management, and operations personnel, such updates shall be available weekly, monthly, and as requested., • Ensure on-going training for clinical and technical advancements and/or for new client employees is conducted., • Visit client facilities when needed to ensure Clinical staff, Technologists, and Physicians overall satisfaction is being maintained., • Maintain CDL’s business and patient confidentiality., • Diligently apply the CDL Company Objectives of “Best Appropriate Patient Care”., • Perform other duties as assigned. QUALIFICATIONS: • Must have an associate degree in Nuclear Medicine, bachelor’s preferred., • Must be board certified by the NMTCB and/or ARRT., • Must have a minimum of four years of experience in Nuclear Cardiology/PET management and staffing., • Must have demonstrated creativity in improving work routines and in completing assigned projects., • Must possess expert communication, human relations, organizational and clinical/technical Nuclear Cardiac training skills to work effectively and compatibly to complete all tasks required., • Must possess the professionalism and poise to deal with conflict and emergencies and adaptability to deal with change as it occurs., • Willingness to travel as often as necessary to sites to meet new customers, understand the scope of each project, and effectively oversee all clinical and technical aspects of each. What CDL Nuclear can offer you: This is a great opportunity to join a well-established, nation-wide company that will invest in your career growth over the long term. CDL Nuclear would not be where it is today without our incredible, talented people. That is why we share in our success together by rewarding you for your hard work. Hiring people who are in it for the long run with CDL Nuclear is our ultimate goal. We offer a comprehensive benefits package, including: • Competitive pay, • Medical, Vision, and Dental Benefits, • Short-Term Disability, • Company paid Long-Term Disability, • Company paid Life & AD&D Insurance, • 401K (with match), • Employee Discounts, • Employee Referral Program, • Paid Holidays, • PTO, • Company Paid Overnight Per Diem, • Company Provided Uniforms, • State Licensure Reimbursement, • Hands-on training and development

Job Description POSITION SUMMARY: The position serves as a National clinical sales liaison for the corporation and is responsible for meeting/exceeding Sales goals through new business development and maintenance of customer relationships. This position serves as a liaison between the facility Sales directors and professionals in the community. JOB SPECIFIC RESPONSIBILITIES: • Establishes and cultivates professional relationships with referral sources to generate repeat referral opportunities., • Monitors and seeks out managed care opportunities and works with NHS Director of Managed Care Services to cultivate same., • Ensures that weekly plans are completed weekly/timely., • Attends conferences and professional seminars as requested to promote each facility., • Demonstrates knowledge of the hospital and marketplace to stay abreast of healthcare changes and/or trends., • Performs competitive analysis of competitor facilities on a periodic basis., • Performs referral analysis and understands the market to strategize appropriately., • Coordinates presentations to potential referral sources., • Attends regularly scheduled company Sales meetings., • Performs Sales duties in a cost-effective manner., • Maintains knowledge of community resources., • Effectively, timely, and accurately reports and/or communicates activities, progress, issues, and/or concerns to the Director of Complex Care., • Utilizes corporate customer database tool, Enquire., • Demonstrates knowledge and awareness of licensing regulations and third-party payor information., • Performs other duties as assigned. POSITION QUALIFICATIONS: EDUCATION:  Bachelor’s degree required  Preferred sales experience 5 years plus EXPERIENCE:  At least three years of experience in a hospital or healthcare-related field is required.  Background experience with referral development is required.  A strong background in client services and relationship management is required.  Experience developing Sales plans for the territory LICENSURE/CERTIFICATION:  None required

Job Description Addus HomeCare is seeking an experienced Sales Director to lead and support its Hospice Teams across Texas and New Mexico. The ideal candidate will bring a proven track record of success in managing and leading multiple layers, with the ability to inspire high performance across multiple teams. This role oversees approximately 7–12 sales representatives and requires strong capabilities in strategic planning, execution, data analysis, and behavioral development. A results-driven mindset and commitment to accountability are essential for success in this position. What We offer: • Great culture and team atmosphere, • Comprehensive benefits (medical, dental, vision, life/AD&D, disability), • 401(k) retirement plan with a generous company match, • Generous time off accruals, • Paid holidays, • Mileage reimbursement, • Tuition Reimbursement, • Employee Referral Program, • Bonus Eligible, • Merit Increases, • Directs all daily marketing operations including providing direct oversight of the establishment and implementation of marketing initiatives., • Ensures maximum third-party reimbursement through effective negotiation of service contracts with managed care organizations, government agencies, and other payers., • Assists the Executive Director in establishing organization volume projections in the annual budget and in establishing allocations for the marketing department., • Monitors the allocation of resources according to budgetary limitations., • Continuously conducts market assessments and develops a comprehensive marketing plan designed to meet budgetary volume projections., • Employs marketing and promotional initiatives to achieve budgetary volume projections., • Bachelor’s degree in Marketing, Business or related field, • Minimum of three to five years of professional sales experience; experience in the hospice and health care industry preferred, • Outside sales experience preferred, • Proven, consistent and measurable track record of success in finding, signing and growing business, • Ability to market effectively with customers, referral sources, and the community., • Strong communication skills, negotiation skills, public relations skills, and interpersonal skills, • Ability to market aggressively and deal tactfully with customers and the community, • Demonstrates autonomy, organization, assertiveness, flexibility, and cooperation in performing job responsibilities, • Valid driver’s license and proof of insurance is required #LI-JOBSLOTS

Job Description Freenet Health Corp. is a rapidly growing healthcare management company servicing virtual and mobile medical practices. We are now hiring multiple positions for our client mobile wound care practice Woundlocal. We are seeking an experienced Area Account Executive for the full-time position of Advanced Wound Care Area Account Executive in the N/NE/NW region of greater Houston Job Summary: This is a sales and marketing position for Woundlocal mobile advanced wound care. Some of the key call points include skilled nursing facilities, long-term care acute care facilities, assisted living facilities, home health and hospice programs. This position is responsible for closing all professional facilities in the assigned region. Responsibilities of the Area Account Executive • Achievement of monthly Personal Production Goals and advanced wound care patient quotas for assigned region, • Achievement of monthly Team Production Goals and advanced wound care patient quotas for managed territories, • Obtain new signed service contracts with facility partners, manage and update contracts as needed, • Responsible for executing effective sales calls that identify and meet the needs of the referral community and clearly communicate the features and benefits of the Woundlocal service line. These include pre and post call planning, establishing rapport, effective questioning skills, proposing solutions, handling objections and closing., • Implement, manage, and document consistent sales activities with multiple contacts in each referral source., • Seek to better understand the needs of customers to provide customized solutions and earn new/continued referrals, • Work collaboratively with the Territory Account Managers assigned to support the Area Account Executive's assigned referral accounts., • Successfully executes a weekly, monthly, and quarterly strategy to increase market share through key account development including prospecting/diversification and call frequency/routing. Plans activity to maximize territory coverage of both existing and prospective accounts., • Provide educational presentations and in-service appointments about advanced wound care and the Woundlocal mobile advanced wound care program., • Responsible for all sales administration duties including, but not limited to, Salesforce, expense entry compliance, timely cell phone and e-mail correspondence., • Responsible for being a good steward of the company's financial resources by projecting a return on monies spent and managing to a Sales and Marketing expense budget., • This is a remote/ outside sales position that requires the use of your vehicle. 80% in the field customer facing, 20% administrative., • Must be willing to travel to Boerne TX monthly for sales meetings., • Must have min 3 years of sales experience, preferably in healthcare, pharmaceuticals, medical space, wound care sales experience a plus, • Must demonstrate ability to work independently and productively with little supervision., • Higher than industry average performance-based compensation, • UHC PPO, Dental, and Vision, • 401K, • Stock option bonus plan after 12 months of service, • $1,000 per month allowance for gas, insurance, and vehicle depreciation, • MacBook Pro, iPad Pro, and corporate software licenses, • $800 per month reimbursement available for regional marketing expenses, • Hotel expenses paid for periodic required travel to company headquarters for training

Job Description Job Title: Clinical Data Abstraction Specialist Supervisor: Director, VBC Operations Required License(s)/ Certification(s): Certified Risk Adjustment Coder (CRC), Certified Professional Coder (CPC), or Certified Coding Specialist (CCS) FLSA Status: Nonexempt Summary: Clinical Data Abstraction Specialist is responsible for reviewing, abstracting, and coding inpatient and/or outpatient medical records to ensure proper ICD-10 coding and compliance with risk adjustment requirements. Essential Duties and Responsibilities include the following. Other duties may be assigned. Candidate Qualifications • Follows CMS Risk Adjustment guidelines and has a complete understanding of these guidelines., • Reviews submitted medical records to identify ICD-10-CM diagnoses, ensuring the documentation meets all CMS standard requirements for valid submission. • Codes all diagnoses and services accurately and completely, from the medical record in accordance with the ICD10-CM coding classification systems., • Selects and accurately records all appropriate records and data on assigned chart abstraction projects., • Ability to meet productivity and accuracy standards., • Tracking and monitoring of medical records requests for all risk adjustment projects., • Performs telephonic outreach to provider practices and/or facilities to request medical records electronically or on-site., • Performs other duties as assigned. LICENSES/CERTIFICATIONS: A certification in one of the following is required: • Certified Risk Adjustment Coder (CRC), • Certified Professional Coder (CPC), • Certified Coding Specialist (CCS) Education • High School Diploma or GED Required Skills • Knowledge of healthcare delivery systems., • Strong oral and written communication skills., • Ability to work in a fast-paced environment with changing priorities., • Ability to work with others in a mixed matrix environment., • Demonstrated written communication skills., • Demonstrated time management and priority-setting skills., • Demonstrated problem-solving and analytical skills., • Demonstrated organizational skills., • Demonstrated ability with an electronic health record and practice applications and websites., • Maintain up-to-date knowledge of clinical documentation standards and best practices. TECHNICAL SKILLS: • Working knowledge of Microsoft Office, • Working knowledge of Electronic Health Records (EHR) Experience • Minimum of three (3) years HCC experience performing retrospective risk adjustment chart review required., • Minimum of three (3) years of experience in a hospital, a physician setting or a Managed Care Organization as a medical coder. • Minimum of five (5) years ICD-10 CM coding experience required., • Current AAPC or AHIMA credential required., • Managed Care Experience preferred., • Knowledge of Medicare Risk Adjustment required. About Apex Health Solutions Apex Health Solutions powers payers and providers choosing to engage in value-based risk contracting. Apex’s unique solutions create alignment between payers and providers, generating unparalleled value. Combined with Apex’s experienced and successful industry leadership, our focal point remains on improvement in patient quality, satisfaction and overall cost of care.

Job Description Butterfly Effects' Mission is to make a socially meaningful change in the lives of children and families by hiring passionate, caring people to serve children and families affected by autism. We are looking for passionate ABA Registered Behavior Technicians to teach young children affected by autism. This isn't just another place to work, it's a welcoming environment with a leadership team that champions every individual to achieve their potential. We want you to enjoy coming to work, so we dedicate ourselves to making our teams feel valued, respected, and heard. Why Work at Butterfly Effects? • Children and families are at the heart of our work, and we take care of the people who make all the difference - People like You!, • Part-time opportunity to make a full-time impact in a child's life!, • Bring calm, protection, and happiness to families and children affected by autism, • Build a rewarding and valued career with education and training support. Our treatment involves working directly with the child and the family in their natural environment (most often their home but also in schools and our centers), to teach them how to communicate, share, play, wait, and other essential skills. BE's Behavior Technician / Child Interventionist makes the session fun by teaching through play-based activities. We offer training to all staff, so they feel confident in the skills required to instruct children affected by autism. The best fit for this role is someone very outgoing, energetic, and friendly. What do you bring to the role? • Minimum of High School diploma. College course work a plus, • Registered Behavior Technician Certification, • A love and Passion for working with children, • Interest in learning, • Valid driver's license & personal vehicle, • Web Enabled Device (laptop or tablet), • At least 3 weekdays w/ same availability We believe in fair and competitive compensation. As such, we provide benefits outside of your hourly rate to give you the support and energy you need to bring your best self to your role. Our team members may be eligible for the following benefits: • Tuition Assistance, • Drive-time pay between sessions Working with clients in their natural environments may require you to lift or move approximately 50 lbs. and be able to assume and maintain a variety of postures (kneeling, squatting, sitting, standing) for extended periods of time. Who are we? Butterfly Effects has served more than 10,000 families since our inception in 2005. We have a long history of improving the lives of children and families affected by autism spectrum disorder through our family-centric applied behavior analysis (ABA) approach. Our mission is to deliver ABA treatment in partnership with families affected by autism to foster a more joyous life. A national leader in autism treatment, Butterfly Effects employs more than 100 board-certified behavior analysts (BCBA) and 800 behavior technicians. The 12 states we serve are locally managed by a regional director and team of BCBAs. Our corporate office located in Deerfield Beach, Florida is home to our leadership team and administrative staff who assist with daily operations, including client services, human resources, talent acquisition, finance, revenue cycle management, quality assurance, compliance, professional development, and professional ethics. Our butterfly logo was chosen as a symbol of love, rebirth, and metamorphosis. Together, the name and logo represent our common purpose and deep commitment to helping families create lasting change through individualized ABA therapy. For more information, please visit . #INDTX Job Posted by ApplicantPro

Job DescriptionPosition: Manager, Contract Monitoring Services Classification: Full-time, Exempt Reports to: Director, Network Contracts Company: DePelchin Family Services Location: Houston, TX Position Description: The Manager, Contract Monitoring will provide leadership and oversight to the Single Source Continuum Contractor (SSCC) subcontract monitoring services and perform highly advanced (senior-level) managerial work, complex monitoring, analysis, and oversight activities. This role will lead network monitoring initiatives and facilitate risk evaluation/monitoring processes. The Manager will also be responsible for assisting with the evaluation of new contract applicants. The position oversees teams that perform monitoring and oversight as well as the Contract Monitoring teams to ensure the efficient and effective addressing of the needs of children in care. Primary responsibilities include establishing goals and objectives, developing policies and procedures, planning, assigning, and supervising the work of staff. Primary Responsibilities: • Assist the Director, Network Contracts in all program development of the department, including the development of policies and procedures governing the monitoring process., • Provide strategic leadership and oversight to the Contract Monitoring Teams. Ensure that all functions related to SSCC subcontract monitoring services are performed efficiently and effectively., • Lead network monitoring initiatives aimed at monitoring the health of the network., • Assist with the development, implementation, and monitoring of corrective action plans., • Develop, collect, and evaluate data through monthly, quarterly, and annual review of deliverables., • Review reports from regulatory entities, HHSC contractors, and other data sources., • Develop management reports and conduct periodic written evaluations on managed care contract compliance., • Support the identification and resolution of contract issues by collaborating with providers., • Investigate and follow up on member or provider complaints., • Conduct desk and on-site reviews of contracted services for network providers., • Collaborate with program staff to identify trends and resolve technical issues., • Develop review materials and document findings from readiness operational reviews., • Analyze and assess documents, data, and related materials for readiness and operational reviews., • Provide guidance in the development of managed care contracts., • Assist with the review, analysis, and evaluation of rules, bills, and federal/state laws pertaining to SSCC programs., • Respond to communications from internal and external stakeholders., • Inform Director of incidents or situations that may impact staff, the department, or the agency. Required Qualifications:, • Bachelor’s degree, preferably in social services, business or related field., • Three (3) years’ experience in program monitoring and evaluation for risk and compliance., • Two (2) years’ experience collaborating with program leadership in the child welfare arena., • Experience in a managerial or supervisor role managing cross-functional teams., • Experience in case management software, preferably ExtendedReach and Binti., • Experienced in developing and implementing risk assessment tools to identify, evaluate, and mitigate potential risks in program services.Knowledge, Skills, and Abilities:, • Strong understanding of child welfare services, regulations, and performance-based contracting., • Strong understanding of contract management, monitoring, and evaluation., • Proven ability to communicate (written and oral) complex data and insights clearly to stakeholders., • Adept at using data visualization to present complex data and insights to diverse stakeholders with clarity and impact., • Proficiency in contract management systems and MS Office., • Demonstrated ability to supervise staff, build team cohesion and foster a collaborative work environment., • Effective at identifying issues and developing creative and compliant solutions., • Strong analytical skills with the ability to extract meaning from data and communicate findings clearly., • Ability to manage multiple priorities in a fast-paced environment., • Skill in written and oral communication, including the ability to speak publicly., • Skill in working collaboratively and cooperatively with diverse groups., • Ability to establish and maintain effective working relationships, • Ability to research, evaluate, and develop policies and procedures., • Ability to plan, assign and supervise the work of others.Work Conditions:, • Environment: Hybrid, • Range of Schedule: Mon – Fri, 8:00 a.m. to 5:00 p.m. DePelchin is committed to selecting and employing the best and most qualified person available for each job opening without unlawful discrimination of any kind. Additionally, DePelchin is committed to providing a work environment free of discrimination and harassment on the basis of race, color, sex (including pregnancy, sexual orientation and gender identity), marital or parental status, veteran status, religion, national origin, age, disability, family medical history, genetic information, or political affiliation. Powered by JazzHR 9slZZUWCEe

Job Description Houston Behavioral Healthcare Hospital (HBHH) is unique in so many ways. Our facility is located in a serene, picturesque setting within the Spring Branch District of West Houston. We have highly qualified caring staff ready to provide exceptional service. The team at Houston Behavioral Healthcare Hospital strives to be the leaders in Behavioral Health by delivering quality services to those entrusted in our care. By embarking on a path with our community and ensure Compassion, Acceptance, Respect, Empowerment, and Sincerity with each step we take together. Houston Behavioral Healthcare Hospital (HBHH) currently has an opening for Part-time Utilization Management Coordinator. The Utilization Management Coordinator will report to the Director of Utilization Review and will be responsible to provide quality case management services to all patients and their families, to serve as a member of interdisciplinary team supporting the organization's treatment program and philosophy, and assure the deliverance of quality treatment to patients and their families. Duties: • Assists with collecting information from patients and families that will help to develop treatment and discharge plans., • Develops and coordinates an individualized discharge plan for the patient by utilizing treatment team and written chart information to determine the patient's aftercare needs., • Coordinates with physician individualized discharge planning for patients., • Conducts reviews and other communications and documentation as required by payor standards to obtain necessary certification to maximize reimbursement., • Act as the liaison for both internal and external reviewers., • Helps to complete aftercare appointments that are within seven (7) days of discharge., • Other duties as assigned Knowledge, Skills and Abilities: • Basic understanding of human anatomy, specifically musculoskeletal, • Proficient use of CPT and ICD-10 codes, • Excellent computer skills including Excel, Word, and Internet use, • Excellent organizational skills, • Plans and prioritizes to meet deadlines, • Excellent customer service skills; communicates clearly and effectively. Schedule: Part-time • Weekends with flexibility ( 3 days), • 8am-4:30pm Requirements Bachelors Degree in social work, Psychology or related field, preferred. 1 year experience in a medical related field and/or prior authorization experience preferred. Experience in a Psychiatric setting. Knowledge of healthcare service delivery systems, and third party reimbursement. Knowledgeable of Managed Care Environment. Reliable and flexible. Great customer service and team player. Benefits 401-K Plan Dental and Vision

Job Description Calling all Long Term Care experienced Regional Director of Operations! Are you looking for a unique and promising opportunity? We seek a highly trained and quality leader. The RDO provides administrative leadership, guidance and consulting expertise to facilities under their care. The RDO monitors the overall operations of managed facilities and promotes the successful implementation of the company's mission and strategic goals. Responsibilities: Plans, develops, directs, monitors and supports all operational, administrative, clinical, human resources, customer service and fiscal activities for the facility’s programs and services so as to ensure quality and consistency with company standards. Actively promotes the Company’s Mission, Philosophies and Beliefs in all daily interactions. Develops and maintains positive interactive partnerships with associated facilities. • Establish financial and programmatic goals for the facility and conduct an annual evaluation of goal achievement., • Provide input into the annual operating budget., • Monitor monthly performance of facility in relation to the budget and intervene as needed., • Recruit, hire and provide orientation/training for a sufficient number of qualified staff to carry out facility programs and services., • For-profit multi-facility experience in Long Term Care/Skilled Nursing, with heavy financial experience, high standards, a deep understanding of Medicare, and the reimbursement system, as well as very good people skills., • The successful candidate is self-assured and can work independently., • 5+ yrs experience at the RDO level with 5+ yrs at the Administrator position is Preferred, • Ability to recognize a clean and well-run facility. Paradigm Healthcare was founded on the belief that by empowering each other, we can achieve more and provide better care to every patient we serve. We believe in taking a fundamental and basic human approach to our business, keeping it simple, real and to the point. We believe that by building an empowered team, who knows the value they hold, we can provide an unparalleled level of care to the residents who count on us.

Job Description Summary Responsible for providing case management services and support to improve health outcomes via a coordinated approach. The Case Manager works in collaboration and continuous partnership with patients and their family members, as well as pcp, specialists, clinic, hospital, and post-acute partners, along with community resources, to achieve the desired outcomes. Using a defined process to identify patients/members at risk for poor outcomes, the Case Manager establishes care plans and goals, and coordinates care and services throughout the continuum of care with the goal of maximizing member health and well-being, improving adherence to health programs, and reducing health care costs. The Case Manager must be highly collaborative with strong customer service skills and be able to demonstrate the ability to actively engage patients and providers in positive relationships. Must also be able to demonstrate the knowledge and skills necessary to provide care management services appropriate to the member being served. Reports to: Director, Health Services Location: Houston, TX area; will consider remote deployment on a case by case basis Education Education: Registered Nurse (RN) LICENSES/CERTIFICATIONS: Registered Nurse (RN) with active license in the state of Texas or Compact state. Certification in Case Management preferred (CCM or ACM) EXPERIENCE: • Minimum 2 years in case management or care coordination required; chronic disease management or population health preferred, • Managed care experience preferred, • Strong ability to demonstrate knowledge of ACO initiatives and care management processes, • Understanding of NCQA and CMS care management guidelines preferred, • Experience working in interdisciplinary teams, • Computer proficiency required, • Strong oral and written communication skills required, • Effective oral and written communication skill, • Some travel in the Houston metro area may be required, • Knowledge of healthcare delivery, • Ability to work in a fast paced environment with changing priorities, • Ability to work with others in a matrixed environment, • Demonstrated written communication skills, • Demonstrated time management and priority setting skills, • Demonstrated problem solving skills, • Demonstrated organizational skills, • Demonstrated ability to converse with and collaborate with physicians and other healthcare personnel, • Provides primary care management interventions (screening, assessment, care planning, implementation of interventions) to identified members enrolled in the care management program, • Identify members at risk for poor outcomes, or experiencing poor coordination of services, who would benefit from more intensive follow-up and care coordination., • Conducts a thorough assessment of the member’s current status, with attention to the physical, behavioral, social and economic care needs, • Coordinates a comprehensive plan of care for the high-risk, high-utilizing population, and collaborates with clinical staff and the patient/family in the development and execution of the plan of care, and achievement of goals., • Provides proactive outreach to members to include telephonic, internet, or face-to-face encounters., • Works seamlessly with other health management disciplines to assist members in problem-solving potential issues related to financial and psychological barriers, as well as problems with the overall system of care., • Improves continuity of care by managing and facilitating relationships with post-acute providers, physicians, and community resources., • Conducts chronic disease and self-management education and support to improve comprehension, health literacy and adherence to established plan of care., • Provides medication management support, including comprehensive medication review and adherence education, • Communicates, collaborates and cooperates with internal and external stakeholders., • Collaborates effectively with Utilization Management, Quality Management, Pharmacy, Provider relations and other health plan departments, • Adheres to all Compliance/Program Integrity requirements., • Complies with HIPAA Regulations, • Promotes individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency, • Microsoft Office products Apex Health Solutions powers payers and providers choosing to engage in value-based risk contracting. Apex’s unique solutions create alignment between payers and providers, generating unparalleled value. Combined with Apex’s experienced and successful industry leadership, our focal point remains on improvement in patient quality, satisfaction and overall cost of care.

Job DescriptionDescription: POSITION TITLE: Family Physician LOCATION: HOPE Clinic REPORTS TO: Medical Director EDUCATION: Doctor of Medicine (MD or DO) WORK EXPERIENCE: Minimum of 3 years experience preferred. SALARY RANGE: Based on experience FLSA STATUS: Exempt POSITION TYPE: Full-Time LANGUAGE: Fluent in English; Bilingual in English and Spanish, Arabic, Burmese, Chinese or other languages is required HOPE Clinic provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. JOB SUMMARY: Examine and treat patients with a wide range of conditions and refer those with serious ailments to a specialist or appropriate facility. Typical job duties include taking patient histories, performing or requesting diagnostic tests, making diagnoses, prescribing treatment, administering vaccinations and performing follow-up examinations, as well as educating patients in disease prevention and health maintenance. Additional duties include preparing medical records, clinical reports and correspondences. MAJOR DUTIES & RESPONSIBILITIES: • Provide quality care to patients according to clinical medical protocols and funding source guidelines;, • Initiate an appropriate assessment of the patient's health status, ranging from focused to comprehensive, depending upon the setting;, • Provide and manage comprehensive medical care, including diagnosis and nonsurgical treatment of diseases, common health problems, such as infections, influenza, and pneumonia, as well as serious, chronic, and complex illnesses, in adolescents, adults, and the elderly;, • Provide prenatal care for uncomplicated OB patients;, • Monitor patients' conditions and progress and reevaluate treatments as necessary;, • Explain procedures and discuss test results or prescribed treatments with patients;, • Advise patients and community members concerning diet, activity, hygiene, and disease prevention and educate patients about preventative measures to avoid illness;, • Collect, record, and maintain patient information, such as medical history, reports, and examination results, and prepares reports and correspondence related to the work;, • Refer patient to medical specialist or other practitioners when necessary;, • Prescribe medication by Texas statute and professional practice guidelines;, • Immunize patients to protect them from preventable diseases;, • Participate in formulating, interpreting, implementing, and evaluating objectives, policies, and procedures;, • Assist with quality improvement activities as required and participates in Quality Assurance and Utilization Reviews;, • Perform diagnostic tests and procedures and therapeutic procedures, within the scope of practice, including but not limited to venipuncture; intradermal tests; intramuscular and subcutaneous injections; electro-cardiogram; application of dressings and bandages; administration of medications; cardiopulmonary resuscitation; auditory screening; visual screening; and aseptic techniques;, • Analyze accumulated health information and collects additional observational, interview, historical, physical examination, and diagnostic data, modifying treatment as appropriate;, • Have a working knowledge of ICD10, CPT, and HCPCS coding and managed care, and be available for training as necessary;, • Maintain and complete patient’s health records or charts legibly, concisely, and close them within 48 hours and/or by the end of the serviced week;, • Work as an integral part of the HOPE Clinic clinical team;, • Participate in the on-call/Saturday rotation schedule as needed;, • Be flexible to work between different sites;, • Comply with the regulations and policies required of a Federally Qualified Health Center;, • Complete administrative assignments as requested by Medical Director and/or HOPE Clinic;, • Participate in clinical activities including but not limited to the Compliance Performance Improvement team;, • Participate in the community health events, health education initiatives, training, and/ or physical/screenings activities conducted by HOPE Clinic, or in collaboration with community partners as needed;, • Participate in community partners meetings in an effort to plan and work on collaborative initiatives as needed;, • Report to the Medical Director or assigned supervisor;, • Perform other duties as assigned to support HOPE Clinic’s Mission, Vision, and Values. Requirements: QUALIFICATION REQUIREMENTS: • Successful completion of an accredited Family Medicine Residency with 3 or more years of expenence;, • Current D.E.A certificate;, • Previous experience in a hospital and/or clinic setting;, • Understanding of Texas mandated reporting laws;, • Ability to relate to culturally diverse patients and communities;, • Keep up with CME requirements for Texas License and Board Certification., • Must be fully vaccinated against COVID-19. EDUCATION and/or EXPERIENCE: • Doctor of Medicine (MD or DO);, • Current board certification by the American Board of Family Medicine (ABFM) or the American Osteopathic Board of Family Medicine (AOBFM);, • Experience working in Family Practice environment, community health experience preferred;, • Valid Texas State Medical License.

Job DescriptionDescription: POSITION TITLE: Psychiatrist LOCATION: HOPE Clinic - Beltway REPORTS TO: Behavioral Health Director EDUCATION: MD or DO Required; completion of a residency program in Psychiatry WORK EXPERIENCE: 2 years or more experience working in mental health preferred. SALARY RANGE: DOE FLSA STATUS: Salary - Exempt POSITION TYPE: Full-Time LANGUAGE: Fluent in English; Bilingual in English and Spanish, Arabic, Burmese, Chinese or other languages is preferred. HOPE Clinic provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. JOB SUMMARY: As a primary care Psychiatrist at a community health center, the Psychiatrist is committed to delivering quality health services to patients who are medically under-served and committed to the Patient-Centered Medical Home (PCMH) initiative. The Psychiatrist is enthusiastic about providing team-based integrated services and is dedicated to innovation directed at improving patient health and staff satisfaction. MAJOR DUTIES & RESPONSIBILITIES: • Conducts psychiatric evaluations and follow-up visits to children, adolescents, and adults;, • Prescribe, direct, or administer psycho-therapeutic treatment or medications to treat mental, emotional, or behavioral disorders;, • Gather and maintain patient information and records, including social or medical history obtained from patients, relatives, or other professionals;, • Design individualized care plans, using a variety of treatments;, • Writes and maintains progress notes and documents psychiatric visits as outlined in the policy;, • Examines or conducts laboratory or diagnostic tests on patients to provide information on a general physical condition or mental disorders;, • Collaborate with psychotherapists, physicians, psychologists, or other professionals to discuss treatment plans and progress as an integral part of the clinical team;, • Makes appropriate referrals for clients (within or outside of the agency);, • Obtains client records when needed;, • Provide telepsychiatry services., • Triage patient telephone calls and provide consultation;, • Provide monitoring and continuity of care between patient visits;, • Have a working knowledge of ICD 10, CPT, and HCPCS coding and managed care, and be available for training, as necessary;, • Assist the medical team with urgent patient referrals;, • Supervise residents, and medical students rotating in the department;, • Participates in peer review,, • Participates in interdisciplinary staff meetings when available;, • Attend on-site/off-site community engagement activities and on-site/off-site clinic events/meetings as needed;, • Maintains ongoing communication with school staff and other providers as needed and may provide educational training for Hope Clinic staff;, • Maintains monthly statistics and abides by the agency’s Policies and Procedures manual and Mental Health department Policies and Procedures;, • Close all patient’s charts within 48 hours;, • Meet the productivity expectations set by the clinic;, • Be flexible to cover other sites;, • Participate in after-hour call rotations;, • Report to the Behavioral Health Director;, • Complete administrative assignments as requested by Chief Medical Officer;, • Must possess a current unrestricted license and DEA in the State of Texas;, • Certified in Basic Life Support (BLS), American Heart Association;, • Annual continuing medical education as required by Board specialty;, • In-depth knowledge of various psychotherapeutic methods;, • Excellent communication skills with the ability to explain medical terms and conditions to a non-medical audience;, • Strong observation skills to accurately evaluate patients’ demeanor and identify symptoms;, • A great bedside manner and the ability to remain calm, empathetic, and patient while interacting with patients who suffer from severe mental disorders;, • Thoughtful and compassionate. EDUCATION and/or EXPERIENCE: • MD or Doctor of Osteopathic Medicine;, • Residency program and board-certified in Psychiatry; 2 years fellowship in Child & Adolescent preferred;, • Work experience as a psychiatrist. OTHER SKILLS and ABILITIES: • Bilingual (Vietnamese, Chinese, Arabic, and/or Spanish with English) is preferred., • Above average skills in language ability as well as public speaking and writing., • Must have good transportation and a valid Texas Driver’s license.

At Houston Methodist, the Director Nursing position is responsible for the 24/7 management of the assigned nursing units and departments in terms of the quality of nursing care delivered, as well as for planning, organizing, leading and evaluating nursing services within area of specialty. With 358

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