Emis Cap Jobs in Usa

Contract role onsite in Phoenix, AZ.

• New 503A sterile compounding facility in start up mode.
• Support Training program:

Personnel will need to be trained in sterile compounding activities:

• Hand hygiene, sterile garbing, gloving
• Materials Transfer
• Kitting
• Cleaning
• Weighing/Mixing
• Sterile compounding/transfer
• Filling/capping

Providing Sterile Compounding Training. Experience in USP compounding is preferred, but experience in aseptic training for 503b or aseptic drug manufacturing could be sufficient.

*Consulting/Contract opportunity lasting 3 weeks with opportunity for extension

Company Description

Old Mission Ascend Partners (OMAP) empowers elite clinicians to build prosperity by providing an innovative "Business-in-a-Box" framework for launching and scaling Micro-MSOs. As the venture arm of the Old Mission ecosystem, OMAP removes the traditional barriers of launching a private practice by offering a vertically integrated support system. This includes clinical protocols, proprietary technology, lead generation, SEO assets, and access to top-tier regenerative biologics. With a mission to enable clinicians to own 100% of their practices and focus on care, OMAP drives the future of Sovereign Medicine with tools like seed funding and startup capital. Located in Traverse City, MI, OMAP is committed to providing the foundation for clinicians’ entrepreneurial success.

Managing Director | Old Mission Ascend Partners (OMAP)

Location: Traverse City, MI (Hybrid/Regional)

Experience: 7+ Years in Healthcare Business Development / MSO Management Background: Physician Assistant (PA) or Nurse Practitioner (NP) with Ortho or ER Experience

The "Un-Job" for the "Un-Clinician"

If you are looking for a comfortable, 9-to-5 clinical management role at a regional health system, close this tab now.

We are Old Mission Ascend Partners (OMAP), and we are built for the clinician who is tired of being a "line item" on a hospital's balance sheet. We have built the "Growth Engine for Independent Practice"; a Micro-MSO startup designed to liberate clinicians from the grind of a 'job'. We are looking for a Physician Assistant or Nurse Practitioner to serve as the Managing Director (Founder) of our Traverse City startup spoke.

This is a Leadership mandate. We need an Ortho-trained proceduralist or an ER clinician who is addicted to high-stakes execution, unfazed by the chaos of a startup, and ready to build a business unit from a blank sheet of paper.

The Mission: Founder & General

As the Managing Director, you are the "Founder" of this Spoke. You aren't just managing a clinic; you are launching a high-margin business unit. You will leverage the "Shared Services" of our Hub (Payroll, Logistics, Tech) to remain lean while scaling at speed.

• Build the Engine: Personally architect and execute the sales strategy to recruit independent clinicians into the OMAP ecosystem.
• Protocol Enforcement: Ensure every partner adheres to our clinical and operational blueprints to maintain ecosystem integrity.
• P&L Ownership: Maintain total responsibility for the OMAP bottom line, managing expenses and maximizing revenue.
• The 60/40 Rule: Drive the unit to hit specific revenue targets where 60% goes to the provider and 40% remains for Spoke OpEx and Hub Fees.

Who You Are (The DNA)

• The Clinical Pedigree: You are a PA or NP with deep roots in Orthopedics or Emergency Medicine. You understand procedural medicine, you make decisions in seconds, and you don't flinch under pressure.
• The Track Record: You have 7+ years in healthcare business development or medical group operations, with a proven history of managing a P&L of at least $5M+ TCV.
• Startup Soul: You aren't afraid of failure—you’re afraid of being average. You see "limitless potential" in building something that disrupts the legacy Fee-For-Service model.
• Radical Transparency: You lead with the data. You build trust through unvarnished, honest communication with partners and staff.

The Payoff (70/30 Profit Participation)

We don’t believe in salary caps for founders.

• Base Salary: $140,000
• The Profit Pool: Once the Spoke is profitable (covering all OpEx and Hub Fees), 70% of the remaining Net Profit goes into the Spoke Performance Pool.
• The Managing Director Share: You earn a 20% share of that 70% pool.
• The Traction Multiplier: Execute your "Rocks" at a 90%+ completion rate, and your payout is multiplied by 1.1x.
• The Upside: Annual variable compensation is uncapped, up to 100% of your Base Salary.

The Benefits

• Unlimited PTO: We measure profitability and outcomes, not "clock-in" time.
• Elite Coverage: 100% medical/dental/vision premiums for the employee; 50% for dependents.
• 401(k) Match: Up to 4% company match.
• Professional Development: A dedicated budget for entrepreneurial leadership and MSO training.

Do you have the stomach to build something from scratch in Traverse City? Apply Now.

Pay: $140,000.00 per year

Benefits:

• 401(k) matching
• Dental insurance
• Health insurance
• Paid time off
• Professional development assistance
• Vision insurance

Work Location: Prefer Traverse City, MI and open to Michigan and other states.

LabCorp is seeking a Clinical Laboratory Supervisor to join our team at Henry Ford St. John Hospital in Detroit, MI

Work Schedule: Monday - Friday 10:30pm - 7:00am

Job Responsibilities:

• Supervise the day to day operations of the Core Laboratory departments
• Ensure laboratory tests are accurately performed and results are reported in a timely manner
• Directly supervise, train, and mentor laboratory personnel of the department
• Monitor daily workflow in the lab and schedule adequate assay coverage
• Responsible for ensuring all shifts in the department are properly staffed
• Research and resolve any production errors while escalating when necessary
• Engage in continuous process and service level improvements
• Ensure all equipment is being properly maintained through Quality Control
• Prepare and maintain Quality Assurance records and documents
• Evaluate new process improvements and make appropriate recommendations
• Meet regularly with direct reports to provide coaching and feedback for their development
• Perform bench work as needed and maintain proficiency/competency in technical operations
• Ensure all work is in accordance with state and Federal regulations
• Responsible for administering and managing policies and procedures
• Process and maintain payroll and personnel files, and administrative duties as needed

Minimum Qualifications:

• Bachelors degree in a Chemical or Biological science, Clinical Laboratory Science, Medical Technology
• 2 years or more of experience as a Technologist/Technician within core lab
• ASCP or AMT certification

Preferred Qualifications:

• 1 year or more of laboratory leadership experience

Additional Job Standards:

• In lieu of education requirements listed above, non-traditional degrees with applicable science credits that meet CLIA standards may meet education requirement
• Strong working knowledge of CLIA, CAP and relevant state regulations
• Understanding of laboratory operations as well as policies and procedures
• Proficient with Laboratory Information Systems and Microsoft Office
• Strong communication skills; both written and verbal
• High level of attention to detail with strong organizational skills
• Comfortability making decisions in a changing environment
• Ability to handle the physical requirements of the position

Are you an experienced clinical laboratory professional looking for leadership opportunity? Are you detail oriented, process focused, and enjoy leading others? Are you looking for an industry leading company that offers growth and stability? In this position, you will work in a fast paced, customer focused, and challenging environment, and will be a part of our overall mission at LabCorp: "Improving Health, Improving Lives".

This position has a $10,000 sign on bonus. (External candidates only.)

Benefits: Employees regularly scheduled to work 20 or more hours per week are eligible for comprehensive benefits including: Medical, Dental, Vision, Life, STD/LTD, 401(k), Paid Time Off (PTO) or Flexible Time Off (FTO), Tuition Reimbursement and Employee Stock Purchase Plan. Casual, PRN & Part Time employees regularly scheduled to work less than 20 hours are eligible to participate in the 401(k) Plan only. Employees who are regularly scheduled to work a 7 on/7 off schedule are eligible to receive all the foregoing benefits except PTO or FTO. For more detailed information, please click here.

If you're looking for a career that offers opportunities for growth, continual development, professional challenge and the chance to make a real difference, apply today!

The Claims Manager is responsible for overseeing the end-to-end claims operations within the MSO managed care delegated functions. This role provides guidance on healthcare claims adjudication and payment processing for Medi-Cal, Medicare, PACE, and other lines of business based on member Evidence of Coverages (EOC) and CMS/DHCS guidelines, ensures that claims are processed accurately, timely, and in compliance with regulatory requirements and contractual obligations. The Claims Manager will lead the claims team, implement process improvements, and collaborate with internal and external stakeholders to optimize claims adjudication workflows.

This role requires high-level of decision-making and problem-solving skills in relates to claims operations, compliance, and process improvements. Deep understanding of Medi-Cal, Medicare Advantage, PACE, CMS, and DHCS regulations; ensuring full compliance across the department. Ability to manage multiple priorities, oversee department workflows, and optimize resource allocation. Responsible to design training programs for claims teams and leads initiatives to enhance team expertise. Excellent communication skills to interact with leadership, payers, providers, auditors, and MSO internal departments.

ESSENTIAL JOB FUNCTIONS:

• Oversee managed care claims processing, ensuring compliance with CMS, DHCS, and health plan guidelines.
• Monitor claims adjudication, ensuring accuracy, timeliness, and regulatory adherence.
• Develop and implement policies and procedures to improve claims processing efficiency.
• Work with IT and system vendors to optimize claims processing systems and troubleshoot issues.
• Lead and mentor the claims team, including Claims Supervisors and processors, ensuring high performance and engagement.
• Conduct regular performance evaluations, design training programs, provide training, and develop staff competencies.
• Establish and monitor productivity metrics to enhance team efficiency.
• Serve as the primary liaison with health plans, providers, auditors, and third-party administrators to resolve claims issues and disputes.
• Manage escalations, appeals, and grievances related to claims processing.
• Coordinate with provider relations to address claims denials and payment disputes.
• Identify areas for process improvement and implement best practices to enhance claims adjudication.
• Analyze claims data, trends, and key performance indicators to drive operational enhancements.
• Prepare reports for senior management on claims performance, backlog, and issue resolution.
• Direct supervision of a department involving responsibility for results in terms of costs, methods and personnel. Responsible for carrying out supervisory/managerial responsibilities in accordance with the organization's policies and applicable laws. Responsibilities include interviewing and hiring of employees; planning, assigning, scheduling, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.
• Performs other job duties as required by manager/supervisor.

QUALIFICATIONS:

• Bachelor's degree in business, healthcare administration, or related field is preferred; Associate’s degree may be considered with relevant, equivalent work experience.
• Experience: Minimum of 5 years in managed care claims and compliance field, with at least 3 years in a managerial role within an IPA, health plan, medical group, or TPA.
• Knowledge of: Medi-Cal and MA claims processing, CMS and DHCS regulations, capitated vs. fee-for-service (FFS) models, claims adjudication systems (e.g., EZ-CAP, HealthEdge, Tapestry, or similar).
• Skills: Strong analytical, problem-solving, and leadership skills. Proficiency in Excel, reporting tools, and claims systems.
• Certifications (Preferred): AAHAM, CPC, or other relevant claims-related certifications.

LANGUAGE:

• Must be able to fluently speak, read and write English.
• Fluency in other languages are an asset.

STATUS:

• This is an FLSA Exempt position.
• This is not an OSHA high-risk position.
• This is a full-time position.

NEMS is proud to be an Equal Opportunity Employer welcoming diversity in our workforce. Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.

NEMS BENEFITS: Competitive benefits, including free medical, dental and vision insurance for employee, spouse and/or children; and company contribution to 401(k).

About the Company:

Variantyx is a technology-driven precision medicine company providing state-of-the-art diagnostic solutions for the rare genetic disorders and reproductive genetics markets, and treatment optimization in oncology.

Our proprietary whole genome analysis platform allows us to better understand a person’s genetic makeup, leading to unmatched diagnostic capabilities and improved personalized treatment recommendations.

About the position:

The Clinical NGS Laboratory Technician performs high complexity laboratory testing on patient specimens across various assays and platforms. This role will be performing quality control and quality assurance procedures while complying with all applicable local, state, and federal laboratory requirements. Including CAP/CLIA and New York State Requirements.

The position is full-time withweekend coverage needed.

Responsibilities Include:

• Processing specimens for high complexity testing using automated systems and/or manual procedures in accordance with the laboratory’s standard operating procedures (SOPs).
• Accession samples in LIMS.·
• Next Generation Sequencing (NGS) with other sequencing and assay platforms.·
• Some of the processes: DNA isolation – Manual and Automated, Generate NGS libraries, Manual and Automated, PCR amplification,
• NGS using Illumina NovaSeq6000 and Nanopore PromethION platforms, data analysis, tissue, and cell culture.
• Maintain strict standards of quality.
• Assist in general upkeep of the laboratory.
• Maintain laboratory supplies and inventory.
• Write, review, and maintain SOPs and Policies.
• Participate in quality control and quality assurance activities.
• Maintain laboratory equipment and instruments according to SOPs.
• Participate in continuing education.
• Other duties as assigned by the Laboratory Supervisor.

Education & Skills:

• A BSc, MSc in life sciences/Biology/Molecular Biology/Biochemistry or related field.
• Qualifications compatible with Massachusetts and/or New York CLIA General Supervisor classification (per CFR § 493.1461 ) are desirable but not required.

Experience:

• Experience with NGS techniques is required
• Experience with the Illumina sequencing platforms is highly desirable
• Minimum 2-year experience in a high complexity molecular diagnostic laboratory
• Experience with and understanding of general laboratory equipment
• Basic understanding of human genetics and biology of DNA/RNA.
• Proficiency in molecular biology techniques.·
• Excellent written and oral communication skills.
• Must possess excellent computer literacy skills (Google and/or Microsoft suites, spreadsheet calculations).
• Understanding of NGS data and metrics is highly desirable.
• Experience working with automated liquid handlers is highly desirable.
• Able to organize, prioritize, and delegate tasks to efficiently move projects forward.

Location: Framingham, MA

Do you enjoy fostering lasting relationships with people? Do you thrive on helping others surmount barriers to help them achieve their goals/dreams to live their best life? Do you have experience representing a luxury brand? If so, this could be a perfect opportunity for you! We are seeking a highly successful sales professional with experience in the cosmetic dermatology, medspa, or plastic surgery industry. This position is perfect for a highly emotionally intelligent individual who truly enjoys building lasting relationships with people and educating/helping others to make their goals a reality. Join our growing team at our 10,000 sq ft waterfront aesthetics center in Towne Lake, Cypress and our second location in Post Oak/Galleria, Houston. You must have a proven track record of building client and patient relationships. Candidate must be mature, gregarious, energetic, and highly motivated. We are seeking a sales professional with outstanding interpersonal skills and extensive experience in *consultative* sales. Solid base compensation with benefits plus robust incentive structure with achievable 6-figure income potential with no caps.

Duties Include:

• Engaging with patients/clients to foster the practice-patient relationship
• Educating prospective patients on procedure(s) of interest
• Lead management, scheduling consultation appointments, and surgery
• Facilitating the financial transactions of cosmetic surgery procedures (discussing costs and financial payment options)
• Optimizing the customer service experience of all our patients
• Assisting with marketing and outreach programs

Desired Skills and Experience:

• Must have a proven track record in consultative medical or luxury sales. (Minimum 2 years experience)
• Be a self-starter, articulate, a quick learner, and confident
• Be a team player (work well with others and individually)
• Have excellent customer service skills and a caring personality
• Have a strong ability and willingness to learn medical procedures, terminology, electronic medical records and practice management software
• Have excellent computer skills and be proficient in Microsoft software including Word, Excel, and Outlook.
• Bachelor's or associates degree strongly preferred

Company Description

Variantyx is a technology-driven precision medicine company providing state-of-the-art diagnostic solutions for the rare genetic disorders and reproductive genetics markets, and treatment optimization in oncology. Our proprietary whole genome analysis platform allows us to better understand a person’s genetic makeup, leading to unmatched diagnostic capabilities and improved personalized treatment recommendations.

visit our website: Description

We are seeking an entry-level Specimen Processing Assistant to support our diagnostic laboratory team at our on-site facility in Framingham, MA. This full-time role involves receiving, processing, and organizing biological specimens, ensuring adherence to laboratory protocols and quality standards. Additional responsibilities include maintaining accurate records, utilizing laboratory tools and software, and collaborating with colleagues to streamline workflows and uphold compliance.

Saturday shift coverage needed.

Position Duties & Responsibilities:

• Receive and triage all patient specimens for testing.
• Accession and manage patient information within the LIMS.
• Collaborates with clinical Coordinators to verify missing patient/sample information.
• Biobanking: sorts samples and distributes them to the appropriate storage.
• Maintains designated laboratory equipment.
• Prepares samples for processing.
• Uses various laboratory computer systems for labeling, inquiry, results as needed.
• Disposes of bio-hazardous and chemical waste in the accessioning room.
• Assists with department quality and process improvement projects.
• Sets up supplies for the assigned work area
• Discards specimens as needed.
• Upholds all CLIA, CAP, NYS and other state regulations, as required.
• Call patients to verify and confirm personal information to identify samples
• Ensure accuracy of patient details in the lab's database, and update any discrepancies or changes.
• Update and document patient records in the Salesforce system
• Follow all HIPAA guidelines and confidentiality protocols to protect patient information at all times.

Education & Skills:

• High School degree
• Great organizational skills
• Clear and effective Communication skills
• Multitasking skills
• Must be able to speak/read/write in English
• Detail Oriented

Associate Director of Communications Systems

Arlington, VA (On-Site)

About Us

Ennoble Care is a mobile primary care, palliative care, and hospice service provider with patients in New York, New Jersey, Maryland, DC, Virginia, Oklahoma, Kansas, Pennsylvania, and Georgia. Ennoble Care's clinicians go to the home of the patient, providing continuum of care for those with chronic conditions and limited mobility. Ennoble Care offers a variety of programs including remote patient monitoring, behavioral health management, and chronic care management, to ensure that our patients receive the highest quality of care by a team they know and trust. We seek individuals who are driven to make a difference and embody our motto, "To Care is an Honor." Join Ennoble Care today!

Overview

Ennoble Care is seeking an Associate Director of Communications Systems to own our Dialpad and Zoho CRM platforms end to end—from day-to-day administration to the analytics that drive operational decisions for clinical leadership and the C-suite.

This is not just a systems administration role. You'll inherit active automation projects in Zoho (workflow rules, field permissions, validation logic, cross-module integrations) and a growing analytics practice around Dialpad call data (transfer acceptance rates, queue performance, agent productivity). You'll be expected to build on both—and you'll have AI tools at your disposal to do it. We're actively using AI to automate workflows, analyze call data, and eliminate manual processes across both platforms. You'll be expected to leverage these tools to move faster than a traditional admin ever could.

You'll report directly to the CIO and have regular visibility with the COO and executive leadership. This position is on-site at our Arlington, VA corporate headquarters.

Key Responsibilities

Dialpad Administration & Analytics (~610 users across 15+ offices and 11 states)

• Manage user provisioning/deprovisioning, license management (Connect vs Contact Center), number assignment, and extensions

• Configure and optimize call routing, IVR structures, queues, and office/department setup

• Build and maintain performance dashboards for clinical operations leadership—transfer acceptance rates (warm vs cold), queue performance, agent productivity, ring timeout analysis, voicemail detection

• Leverage AI tools to automate call data analysis, anomaly detection, and recurring reporting

• Track and report on KPIs weekly: call answer rate, abandon rate, average speed to answer, queue wait time

• Conduct root cause analysis when performance dips—whether it's a routing issue, a training gap, or a staffing constraint

• Serve as primary technical contact with Dialpad support and account team

• Troubleshoot call quality issues, agent status problems, and routing errors

Zoho CRM Administration & Automation (~50+ liaisons, scaling to 100+)

• Manage user creation, role/profile management, field-level permissions, module configuration, and layout customization

• Own and extend existing workflow automations—bonus point calculations, pathway expiration enforcement, focused pathway caps, cross-module lookups (house call / hospice), referral-to-liaison mapping

• Drive data integrity: account deduplication, referral source accuracy, sync monitoring between Zoho, OA (OperationsAccel), and MatrixCare

• Build liaison performance dashboards and automate the pulse report

• Reduce bonus reconciliation from ~16 hours/month of manual work to near-zero through automation

• Use AI-assisted development to build and iterate on Zoho workflow rules, validation logic, and cross-module integrations faster

Integrations & Cross-Platform

• Coordinate user lifecycle (provisioning/deprovisioning) across Dialpad and Zoho as part of onboarding/offboarding workflows

• Maintain integrations between Dialpad, Zoho, CallRail, and other systems

• Monitor sync reliability between Zoho, OA, and the Dialpad data warehouse (Azure SQL)

• Support other no-code/low-code tools (Scribe, Keragon, Emitrr) as needed

Performance Monitoring & Reporting

• Track and report on Dialpad and Zoho KPIs weekly to leadership

• Identify trends and proactively address issues before they impact metrics

• Support Operations Analyst with data extraction for deeper analysis

Documentation & Training

• Create and maintain system documentation, runbooks, and SOPs

• Develop training resources to improve adoption and reduce errors

• Conduct end-user training for new hires and existing staff

What Success Looks Like

• You own Dialpad and Zoho administration completely—user provisioning, routing changes, and system configuration no longer route through the helpdesk or the CIO

• Leadership gets recurring, self-service visibility into call center performance and liaison productivity without asking for it

• Manual reconciliation work that currently takes 16+ hours/month is automated or eliminated

• When something breaks or trends in the wrong direction, you catch it before anyone else does

Qualifications

Required

• 3+ years of experience administering a cloud communications platform (Dialpad, RingCentral, 8x8, Five9, or similar)

• 2+ years of experience administering a CRM (Zoho CRM strongly preferred; Salesforce acceptable)

• Hands-on experience building CRM automations—workflow rules, validation rules, field-level security, cross-module lookups

• Comfortable writing SQL queries for analytics (you'll query an Azure SQL data warehouse—and use AI tools to accelerate query development and analysis)

• Experience building dashboards or reports in Power BI, Looker, or similar

• Strong analytical skills—able to interpret data and identify root causes

• Excellent communication skills with ability to present metrics to leadership

• Strong attention to detail—you'll reconcile bonus payments where errors directly impact employee compensation

• Ability to work on-site in Arlington, VA

Preferred

• Zoho CRM administration certification

• Experience with Zoho-to-external-system integrations (webhooks, APIs, middleware like Zoho Flow)

• Healthcare industry experience (home health, hospice, or multi-site provider groups)

• Experience with Dialpad specifically (API, webhooks, admin console, contact center configuration)

• Familiarity with data warehousing concepts and ETL pipelines

• Experience using AI/LLM tools (Claude, ChatGPT, Copilot) to accelerate technical work—writing automations, analyzing data, building integrations

• Background in contact center operations (not just IT administration)

What We Offer

• Ownership of two mission-critical platforms with direct impact on business performance

• Direct visibility with CIO, COO, and executive leadership

• AI-forward team—you'll have enterprise AI tools and an automation backlog with clear ROI from day one

• Growing organization—the systems you build now will scale with 2x liaison headcount and continued M&A expansion

• Competitive compensation and benefits package

• Career growth opportunities within IT and operations

Compensation

Salary Range: $90,000 - $110,000 with 10% Bonus based on Annual KPIs

Benefits

Full-time employees qualify for the following benefits:

• Medical, Dental, Vision and supplementary benefits such as Life Insurance, Short Term and Long Term Disability, Flexible Spending Accounts for Medical and Dependent Care, Accident, Critical Illness, and Hospital Indemnity

• Paid Time Off

• Paid Office Holidays

All employees qualify for these benefits:

• Paid Sick Time

• 401(k) with up to 3% company match

• Referral Program

• Payactiv: pay-on-demand — cash out earned money when and where you need it!

Candidates must disclose any current or future need for employment-based immigration sponsorship (including, but not limited to, OPT, STEM OPT, or visa sponsorship) before an offer of employment is extended.

Ennoble Care is an Equal Opportunity Employer, committed to hiring the best team possible, and does not discriminate against protected characteristics including but not limited to race, age, sexual orientation, gender identity and expression, national origin, religion, disability, and veteran status.

We are seeking a dedicated Family Practice Physician to join our team at a primary care clinic in central Vermont. In this role, you will provide high-quality healthcare to the community, promoting wellness and managing chronic conditions in a patient-focused environment.

Key Responsibilities:

• Empower patients to take an active role in their health and promote wellness behaviors.
• Provide follow-up care and maintain effective communication with patients.
• Refer patients to specialty care as necessary.
• Provide clinical supervision to mid-level providers and nursing staff.
• Participate in quality assurance initiatives.
• Collaborate in state and national disease prevention efforts.

Compensation:

Our pay is highly competitive and negotiable based on experience. New graduates start at $250,000, with more experienced physicians earning $350,000–$400,000 during an 18-month guarantee. After that period, you’ll transition to an RVU/Production model, where physicians often earn more, with no cap on potential income.

About Us:

We are a leading multi-site Federally Qualified Health Center (FQHC) serving the central Vermont community. Our organization is committed to providing quality, accessible, and equitable healthcare. As the largest FQHC in northern New England, we actively shape the local and regional healthcare environment.

Our clinics are Level III Medical Homes, with advanced panel management and case management systems. We also offer a robust integrated behavioral health program, with psychiatrists and licensed social workers embedded in our primary care teams.

Knowledge, Education, and Skills Required:

• Completion of medical school, residency, and possibly fellowship.
• Active and unrestricted medical license in Vermont.
• Board certification in Family Medicine or a related specialty.
• Strong clinical skills with a patient-centered approach to care.
• Excellent communication and organizational skills.
• Ability to work collaboratively in a multidisciplinary team.

Benefits:

• Market-leading compensation commensurate with experience.
• Generous bonus opportunities.
• Up to $10,000 in relocation assistance.
• Comprehensive medical, dental, and vision insurance.
• 403(b) retirement plan with employer match.
• Paid malpractice insurance.
• 4 weeks of paid leave plus holidays, with increases after 18 months.
• 4-day work weeks for improved work-life balance.
• On-call duties averaging 3 weeks per year.
• 1 week of CME leave annually, with a $6,000 CME allowance.
• Opportunities for student loan repayment up to $20,000 per year.

If you are passionate about making a meaningful impact through patient care, we’d love to have you join our team! Apply today to be part of our supportive and dynamic healthcare community.

The Opportunity:

We are a lean and high velocity multifamily investment firm with 440 units and a mandate to scale to 1,500+ units by 2027 on our path to $1 Billion AUM in the next 5 years. We operate with a startup culture backed by a strong principal balance sheet, and we will maintain this "Day 1" intensity until our $1 Billion goal is reached. We are looking for a Founding Director of Finance and Investments who is prepared to make the business their number one priority and own the entire financial lifecycle of our portfolio.

This is a true "multi-hat" leadership role, You will be responsible for building and owning the engine across three phases: Acquisitions, where you will be responsible for sourcing and underwriting new opportunities Finance, where you institutionalize the back-end through precise cash flow forecasting, investor distributions, and tax strategy; and Asset Management, where you hold the portfolio accountable to your forecasts by implementing aggressive execution plans to ensure every property hits its NOI targets. We are looking for a partner who wants to trade corporate safety for long-term equity and help us build this platform from the ground up.

Note: Local to Texas is highly preferred. If not in Texas, candidates must be willing to Spend 5 business days per month in Houston Texas overseeing property (Asset mgmt), networking with brokers and touring new acquisitions. During periods of due diligence requirements to be Houston may increase. Please confirm in your application this travel (all paid for by company).

Key Accountabilities:

• Investment Modeling & Underwriting: You will be the primary lead on modeling new opportunities. You will take raw data from brokers or off-market sources, build complex pro-formas from scratch, and present the investment case to the committee.
• Preliminary Investment Committee (PIC) Leadership: You serve as the "Gatekeeper." Before any deal reaches the Founders, you are responsible for the internal audit of the case—stress-testing exit caps, opex loads, and reno timelines. You are the final line of defense for the firm's capital.
• Due Diligence & Transaction Execution: Lead the financial "scrub" on all acquisitions. You will own the closing checklist, coordinating with lenders, attorneys, and title companies to ensure every debt facility is funded with 100% precision.
• Asset Management & Performance Audit: You aren't just reporting numbers; you are driving them. You will perform monthly audits of property management, identify "cash leakage," and ensure the portfolio hits its NOI targets and investor distributions.
• GL Integrity & Tax Strategy: You own the "Book of Record." You will oversee all accounting entries, manage a rolling 13-week cash forecast, and ensure the firm is "tax-ready" for outside CPAs.
• Treasury & Capital Management: You own the firm’s liquidity. You will manage the movement of capital between property accounts, GP accounts, and the Hold-Co, ensuring we are optimized for both daily operations and upcoming acquisition deposits.
• Tax Strategy & Compliance Oversight: You aren't just filing forms; you are the architect. You will manage the tax filing checklist for all 40+ (and growing) entities, ensuring every K-1 is issued on time and that we are maximizing depreciation and cost-segregation strategies across the portfolio.
• Institutional Reporting & Audit: You will design and produce the quarterly "Investor Report" and "Lender Compliance" packages. You must be able to defend our financials to an institutional auditor or a Life-Co lender with absolute authority.
• Entity & Corporate Housekeeping: You will interface directly with Investor Counsel to resolve legal issues and ensure all corporate entities remain in "Good Standing" across multiple states. You are the "Compliance Officer" for the firm.
• Strategic Financial Planning: You will prepare the annual corporate budget for the Hold-Co and tell the Founders exactly when we have the cash position to buy, when we should refinance, and when we should sell.
• Waterfall & Distribution Management: Build and maintain manual "Shadow Waterfall" models to audit all GP/LP distributions, ensuring all investor classes are paid with 100% accuracy.
• System Architecture: You will help design the infrastructure (CRM workflows, checks and balances) to allow the firm to scale without breaking.

Execution Over Delegation :

We are a lean firm where the Director is expected to "turn the wrenches," not just design the machine. If you are looking to sit in a strategy room and wait for reports to hit your desk, this is not the job for you. You must be an Ambivert—equally comfortable in deep-work silence building a complex model as you are in high-stakes confrontations with vendors or lenders. We are looking for the architect who is excited to turn every wrench today, so they can effectively lead the entire department tomorrow."

Qualifications:

• Experience: 5–8+ years in Real Estate Finance, Investment Banking, or REPE.
• Background: Mandatory experience in Multifamily Syndication. You must have "Battle Scars" from managing the financial lifecycle of actual deals.
• Technical Arsenal: Elite-level Excel skills. You must be a "Blank-Sheet" Ninja (Waterfalls, Sensitivity Tables, etc.).
• Mindset: Skeptical, process-oriented, and highly organized. You must be a "Mismatcher" who naturally finds the holes in a financial story.
• Education: CPA designation is a significant plus, but technical execution is the priority.
• Tech-Savvy: Proficiency in AI automation and modern CRM workflows is highly preferred.

The Rewards:

1. Base Salary: $135,000 – $150,000 (Built for a high-growth startup environment).
2. Asset Performance Bonus: $50,000 – $75,000+ targeted annual bonus tied directly to portfolio performance and investor distributions being on Target
3. Founding Member Equity: 3.0% – 5.0% Equity stake in the Holding Entity. This is true ownership in the firm’s long-term enterprise value, not just deal-level points.
4. Vesting Structure: Standard 5-year annual vesting schedule to ensure long-term alignment.

To Apply: Submission Requirements:

To be considered, submit your resume and a brief note confirming the following. Applications without these specific keywords will be automatically filtered out.

1. Reference Verification: Are you confident your past managers will verify your technical expertise? If so, include: "I welcome the reference process."
2. Are you willing to complete a live, modeling test? If so, include: "Absolute."
3. We conduct a rigorous 30-day process (6 interviews + 5 references interviews). If you are comfortable with this, include: "Understood."
4. How many years have you been in Multifamily, and what "other hats" have you worn