Engineering Structures Elsevier Jobs in Carmel Indiana

• Build Lasting Relationships: Connect with clients and their pets, becoming their trusted partner in a pet's lifelong health.
• Practice Your Best Medicine: From diagnosis to treatment, you'll lead patient care with the freedom to uphold the highest standards.
• Educate and Empower: Clearly communicate findings and treatment plans, empowering clients to make informed decisions.
• Collaborate and Grow: Work alongside a supportive paraprofessional team, contributing to a positive hospital culture.

• Doctor of Veterinary Medicine (DVM) degree.
• A valid state license and in good standing to practice.
• Must have Integrative Medicine experience.
• A collaborative spirit and a dedication to practicing the highest standard of medicine.
• Excellent communication skills with a positive, friendly attitude. #AVMA

As part of the Mission Pet Health family, you get the autonomy of a local practice backed by the comprehensive benefits and resources of a larger network. The focus is on investing in you, so you can focus on what you love.

Competitive base salary and a monthly production bonus with no negative accrual.

Comprehensive coverage including Health, Dental, Vision, and more, plus Maternity Leave and 24/7 TeleDoc access.

Plan for your future with a 401k featuring a generous company match, plus Long & Short-Term Disability insurance for peace of mind.

Receive a yearly CE allowance with dedicated paid days off. Grow with leadership tracks and structured mentorship.

Tap into a nationwide community of over 20,000 veterinary professionals for collaboration and to explore your unique interests.

Company-paid Professional Liability Coverage, so you can focus on what you do best: practicing great medicine.

Mission Pet Health was founded by veterinarians on the belief that local practices thrive with clinical autonomy, collaboration, and medical excellence. The organization provides world-class support to its 850+ hospital teams on a hyper-local basis so they can focus on what matters most: the medicine, their patients, and their team culture. Learn more at .

Driving the award-winning culture are the WAG values – Work Together, Amaze, and Grow. Mission Pet Health is veterinarian-led, people-focused, and on a mission to be the best place to work in veterinary medicine.

EEO Statement: Mission Pet Health is an equal opportunity employer. We embrace diversity and are committed to creating an inclusive environment for all employees.

Manager Supplier Quality Assurance

WHO?

INCOG Biopharma Services in Indianapolis, IN is looking for a Manager Supplier Quality Assurance who will be at the forefront of expanding their supplier quality program and leading supplier quality management for all types of biologic drugs for their clients. This individual will shape quality systems, develop a high-performing team, and drive continuous improvement initiatives that directly impact patient safety and product quality. This role offers the opportunity to join INCOG's state-of-art CDMO during an exciting time of growth, contributing towards a better path to market for life-saving drugs.

WHAT?

• Team Leadership & Development: Build, lead, and mentor a team of supplier quality professionals, establishing clear performance objectives, providing ongoing coaching, and fostering a culture of continuous improvement and regulatory compliance
• Supplier Qualification & Management: Develop and execute comprehensive supplier qualification programs, including risk assessments, audits, and ongoing performance monitoring for raw materials, components, and contract services
• Quality Systems Ownership: Maintain robust supplier quality management systems, including vendor approval processes, incoming inspection protocols, and supplier scorecards aligned with GMP requirements
• Regulatory Compliance: Ensure all supplier quality activities comply with FDA and EMA regulations, ICH guidelines, and other applicable regulatory standards
• Supplier Auditing: Plan and conduct comprehensive supplier audits, including pre-qualification, routine surveillance, and for-cause audits, ensuring thorough documentation and effective CAPA follow-up
• Process Improvement: Identify and implement process improvements to enhance efficiency, reduce cycle times, and strengthen compliance while supporting the organization's rapid growth trajectory
• Cross-functional Collaboration: Partner closely with Procurement, Manufacturing, Quality Control, and Regulatory Affairs teams to ensure seamless integration of supplier quality requirements into business operations
• Risk Management: Conduct supplier risk assessments, develop mitigation strategies, and manage supply chain disruptions to minimize impact on manufacturing operations
• Documentation & Reporting: Maintain comprehensive supplier quality documentation, generate performance metrics and reports, and present findings to senior leadership and regulatory inspectors
• Change Control: Evaluate and approve supplier changes, ensuring appropriate risk assessment, validation activities, and regulatory notifications as required
• Training & Knowledge Management: Develop and deliver supplier quality training programs, maintain subject matter expertise, and ensure team competency in evolving regulatory requirements

YOU!

Ideally, candidates will have a Bachelor's degree in Life Sciences, Chemistry, Engineering or a related field. You will also have 7+ years of pharmaceutical quality assurance with at least 3 years in supplier quality management.

• Strong knowledge of FDA regulations (21 CFR Parts 210, 211, 600), EMA regulations, ICH guidelines, and GMP requirements related to quality assurance and quality systems.
• Experience with supplier auditing, qualification, and ongoing management programs
• Demonstrated ability to identify improvements to quality systems and to lead implementation of these improvements

Additional preferences are a Master's degree in a relevant field or advanced quality certifications (ASQ, Certified Auditor, etc.) GMP leadership experience of quality professionals is highly beneficial alongside an exposure to aseptic filling operations, sterile manufacturing and parenteral drug products.

WHY INCOG?

• Paid time off, based on tenure
• 11 paid holidays
• 401(k) plan with company match up, vested immediately
• Choice of health & wellness plans
• FSA and HSA options
• Onsite wellness facility
• Employee engagement activities; food trucks, monthly luncheons, fundraising events, team building competitions, offsite celebrations

Don’t meet all the requirements? Don’t sweat! We’re always looking for an excuse to discuss your next opportunity. You might just surprise yourself…

Lead Candidate wholeheartedly supports Equality and Diversity in employment and opposes all forms of unlawful or unfair discrimination on the grounds of age, disability, sex, gender reassignment, sexual orientation, pregnancy and maternity, race, religion or belief and marriage and civil partnerships.

PURPOSE AND SCOPE: Works with the Facility Manager, facility staff and physician to coordinate the facility operations and patient procedures to ensure provision of quality patient care on a daily basis in accordance with policies, procedures and training.

Provides nursing support to patients and staff.

Assists with staffing, staff training, equipment, physician and patient relations, cost containment, supply management, medical records, patient billing, OSHA and all company, state and federal compliance.

PRINCIPAL DUTIES AND RESPONSIBILITIES: QUALITY: Responsible for supporting and driving quality standards through meeting regulatory requirements and the practice of Continuous Quality Improvement (CQI), including use of CQI tools.

Assists with implementing quality goals and develops facility specific action plans to achieve quality standards.

Accountable for outstanding quality of patient care, as defined by the quality goals, by working with management to ensure that policies and procedures are followed.

Assists with implementing appropriate training according to policy; ensure ongoing compliance with all risk management initiatives.

Responsible for aggressively addressing and acting on adverse events and action thresholds.

Ensures all Quality policies and procedures are communicated to and implemented by the facility staff.

Maintains integrity of medical records and other administrative and operational records.

Complies with all data collections and auditing activities.

Maintains facility environmental integrity, including safety.

PATIENT RELATED: Coordinates all aspects of patient care with the appropriate staff members, from admission through discharge.

May confer with patients prior to the procedure to obtain necessary medical history, discuss procedure and answer questions, as well as, performs nursing assessment on the day of the procedure.

Ensures patients and patient's families are educated regarding post procedure care of vascular access.

Acts as a resource for the staff to address patient concerns and questions.

Ensures patient's procedures are scheduled in a timely manner and the facility capacity is utilized efficiently.

As needed, assist with patient workflow, including providing direct patient care and monitoring pre, intra and post procedure.

Identifies and communicates patient related issues to the Facility Manager.

Oversees and ensures accurate and complete documentation of patient treatments from admission to discharge.

Confirms written orders, consents and lab work are completed and documented in accordance with facility policies.

This includes appropriate preparation of lab requisitions, delivery to appropriate labs, reporting and forwarding of lab results to appropriate physician.

Assumes primary responsibility in an emergency situation and must maintain competency with all emergency operational procedures, and initiate CPR and emergency measures as needed.

Administers medications and IV conscious sedation to patients as directed per physician's orders, and in compliance with, company, federal, state and local regulations.

PHYSICIANS: Ensures regular and effective communication with all physicians on an as needed basis.

Attends and participates in Governing Body, assisting with meeting agenda and gathering of data/material for meetings.

Attends and participates in CQI meetings with physicians, reporting on assigned topics.

Works with the physicians and staff to ensure possession of all necessary instruments and equipment.

MAINTENANCE/TECHNICAL Ensures appropriate operation of facility equipment and technology, including but not limited, patient monitors, defibrillators, medical recording devices and computers.

Ensures the inspection of all facility equipment on a regular basis.

Report any malfunctions or maintenance issues immediately.

Ensures the inspection of all facility operating systems, including temperature checks in appropriate areas and inspect the physical structure of the facility.

Maintains a clean, safe and sanitary environment in the entire vascular access facility at all times.

Ensures all blood spills are immediately addressed according to company Bloodborne Pathogen Control Policies.

ADMINISTRATIVE: Participates in cost control initiatives.

Responsible for efficient utilization of medication, laboratory, inventory, supplies and equipment to achieve supply cost goals following all guidelines established in the formularies.

Assists in the development and revision of any applicable policies and procedures for the facility as directed to ensure continuous process improvement.

Initiates, documents and completes ongoing Continuous Quality Improvement (CQI) activities including monthly reports and attend meetings as required.

Manages medications, including ordering, receiving, and inventory control and checking for expired medications, including appropriate recording of controlled substances as required by law.

Oversees maintenance of usage logs for all medications with appropriate documentation, as well as, records of drug disposal.

Communicates with the pharmacist to assure medication accuracy, including appropriate recording of controlled substances as required by law.

Ensures medical records are accurate, complete and in compliance with policies and procedures prior to discharge of the patient.

Performs chart audits on a regular basis.

Along with Facility Manager, coordinates the annual medical testing and competency testing for all facility staff.

Participates in all facility regulatory and accreditation surveys and action plans to address any deficiencies identified.

Verifies records for all implanted devices are completed accurately, timely and maintained according to records management guidelines.

Coordinates the collection and forwarding of all vendor invoices to the accounting department.

Acts as the Facility Manager in the absence of the manager or at the direction of management.

Ensure nurses' progress notes are accurate and complete.

Acts as the Patient Safety Officer and conducts quarterly patient safety meetings and fire drills.

Complies with HIPPA policies and standards regarding patient information and medical records.

Other duties as assigned.

Additional responsibilities may include focus on one or more departments or locations.

See applicable addendum for department or location specific functions.

PHYSICAL DEMANDS AND WORKING CONDITIONS : The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Day to day work includes desk and personal computer work and interaction with patients, facility staff and physicians.

The position requires travel between assigned facilities and various locations within the community.

Travel to regional, Business Unit and Corporate meetings may be required.

The work environment is characteristic of a health care facility with air temperature control and moderate noise levels.

May be exposed to infectious and contagious diseases/materials.

SUPERVISION: May be responsible for the direct supervision of various levels of direct patient care staff.

EDUCATION : Bachelor's Degree preferred; Advanced Degree desirable Graduate of an accredited School of Nursing (R.N.).

Current appropriate state licensure and ACLS certification.

EXPERIENCE AND REQUIRED SKILLS: 6
- 8 years' related experience.

3 years' supervisory or project/program management experience preferred.

Minimum of three years' experience in an Ambulatory Surgical Center/Vascular Access Lab, or a combination of ASC, surgical, Interventional Radiology and ICU/CCU experience.

Minimum of three years of Interventional Radiology, scrub experience preferred.

Supervisory or management experience within a medical or vascular access environment preferred.

Proficiency with the Microsoft office suite is necessary.

Experience with Medical database software.

Demonstrated management skills necessary to provide leadership and supervision of facility personnel and to ensure the delivery of maximum quality care to all patients.

Good communication skills
- verbal and written.

Certified in CPR or successfully complete course in CPR certification Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.

EOE, disability/veterans

Title Specialist – Contract‑to‑Hire with LHH

Location: Carmel, Indiana (100% On‑Site)

Schedule: Monday–Friday, 9:00 AM–6:00 PM EST

Pay: $22/hour

Start: ASAP

Join a reputable automotive services partner supporting dealerships with accurate, compliant title management. This role is ideal for someone who thrives in a structured, fast‑paced environment and brings strong accuracy to all title‑related documentation.

About the Role

We are seeking a Title Specialist who will serve as a key support partner for all post‑sale title activity. You will act as the primary point of contact for title‑related questions, verify documentation accuracy, resolve issues, and ensure compliance with all applicable state and federal laws.

This role requires strong detail orientation, proactive problem‑solving, and excellent communication skills. You will collaborate with internal teams, manage title timelines, support reporting, and help ensure titles are processed within service‑level expectations.

What You Will Do

• Support Title Clerks with title processing and documentation.
• Drive prompt resolution of title issues with clients and/or buyers.
• Prepare weekly title status reports for consignors/clients.
• Request duplicate titles as needed according to internal procedures.
• Ensure timely return of titles on voided sales to reduce loss exposure.
• Navigate objections and provide solutions that support all parties involved.
• Assist with updating SOP documentation and training materials.
• Scan titles and convert them into electronic format for processing.
• Generate shipping labels and prepare outgoing title shipments.
• Ensure accurate delivery of titles to the correct dealer or purchaser.
• Run title reports and assist with title inquiry email support.

What You Bring (Must‑Haves)

• 2+ years of experience in vehicle title work.
• Strong customer service skills, attention to detail, and time‑management abilities.
• Ability to type 55 WPM with strong 10‑key skills.
• Proven conflict‑resolution abilities and professional communication skills.
• Basic proficiency with Google Workspace applications.

Nice to Have

• High school diploma or GED (some college preferred).
• Notary Public license (or willingness to obtain within 6 months).
• General automotive knowledge.

LHH Associate Benefits (Contract/Temp‑to‑Hire)

Benefit offerings include medical, dental, vision, life insurance, short‑term disability, additional voluntary benefits, EAP program, commuter benefits, and a 401(k) plan. Our program provides employees the flexibility to choose the coverage that best meets their needs. Available paid leave may include Paid Sick Leave where required by law, any other paid leave required by federal, state, or local law, and holiday pay upon meeting eligibility criteria.

Required Compliance Statements

Equal Opportunity Employer/Veterans/Disabled

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