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The Middlesex Corporation is a nationally recognized and award-winning leader in the heavy civil construction industry. Since 1972, the family business founded by Robert W. Pereira has developed an extensive client and project list through its consistent efforts to safely build America's infrastructure. The Middlesex Corporation specializes in building and reconstructing highways, bridges, marine, rail, and transit facilities through its collaborative team approach and focus on core values. In addition, Middlesex Asphalt in Central Florida is one of the largest and most productive asphalt plants in the United States with Middlesex Paving earning an equally solid regional presence and reputation.

Position Summary:

This role oversees the operation and management of enterprise applications, including Vista, related modules and other mission critical software packages. Ensures that applications and the usage of them align with business objectives. Also plan, coordinate, and direct activities related to the upgrading, development, security and management of applications. Responsible for hands on operations as needed for tasks such as user management, reports, security settings and other related activities. All of these responsibilities will need to be performed in a highly professional manner.

Responsibilities:
Comply with (and actively promote) all Safety policies and procedures including reporting all accidents, incidents and near-misses to ensure adherence to our Number One Core Value – Safety first, in everything we do.
Applications Support
Support, backup, upgrade, maintain and assist users with the following applications

• Vista.
• Vista Connected Modules.
• HCSS.
• Other Critical Applications.

Project Management

Responsible for simultaneously managing multiple projects. Tracks and reports progress to managers and other stakeholders as needed throughout a project. Communicates professional, meaningful information and will take appropriate action to keep projects on target.
Security
Responsible for ensuring that we take all reasonable precautions to protect our intellectual property. This includes bids, files, messages, voice recordings where applicable and related digital assets. Ensures that security is engineered into all projects and that potential flaws are reported to the Chief Information Officer for review. Participates in and conducts regular security testing of servers, systems, applications and related systems.
Confidentiality
Responsible for maintaining strict confidentiality with all sensitive information and data. Also responsible for conducting and assisting with authorized investigations and audits as directed by senior management for compliance purposes and policy enforcement.

Qualifications:

• Ability to manage several tasks simultaneously.
• Excellent verbal and written communication skills to effectively communicate with appropriate parties.
• Ability to understand technology processes and tools and utilize them to improve on all our technology efforts.
• Minimum of 10 years construction management, financial and or technology background.
• Excellent Customer service skills a must.

We offer our full-time and eligible part time team members a comprehensive benefits package that's among the best in our industry. Benefits include medical, dental and vision plans covering eligible team members and dependents, employee assistance programs, life insurance, disability, top-tier 401k with matching, tuition reimbursement, industry leading referral program, and generous paid time off.

Location: Detroit, MI (3 days in office, 2 days remote; first 3 months are fully in office)

Note: This employer does not provide visa sponsorship. Applicants must be authorized to work in the United States now and in the future without sponsorship.

Overview

We are seeking a hands-on Application Security Engineer to help integrate security practices across modern development environments, cloud platforms, and emerging AI/ML systems. This role focuses on embedding security into engineering workflows, improving application resilience, and enabling teams to deliver secure solutions without slowing development.

You will work closely with development, infrastructure, and product teams to identify risks early, implement automated security controls, and support secure architecture across applications and data-driven systems.

Key Responsibilities

Secure Development & DevSecOps

• Integrate security best practices throughout the software development lifecycle, from design through production deployment
• Perform code reviews to identify vulnerabilities and promote secure coding standards
• Implement and manage application security tools such as SAST, DAST, SCA, and related technologies
• Embed automated security checks within CI/CD pipelines and DevSecOps workflows

Risk Assessment & Vulnerability Management

• Conduct threat modeling and security assessments for applications and system architectures
• Identify, prioritize, and track vulnerabilities, partnering with engineering teams on remediation efforts
• Monitor third-party libraries, APIs, and open-source components for security risks

Cloud, Container & Platform Security

• Support security efforts across cloud environments, including containerized and serverless applications
• Assist in securing Kubernetes-based workloads and distributed systems
• Contribute to infrastructure hardening and platform security improvements

AI/ML & Emerging Technology Security

• Evaluate risks associated with machine learning and generative AI systems across the full lifecycle
• Implement safeguards such as input validation, prompt protection, and data leakage prevention
• Support governance and security controls for AI-enabled applications

Incident Response & Compliance

• Investigate application-related security events and support incident response activities
• Track security metrics, risk posture, and remediation progress
• Assist with audit readiness and compliance initiatives

Collaboration & Enablement

• Partner with developers, architects, and product teams to promote secure design principles
• Provide guidance on secure coding practices aligned with industry frameworks (e.g., OWASP)
• Stay current on emerging threats, vulnerabilities, and attack techniques

Qualifications

• Bachelor's degree in Computer Science, Cybersecurity, Software Engineering, or a related field (or equivalent experience)
• 3+ years of experience in application security, cloud security, or DevSecOps environments
• Hands-on experience with security testing tools (SAST, DAST, SCA, etc.)
• Strong understanding of secure coding practices and modern application architectures
• Experience with cloud platforms and containerized environments (e.g., Kubernetes)
• Familiarity with CI/CD pipelines and automation tools
• Excellent communication skills with the ability to collaborate across technical and non-technical teams
• Strong organizational skills and ability to manage multiple priorities

Preferred Qualifications

• Experience with AI/ML security concepts or securing data-driven applications
• Relevant certifications such as DevSecOps, cloud security, or AI security credentials
• Background in highly regulated or security-sensitive environments

One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500® corporation, annual revenues during 2025 were $17.4 billion. In 2026, UHS was again recognized as one of Fortune World’s Most Admired Companies™ and in 2025, was listed in Forbes ranking of America’s Largest Public Companies.

Headquartered in King of Prussia, PA, UHS has approximately 101,500 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located in 40 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom. For additional information visit

The Corporate Information Services Department is seeking a dynamic and talented Application Architect – Radiology/Cardiology.

This Application Architect is responsible for supporting the implementation of UHS Radiology & Cardiology Information Systems and related applications across 26+ acute care hospitals. The role includes addressing maintenance issues, enhancement requests, modifying applications, providing technical support, and coordinating tasks to meet deadlines. Key responsibilities involve overseeing system conversions and implementations. The incumbent will collaborate with IS, clinical operations, facility resources, and vendors to deploy, maintain, and support radiology and cardiology applications. Responsibilities also include ensuring the integrity and reliability of all radiology and cardiology systems, developing plans, maintaining documentation, updating stakeholders, and assisting IT teams with product/tool selection. Additionally, the role includes serving as a technical consultant, leading special projects and strategic initiatives to optimize technology use in imaging, thus enhancing efficiency and achieving institutional goals. The position also requires the development and design of data collection and retrieval methods for clinical, technical, and managerial purposes. The role involves the design, testing, training, and maintenance of clinical imaging systems within a fully integrated computerized order entry system for Image Acquisition, Delivery, Integration, Presentation, Reporting, and Retention.

Key Responsibilities include:

System Implementation:

• Regularly meets with users, vendors, stakeholders, consultant and IS staff to develop/modify system specifications.
• Designs solutions for applications and prepares the appropriate documentation.
• Supervises development of test data, system testing and documentation for all phases of the application development life cycle.
• Works closely with IS Security to implement appropriate cybersecurity safeguards and measures.
• Performs Q/A on application functionality.
• Researches and resolves implementation-related Customer Support Center Tickets.
• Adheres to appropriate UHS Project Management standards.
• Ensures strict adherence to work plans, reporting all serious deviations to management.
• Oversees the training of users in operating procedures for application.
• Provide regular updates to project management regarding Radiology/Cardiology System conversions and implementations ensuring all tasks, milestones and deadlines are met.
• Recommends and implements controls and procedures to protect UHS assets from intentional or inadvertent modification, disclosure, or destruction.
• Leads integration with all Radiology/Cardiology third party systems.

System Maintenance/Support:

• Researches and resolves Customer Support Center Tickets including major application upgrades.
• Works closely with operations IS managers to ensure complete capture RIS/CVIS validation and exceptions handling.
• Works closely with the senior management of radiology/cardiology operations in the development of systems operating standards, policies, and procedures.
• Manages ongoing vendor relationships for relevant systems.
• Adheres to UHS Service Level and Change Management Policies.
• Will provide on-call support as scheduled.
• Maintain vendor technical and end user support documentation
• Establishes and maintains regular communications with user community.
• Performs routine system maintenance including but not limited to Security, Printers and Print routing, Profile settings and Nurse Stations.

Administration and Oversight:

• Effectively trains Analysts in the performance of their duties as required.
• Provides technical support and guidance to other team members as required.
• Maintains Service Excellence principles.
• Prepares and promptly submits all routine and special reports.
• Interviews applicants for vacant positions as needed using appropriate interview techniques.
• Contributes to performance evaluation of junior staff members as needed.
• Keeps management well informed of activities, needs, and problems through regular status updates and trip reports.
• Performs other tasks as required by management.

Continuing Education:

• Keeps up to date on relevant Radiology / Cardiology System Version Changes, Bug-Fixes, and release notes.
• Keeps abreast on relevant Regulatory Requirements that impact the Radiology Information Systems such as -TJC, FDA, MQSA, ACR and various State Regulations.
• Actively participates in increasing education of the Radiology Information Systems functionality through Webinars, User Group meetings, Vendor Classes, etc.

Position Requirements:

• Bachelor’s degree required.
• Five years of experience in a clinical or healthcare environment supporting Cardiology and Radiology Information Systems. Proven track record in implementing and maintaining Radiology/Cardiology Information Systems; experience with Cerner RadNet, Cerner Cardiovascular Imaging Management and Cerner ECG Management, is preferred. Experience with PACS or Enterprise Imaging systems is also highly desirable.
• Comprehensive working knowledge of Radiology / Cardiology information systems such as, Cerner RadNet, Cerner ECG Management, Cerner Cardiovascular Imaging Management applications and systems in a centralized environment.
• Knowledge of clinical workflows from a technologist, radiologist, or resident perspective. Knowledge of medical and imaging industry standards such as HL7 and DICOM standards.
• Experience with HIPAA and other relevant data privacy regulations
• Extensive knowledge of computer systems analysis and programming techniques and procedures, including consulting with Rad Techs, Radiologist, Cardiologist and local IS to determine hardware, software, or system functional specifications; design, development, documentation, analysis, creation, testing, debugging, or modification of applications or programs based on and related to design specifications
• Functional knowledge of Information Systems standards and Imaging quality methods and metrics as indicated by the American College of Radiology accreditation standards.
• Experience in generating reports on system performance, usage, and other key metrics.
• Experience with enterprise-level incident management processes.
• Functional knowledge of project management methods.
• Comprehensive understanding of user business practices, concepts, and terminology sufficient to support the applications.
• Functional Knowledge with regulatory requirements that impact Radiology & Cardiology systems such as, TJC, FDA, MQSA, ACR and various state regulations.
• Excellent written and verbal communication skills.

License or Registration Requirements: Preferred certification in any of the following areas: Certified Imaging & Informatics Professional (CIIP), Certified PACS System Analyst (CPSA), Certified PACS Associate (CPAS), Certified Radiology Administrator (CRA), Registered Diagnostic Imaging Technologist R.T. (R)(ARRT)

Travel Requirements: 25-35% domestic US travel (depending on projects and Go Lives).

This opportunity provides the following:

• Challenging and rewarding work environment
• Growth and development opportunities within UHS and its subsidiaries
• Competitive Compensation
• Excellent Medical, Dental, Vision and Prescription Drug Plan
• 401k plan with company match
• Generous Paid Time Off

LOCATION: Soldotna, Alaska

*** This is a 2 weeks on-site, 6 weeks remote role *** Paid Travel

TECHNOLOGY STACK: Epic Inpatient, Epic Optime, Epic ASAP, Epic Ambulatory, Muse (Nice to have: Rhapsody, ProVation

Projects: Behavioral Health, Lab, Respiratory Therapy (workflows)

Required

• Strong Clinical Applications experience in Epic Optime and/or ASAP and / or Ambulatory Certification (having all certifications is a huge plus)
• Strong experience with 3rd party clinical applications like Muse, ProVation, Rhapsody are preferred
• 5+ years experience in Epic maintenance, support, configuration and implementation
• Experience with Cath Lab IS upgrades, Behavioral Health and Respiratory Health project is a plus

Application Services Manager

Location: On-site in Phoenix, AZ

Travel: Up to 20% as needed

A mission-driven enterprise in the Phoenix metro area is hiring an Application Services Manager to lead daily operations across a suite of enterprise applications critical to business performance. This highly visible role offers a chance to make an immediate impact by improving service delivery, triaging support needs, and serving as the operational bridge between technical teams and business stakeholders.

Backed by decades of success and significant financial strength, this organization is known for its commitment to excellence and the greater good. They are dedicated to creating accessible, affordable solutions that benefit communities nationwide. As part of a collaborative, growing IT team, this role sits at the intersection of technology and service, helping scale systems to meet growing demand across multiple business units—including manufacturing, finance, insurance, and more.

Key Responsibilities

Application Operations & Support

• Oversee uptime and support for enterprise applications across finance, manufacturing, and customer-facing systems.
• Lead ticket triage and resolution processes for incidents, service requests, and enhancements.
• Coordinate root cause analysis and ensure effective documentation of problems, changes, and fixes.
• Onboard new systems into support structures, assign ownership, and enforce configuration best practices.

Service Management & Delivery

• Monitor service KPIs and improve application resiliency through strategic remediation and planning.
• Drive cross-functional collaboration between IT teams, business units, and third-party vendors.
• Enforce IT governance processes aligned with incident, change, and problem management frameworks.

Enhancement & Change Coordination

• Prioritize and coordinate application enhancements based on business needs and team capacity.
• Work alongside analysts, developers, and external vendors to manage application evolution.
• Support compliance, DR/BCP planning, and service documentation efforts.

Team & Vendor Coordination

• Act as the liaison between technical teams and business leaders for escalated support and application strategy.
• Coordinate vendor escalations and monitor service-level agreements (SLAs).
• Champion end-user satisfaction and support seamless operations through clear communication and documentation.

Required Qualifications

• 8+ years in enterprise application support or IT service delivery, with at least 3 years in a team leadership role.
• Strong background supporting ERP, finance, CRM, or manufacturing-related systems.
• Solid understanding of application infrastructure including databases, operating systems, integrations, and application security.
• Experience with ITIL-based service management processes (incident, change, problem).
• Proven ability to communicate clearly with technical and non-technical stakeholders alike.

Preferred

• Exposure to ERP integrations, migrations, or cloud-to-on-prem transitions.
• Familiarity with reporting/BI tools (e.g., Power BI, SSRS) and basic SQL.
• Previous work in highly regulated or operations-focused industries (manufacturing, finance, insurance).
• Experience with enterprise systems such as Deacom, Lasso, Great Plains, and KPA is a plus—but not required.

Why Join?

• Join a values-driven team committed to affordable solutions and social impact.
• Work alongside highly respected IT leaders and a supportive, people-first culture.
• Gain exposure to a variety of enterprise technologies in a fast-evolving environment.
• Enjoy work-life balance, growth opportunities, and stability from a financially strong employer.
• Be part of a team where your ideas matter, and your growth is prioritized.

About Blue Signal:

Blue Signal is an award-winning, executive search firm specializing in various specialties. Our recruiters have a proven track record of placing top-tier talent across industry verticals, with deep expertise in numerous professional services. Learn more at /46Gs4yS

Position Title APP Acute Care Trauma- Weekends Bell Hospital Position Summary / Career Interest: Schedule Options: Fri- Sun or Sat-Mon The Advanced Practice Provider (APP) APRN Trauma Surgical manages health problems and coordinates health care for Surgical patients in acute care or in-patient settings for pre- or post-surgical patients in the Trauma program or service line.

These APPs deliver patient care and medical services to individuals and families by utilizing standards of care in accordance with State and Federal rules and regulations to assess health status, diagnose medical conditions, develop medical plan of care, implement treatments and evaluate patient responses in collaboration with collaborative/sponsoring physician as described in a Collaborative Practice Agreement.

Responsibilities and Essential Job Functions Able to evaluate medical problems of clients in the assigned practice setting and appropriately requests consults to other specialties when indicated.

Provides education to patients and/or families about preventive care, medical issues and use of prescribed medical treatments and/or medications pertinent to the neonatal patient's condition.

Creates diagnostically appropriate treatment plans Documents all medical evaluation, diagnoses, procedures, treatments, outcomes, education, referrals and consultations consistent with NCQA, The Joint Commission, state regulatory standards and evidenced-based standards of care.

Maintains documentation compliance for appropriate coding and billing.

Facilitates evaluation of records by physician(s), peers and quality standards according to protocols and receives and implements constructive directives.

May refer complex and high priority cases to collaborating physician with regards to complicated diagnostic problems, serious illness, complicated therapeutic problems and re-evaluation of chronic conditions.

Provides medical and emergency interventions appropriate to the client's needs; prescribes and monitors medications appropriate to the diagnosis; orders and monitors the appropriateness of emergency interventions.

Maintains collegiality with all members of the inter-disciplinary team.

Utilizes appropriate chain-of-command and communicates with specialty practice Program Director, APP Director and Medical Director of any clinical issue and contributes to quality improvement or process improvement as necessary.

Must be able to perform the professional, clinical and or technical competencies of the assigned unit or department.

These statements are intended to describe the essential functions of the job and are not intended to be an exhaustive list of all responsibilities.

Skills and duties may vary dependent upon your department or unit.

Other duties may be assigned as required.

Required Education and Experience Master's Degree in Physician Assistant OR Master Degree Nursing from an accredited program in Advanced Practice Nursing for APRNs OR Doctor of Nursing Practice from an accredited program in Advanced Practice Nursing for APRNs Age appropriate training for "population served" may depend on APRN/PA program training and may require additional training as determined by the department Preferred Education and Experience Previous APRN or PA experience Required Licensure and Certification Licensed Physician Assistant (PA)
- State Board of Healing Arts copy of the current PA license for the State of Kansas and/or Missouri (depending on practice locations) OR Advanced Practice Registered Nurse (APRN)
- State Board of Nursing copy of the current APRN license for the State of Kansas and/or Missouri (depending on practice locations) Basic Life Support Heartsaver (BLS HS) (Non-Clinical)
- American Heart Association (AHA) Advanced practice certification required.

APRNs may obtain within one year of date of hire; Specific certification may be required depending on specialty Time Type: Full time Job Requisition ID: R-46411 Important information for you to know as you apply: The health system is an equal employment opportunity employer.

Qualified applicants are considered for employment without regard to race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national origin, ancestry, age, disability, veteran status, genetic information, or any other legally-protected status.

See also Diversity, Equity & Inclusion .

The health system provides reasonable accommodations to qualified individuals with disabilities.

If you need to request reasonable accommodations for your disability as you navigate the recruitment process, please let our recruiters know by requesting an Accommodation Request form using this link .

Employment with the health system is contingent upon, among other things, agreeing to the health-system-dispute-resolution-program.pdf and signing the agreement to the DRP.

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