Porter Group Jobs in Usa
6,049 positions found — Page 4
We are looking for a reliable and trustworthy individual for the Day Porter position at a large office building in North Charleston. We offer assistance with medical insurance. An individual who takes pride and ownership in their work. A dependable team member who is detail oriented and able to work independently. If this sounds like you, then we could be a great fit for you.
Job Duties:
- Ability to work around facility tenants.
- Sweep or vacuum and damp mop hard surface floors and vacuum carpeted floors
- Clean restrooms including toilets, urinals, partitions, sinks, counters, mirrors, floors and walls
- Replenish restroom dispensers with paper products and soap
- Clean entrance glass and other interior and exterior door glass.
- Remove trash from containers inside and exterior surrounding areas of building, replace torn or soiled liners.
- Operate and maintain equipment such as vacuum cleaners
- Clean exterior employee lounging area.
- Work effectively with other team members, restocking supplies for evening crew.
- Conduct all work in accordance with company procedures - including safety, door lock, time & attendance and uniform policies
Qualifications:
- Valid Driver's License
- Ability to work independently, minimum supervision
- Reliable Transportation
- Must be able to pass a background check
We Offer:
- Competitive pay
- Convenient hours Monday thru Friday 7:30am -
- Fun, family-like culture
We are an equal opportunity employer and consider applicants for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, sexual orientation, or any other legally protected status.
At 360clean, we take great pride in building a culture that embraces everyone like family. Our franchisees are looking for reliable and trustworthy individuals who take pride in their work. If this sounds like you, a career with an independently owned and operated 360clean franchise could be a great fit for you.
The opportunity
Delaware North Parks and Resorts is hiring seasonal Porters to join our team at Gray Wolf Inn and Suites in West Yellowstone, Montana. As a Porter, you will be responsible for performing light cleaning duties around the hotel, both inside and out.
If you want a job at the world’s most storied national parks, hotels, or resorts, feed your sense of wonder while creating memorable experiences for our guests; apply now.
Pay
$15.70 - $15.70 / hour
Information on our comprehensive benefits package can be found at .
What we offer
- Health, dental, and vision insurance*
- 401 (k) with company match*
- Paid vacation days and holidays*
- Paid parental bonding leave*
- Tuition or professional certification reimbursement*
- Weekly pay
- Friends and family discount on lodging
- 50% off meals and electric bike rentals
- Free Yellowstone Tour with Yellowstone Vacation Tours (purchase of park entrance pass required)
- Training and development with opportunities for internal mobility and growth, including the chance to work at our other locations nationwide
*Available for full-time, year-round team members
Life in West Yellowstone
Looking for a job you love? Be part of a global team fortunate enough to live and work next door to Yellowstone National Park, our nation’s first National Park! Located a half mile from the West entrance to Yellowstone with close access to Grand Teton National Park and the historic town of Cody, Wyoming, each day inspires in special places like this.
- Shared apartments/rooms available for $85/ week
- Housing costs include utilities and wifi
- Coin-operated laundry on-site
- Free weight room available
- Free use of the Gray Wolf Inn pool
- Access to tons of outdoor activities, including:
- Exploring the 2.2 million acres of Yellowstone National Park
- Visiting nearby hot springs, geysers, and hotpots
- Hiking, whitewater rafting, ziplining, wildlife tours, horseback riding, nature watching, camping, fishing, and much more
What will you do?
- Assist in employee housing area with cleaning and laundry duties
- Carry linens, towels, toilet items, and cleaning supplies using wheeled carts
- Disinfect equipment and supplies, using germicides or steam-operated sterilizers
- Empty wastebaskets, clean ashtrays, and distribute all recyclables into proper containers
- Report damage, theft, and found articles to supervisors
More about you
- Minimum of 6 months of experience in housekeeping preferred
- No experience or diploma required
Physical requirements
- Ability to lift up to 50 pounds
- Ability to pull heavy carts of stock
- Ability to stand, bend, lift, and other ranges of motion for an extended time
Shift details
Days
Evenings
Weekends
M-F
Holidays
Who we are
Our location at the West entrance to Yellowstone National Park is ideal for individuals who enjoy the great outdoors. Within minutes of town, you can be hiking in the mountains, fishing in streams and lakes, and exploring Yellowstone National Park! We offer employee housing in furnished shared apartments in West Yellowstone, as well as skiing, snowshoeing, and snowmobiling during the winter months. Team members receive 50% off meals on workdays.
Our business is all about people, and that includes you. At Delaware North, you’re not just part of a team — you’re part of a global legacy: a family-owned company with 100+ years of history behind it. Our operations span the world, offering you unique paths to growth and success.
Who says you can't love where you work? With jobs in iconic sports arenas, stunning national parks, exciting casinos, and more, we pride ourselves on giving the world great times in great places. And whether you're interested in restaurants, hotels, sports, gaming, operations, or retail, part-time or full-time, we're invested in helping you achieve your career goals.
Together, we're shaping the future of hospitality — come grow with us!
Delaware North, along with its subsidiaries, is an equal opportunity employer, showcasing job opportunities and considering applicants for all positions without regard to race, color, religion, sex, gender identity, national origin, age, disability, protected veteran status, sexual orientation, or any other legally protected status.
The opportunity
Delaware North Parks and Resorts is hiring seasonal Porters to join our team at Yellowstone Park Hotel in West Yellowstone, Montana. As a Porter, you will be responsible for performing light cleaning duties around the hotel, both inside and out.
If you want a job at the world’s most storied national parks, hotels, or resorts, feed your sense of wonder while creating memorable experiences for our guests; apply now.
Pay
$15.70 - $15.70 / hour
Information on our comprehensive benefits package can be found at .
What we offer
- Health, dental, and vision insurance*
- 401 (k) with company match*
- Paid vacation days and holidays*
- Paid parental bonding leave*
- Tuition or professional certification reimbursement*
- Weekly pay
- Friends and family discount - 50% off rooms
- 50% off meals and electric bike rentals
- Free Yellowstone Tour with Yellowstone Vacation Tours (purchase of park entrance pass required)
- Training and development with opportunities for internal mobility and growth, including the chance to work at our other locations nationwide
*Available for full-time, year-round team members
Life in West Yellowstone
Looking for a job you love? Be part of a global team fortunate enough to live and work next door to Yellowstone National Park, our nation’s first National Park! Located a half mile from the West entrance to Yellowstone with close access to Grand Teton National Park and the historic town of Cody, Wyoming, each day inspires in special places like this.
- Shared apartments/rooms available for $85/ week, including utilities and wifi
- Full RV hookups for $50-$80/ week, including water, sewer, and electricity
- Coin-operated laundry on-site
- Free weight room available
- Access to tons of outdoor activities, including:
- Exploring the 2.2 million acres of Yellowstone National Park
- Visiting nearby hot springs, geysers, and hotpots
- Hiking, whitewater rafting, ziplining, wildlife tours, horseback riding, nature watching, camping, fishing, and much more
What will you do?
- Assist in employee housing area with cleaning and laundry duties
- Carry linens, towels, toilet items, and cleaning supplies using wheeled carts
- Disinfect equipment and supplies, using germicides or steam-operated sterilizers
- Empty wastebaskets, clean ashtrays, and distribute all recyclables into proper containers
- Report damage, theft, and found articles to supervisors
More about you
- Minimum of 6 months of experience in housekeeping preferred
- No experience or diploma required
Physical requirements
- Ability to lift up to 50 pounds
- Ability to pull heavy carts of stock
- Ability to stand, bend, lift, and other ranges of motion for an extended time
Shift details
Days
Evenings
Holidays
M-F
Who we are
Our location at the West entrance to Yellowstone National Park is ideal for individuals who enjoy the great outdoors. Within minutes of town, you can be hiking in the mountains, fishing in streams and lakes, and exploring Yellowstone National Park! We offer employee housing in furnished shared apartments in West Yellowstone, as well as skiing, snowshoeing, and snowmobiling during the winter months. Team members receive 50% off meals on workdays.
Our business is all about people, and that includes you. At Delaware North, you’re not just part of a team — you’re part of a global legacy: a family-owned company with 100+ years of history behind it. Our operations span the world, offering you unique paths to growth and success.
Who says you can't love where you work? With jobs in iconic sports arenas, stunning national parks, exciting casinos, and more, we pride ourselves on giving the world great times in great places. And whether you're interested in restaurants, hotels, sports, gaming, operations, or retail, part-time or full-time, we're invested in helping you achieve your career goals.
Together, we're shaping the future of hospitality — come grow with us!
Delaware North, along with its subsidiaries, is an equal opportunity employer, showcasing job opportunities and considering applicants for all positions without regard to race, color, religion, sex, gender identity, national origin, age, disability, protected veteran status, sexual orientation, or any other legally protected status.
The opportunity
Delaware North Parks and Resorts is hiring a seasonal Porter to join our team at Big Meadows Lodge in Shenandoah National Park, Virginia. As a Porter, you will be responsible for performing light cleaning duties around the hotel, both inside and out.
If you want a job at the world’s most storied national parks, hotels, or resorts, feed your sense of wonder while creating memorable experiences for our guests; apply now.
Pay
$16.00 - $16.00 / hour
Information on our comprehensive benefits package can be found at .
What we offer
- Weekly pay
- Free shift meal for local team members, or free daily meals available for team members in employee housing
- Employee discounts - 30% off most items
- Training and development with opportunities for internal mobility and growth, including the chance to work at our other locations nationwide
Note: Additional benefits, including insurance and vacation, are available for eligible year-round positions at other Delaware North properties
Life in Shenandoah National Park
Looking for a new adventure? Be part of a tight-knit team fortunate enough to live and work in the natural wonder of Shenandoah National Park. With a great work/life balance, you can spend your time off exploring the over 500 miles of hiking trails.
- Low-cost, recently updated dormitory housing available for $100/ week, including utilities and wi-fi, and free daily meals available for individuals who reside 50-plus miles from their worksite
- Free rides to Luray for team members living in employee housing
- Shared fire pit area for use in the dorm area
- Meet guests and fellow team members from around the globe
- Tons of outdoor activities, including camping, rock climbing, rappelling, cycling, fishing, and horseback riding
What will you do?
- Greet and assist guests with luggage at check-in, check-out, and show them to their room
- Provide guests with local information, recommendations, and directions
- Upkeep of lobby and guest restrooms
- Additional housekeeping duties as needed
- Report damage, theft, and found articles to supervisors
More about you
- Minimum of 6 months of experience in housekeeping preferred
- Excellent verbal communications skills
- No experience or diploma required
Physical requirements
- Ability to work outdoors in all weather conditions and in variable temperatures such as rain and high heat
- Ability to lift up to 50 pounds
- Ability to stand, bend, lift, and other ranges of motion for an extended time
Shift details
Days
Evenings
Holidays
Weekends
Who we are
Shenandoah National Park offers over 200,000 acres of protected lands with lots to explore including cascading waterfalls, spectacular vistas, and quiet wooded hollows. It’s a great place to hike, camp, bike, fish, take photographs or go canoeing. We offer on-site housing and a free meal during every shift.
Our business is all about people, and that includes you. At Delaware North, you’re not just part of a team — you’re part of a global legacy: a family-owned company with 100+ years of history behind it. Our operations span the world, offering you unique paths to growth and success.
Who says you can't love where you work? With jobs in iconic sports arenas, stunning national parks, exciting casinos, and more, we pride ourselves on giving the world great times in great places. And whether you're interested in restaurants, hotels, sports, gaming, operations, or retail, part-time or full-time, we're invested in helping you achieve your career goals.
Together, we're shaping the future of hospitality — come grow with us!
Delaware North, along with its subsidiaries, is an equal opportunity employer, showcasing job opportunities and considering applicants for all positions without regard to race, color, religion, sex, gender identity, national origin, age, disability, protected veteran status, sexual orientation, or any other legally protected status.
Salary Range $15.92 - $18.00/hr
Location: Garfield, NJ (PriceRite of Garfield)
Job SummaryTo provide our customers with accurate, friendly and efficient service; to maintain store cleaning standards and assist within the store as directed.
Essential Job FunctionsThe essential job functions of this position include, but are not limited to, the following:
- Ability to proficiently read, write, speak, analyze, interpret, and understand the English language.
- Ability to stand/walk for the duration of a scheduled shift.
- Ability to stand, bend, twist, reach, push, pull and regularly lift 25 lbs., and occasionally lift 75 lbs.
- Ability to work with a wide variety of fresh, dried and/or processed products, spices and powdered substances without negative allergic consequences.
- Ability to tolerate varying temperatures.
- Ability to tolerate moderate amounts of dust and cleaning agents during routine housekeeping duties.
- Meet all work schedules and comply with all time and attendance policies.
The job responsibilities of this position include, but are not limited to, the following:
- Maintain a clean, neat, organized and safe work/shopping environment.
- Maintain sanitation and QA standards by cleaning and sanitizing work surfaces, utensils and equipment. Keep floor clear of debris and spills.
- Greet all customers and provide them with prompt, courteous service and assistance.
- Handle damaged or return-to-stock products according to company policy, with priority attention given to refrigerated, perishable items, and sell by date.
- Must be knowledgeable in the various types of products carried in the store.
- Utilize and maintain equipment as required; report any equipment problems immediately.
- Adhere to all Federal, State and Local regulations that pertain to the Front End operation.
- Be knowledgeable in the company's HAZCOM program and adhere to manufacturer's label instructions for the safe and proper use of all chemical products.
- Dress according to company policy to include white shirt, black pants, apron, name badge. Comply with QA hand washing standards and use disposable gloves when handling food.
- Complete all applicable department training programs.
- Comply with all ShopRite Service Priorities: clean, fresh and friendly.
- May ring a register.
- Perform other duties as assigned.
- Part Time work hours - Our business requires a flexible scheduling consisting of days, evenings and weekends. Weekly average hours for part time is 20-25. Hours fluctuate weekly in accordance with business needs.
- Part Time Training Requirements - All Team Members are provided paid training and expected to successfully complete all components of training within the first 30 days. This includes web based and hands-on training.
- All Team Members are expected to report to work as scheduled and required to record work time through our electronic time and attendance system. Excessive lateness and/or absences is not acceptable.
- Stockers are expected to meet efficiency and productivity standards.
NOTE: ASSOCIATES MUST BE 18 YEARS OR OLDER TO OPERATE BALERS, HI-LOs, POWER JACKS AND SLICING MACHINES.
This position is eligible for vision, dental, life insurance, and legal plan benefits, which become available on a graduated basis over time according to the terms of the collective bargaining agreement (\"CBA\"). Paid time off (sick time, personal days, vacation days, and holidays) will accrue on a graduated basis over time in accordance with the CBA. Retirement benefits (pension or 401k) become available over time in accordance with the CBA.
Opportunity for a Critical Care Physician in Porter County Seeking a Critical Care BC/BE Intensivist to join a growing practice.
New fellows are welcome! Day/Night shift rotation with 7 on/7 off.
Full service community hospital, including Cardiology & CT Surgery, Neurosurgery, Pulmonology, General Surgery, Interventional Radiology (non-trauma) with the help of an experienced nursing staff.
It's your chance to work in a family-oriented community resulting in great quality of life.
Offers commencement bonus, education loan assistance.
competitive salary and a lot more! If you are interested in hearing more about this opportunity, please call or text HDA MD Staff at .
You can also reach us through email at .
Please reference Job ID # j-13070.
VitalCore Health Strategies (VCHS), an industry leader in Correctional Health Care, has an opening for a Group Intervention Specialist at James T.
Vaugh Correctional Center in Smyrna, Delaware for Full-Time At VitalCore we pride ourselves on retaining and acquiring compassionate, dedicated individuals who are committed to providing quality services.
Join our team and experience first-hand how VitalCore Health Strategies promotes a positive work environment that is based on respect and appreciation of the hard work and dedication of our staff.
GROUP INTERVENTION SPECIALIST BENEFITS PACKAGE: Holiday Pay: New Year's Day, Martin Luther King Jr.
Day, Memorial Day, Juneteenth, Independence Day, Labor Day, Veteran's Day, Thanksgiving Day, and Christmas Day Medical Dental Vision Health Savings Account Dependent Care Flexible Spending Account Life Insurance Short-Term/Long-Term Disability Identity Theft Protection Pet Insurance Employee Assistance Program and Discount Center 401K & Plan Matching PTO Annual Incentive Bonus Dependent Care Flexible Spending Account GROUP INTERVENTION SPECIALIST POSITION SUMMARY: To perform the duties of a Group Intervention Specialist, you must have a good understanding of Behavioral Health.
You will also possess the ability to do basic documentation and programming.
Also, you must possess good decision-making skills, emotional intelligence, be a team player, and respect confidentiality.
The Group Intervention Specialist plays a critical role in supporting the behavioral, emotional, and social development of individuals in a correctional facility by facilitating evidence-based group programs.
This position is responsible for delivering structured group interventions that promote rehabilitation, reduce recidivism, and support the development of pro-social skills.
The specialist works closely with mental health and correctional staff to provide a safe and therapeutic environment.
GROUP INTERVENTION SPECIALIST MINIMUM REQUIREMENTS: Bachelor's degree in Psychology, Social Work, Counseling, Criminal Justice, or related field Experience in Behavioral Health, Social Services, or Psych Two (2) years of experience in therapeutic recreation or related field providing programming for persons who have a mental illness is preferred.
Experience working in a correctional mental health setting preferred.
GROUP INTERVENTION SPECIALIST ESSENTIAL FUNCTIONS: Works under clinical supervision and requires knowledge of behavioral healthcare programs and program techniques As a Group Intervention Specialist, you will work with a variety of clients that include those with mental health diagnoses, substance use disorder, criminogenic thinking, etc.
through a variety of programs Notify Behavioral Health Director/Clinical Supervisor in a timely manner of problems requiring attention/intervention Work with individuals in group settings to provide counseling, guidance and education Work closely with co-facilitator to discuss the subject matter with individuals Conduct clinical interventions as prescribed on the individual treatment plan using clinical intervention strategies within your scope of practice and directed by supervision Provide psychosocial group interventions as prescribed on the individual treatment plan Consults with other institution staff regarding the behavioral health caseload, inmate's institutional adjustment and service needs Attends meetings as assigned Attends in-service training sessions and workshops for professional development Shall include evening and weekend coverage as scheduled Other duties, as assigned VitalCore Health Strategies is an equal opportunity employer and committed to creating and maintaining an inclusive workplace in which all employees have an opportunity to participate and contribute to the success of the business and are valued for their skills, experience, and unique perspectives.
Compensation details: 0 Yearly Salary PIedab016110f0-4866
Collette is seeking detail-oriented and collaborative Group Air Support Coordinators to join our growing Air team. This hybrid role is based at our headquarters in Pawtucket, RI.
About Collette: Let Us Show You the World
There has never been a better time to be in the travel industry. See the world, connect with others, and experience the immersive benefits of one of the trendiest industries when you join the Collette team! Collette’s passionate team works hard to fulfill travel dreams and is always looking for talent that will help to shape the company’s future. Being part of the Collette team means having a willingness to grow, a desire to learn and ask questions, and a zest for seeing the world. Collette is all about people. So, what are you waiting for? Your journey starts here.
Job Summary
Reporting to the Group Supervisor - Air Operations, the Group Air Support Coordinator will play a key role in ensuring Group Air reservations are accurately booked and aligned with guest expectations and tour requirements. This position supports the Group Air teams and Supervisor by assisting with daily tasks to maintain a smooth and efficient workflow.
Primary Functions:
- Assist Group Air Specialists with queue management and securing guest seat assignments.
- Perform quality checks on Group Air reservations after seat reduction dates and as needed.
- Action airline schedule changes promptly. Assist with protecting passengers when changes no longer meet minimal connection times and/or time restrictions on the tour package booked.
- Support Quality Control Air Coordinator(s) when necessary.
- Assist with fulfillment of Group Air requests across all office locations.
- Participate in special projects and other duties as assigned by the VP Air and Logistics, Air Operations Manager, Supervisor, or Airline Contracting and Pricing Manager.
- Maintain a clean, organized, and safe work environment in accordance with company standards and policies.
Knowledge and Skills:
- Bachelor’s degree preferred (educational assistance available through approved programs).
- Minimum of 2 years of relevant experience in a related field.
- Proficiency in Microsoft Office Suite (Word, Excel, Outlook, etc.).
- Familiarity with, or willingness to learn, air operations, quality control procedures, and reporting documentation standards.
- Strong verbal and written communication skills.
- Ability to create, compose, and edit professional written materials.
- Effective team player with the ability to work collaboratively across diverse teams and departments.
- Strong organizational skills with the ability to prioritize and manage multiple tasks.
- Demonstrated problem-solving and analytical thinking capabilities.
- Ability to plan and structure work to maximize efficiency and productivity.
- Commitment to fostering a cooperative and positive work environment.
Compensation & Benefits
We believe in taking care of our team—inside and outside of work.
The pay range for this position is $18 - $21 per hour.
What We Offer:
- Health & Wellness: Medical, Dental, and Vision coverage—plus a Peloton One Membership to keep you moving
- Time Off: Generous PTO, paid holidays, and your birthday!
- Volunteer Time: Paid hours to give back to causes you care about
- Financial Security: 401(k) with company match
- Family Support: Paid parental leave, paid bereavement leave and access to our Employee Assistance Program
- Career Growth: Tuition reimbursement to help you level up your skills
- Exclusive travel discounts, incentives and more!
Pediatric group near Savannah, GA
- Located one hour drive to Savannah, GA, 4 hours to Atlanta, GA and 2 hours to Jacksonville, FL
- Openings for outpatient Pediatrics and pediatric urgent care (or a mix of both)
- Group also has a Pediatric urgent care office only 10 miles from Savannah, GA (group is expanding in pediatric urgent care as well)
- Can live in Savannah, Richmond Hill, Pooler - excellent schools
- Join a private group of 4 Pediatricians and 1 APP as they continue to grow their Pediatric Urgent Care facilities and their Outpatient clinic.
- Outpatient, no hospital coverage. Well and sick child visit
- Monday Friday 8 am 5 pm
- Urgent care shifts available as group owns an urgent care office near Savannah, GA. Various scheduling options if interested in just covering urgent care
- Visa sponsorship available medically underserved area
Benefits: Competitive base salary
$200k for recent grad $225-250k for BC experienced RVU incentives plus quality incentives
Retention bonus is negotiable
Relocation is negotiable No loan repayment options here
CME reimbursed plus time off
PTO
Paid malpractice insurance
401k retirement
Medical, dental and vision insurance
Kirby Bates Associates has been exclusively retained by Aspirus Health to conduct a search for their next Vice President of Operations Medical Group, Tertiary Care for Aspirus Medical Group.
Aspirus Health is a non-profit, community-directed integrated health system, with a network of 19 hospitals, clinics, post-acute care facilities, and a health plan dedicated to providing high-quality, compassionate care to patients across Wisconsin, Minnesota, and Michigan’s Upper Peninsula. The organization is committed to delivering innovative healthcare services, advancing patient safety, and promoting clinical excellence through its team of dedicated healthcare professionals.
The Vice President provides system-level leadership for Aspirus Medical Group’s tertiary cardiac, pulmonology, neonatology, and hospitalist service lines, setting strategic direction and ensuring operational, financial, and quality performance across multiple regions and clinics. Partnering in a dyad with the System Senior Physician Executive for Tertiary Care, this role works within a cross-functional team to assess performance, identify improvement opportunities, and drive initiatives aligned with Aspirus Medical Group’s strategic priorities. The VP oversees regional directors and clinic leaders, translates executive-level decisions into coordinated operational action, and maintains accountability for budgets, resource allocation, and service delivery across all assigned divisions. The VP reports to the SVP, Ambulatory Services and President, Aspirus Medical Group.
This executive leads the development and implementation of policies, long-range plans, and clinical transformation efforts that support organizational goals and evolving community needs. The role is responsible for building strong relationships with physicians, administrative leaders, and key stakeholders across the Aspirus system, including cardiology and cardiovascular service partners. Key expectations include advancing patient experience and safety, strengthening workforce and practice environments, coordinating recruitment and retention of clinical staff, and representing the service line in interactions with health organizations, government agencies, and third-party partners. Operating in a matrixed environment, the VP relies on influence, collaboration, and strategic execution to build an integrated, high-performing tertiary care service line.
Opportunity Highlights:
▪Shape multistate tertiary service lines by guiding strategy, operational performance, and clinical transformation in collaboration with a dynamic team of peer VPs in ambulatory, primary care, medical specialties, and surgical specialties.
▪Lead within a physician–administrative dyad model, partnering directly with senior physician executive leaders to influence care delivery, growth, and quality outcomes.
▪Join a dynamic health system environment that values innovation, professional development, and measurable impact with a strong commitment to excellence in rural medicine.
Qualifications:
•Bachelor’s and master’s degree in health-related field or business required.
•At least 10 years of experience in progressive health administration leadership including at least five years in direct ambulatory clinic administration/operations.
