Optometric Technician/ Medical Billing Administrator

Roswell, Georgia West Point Optical LLC

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Job Description

Job Description

Job Description

The below Job Description is intended to describe the general nature and level of work being performed by associates assigned to this job.  It is not an exhaustive list of responsibilities, and is subject to changes and exceptions at the discretion of senior management.

JOB TITLE:    Optometric Office Technician / Medical Office Administrator

REPORTS TO:              Store General Manager

FLSA STATUS:     Hourly; Non-Exempt

POSITION PURPOSE:    

The major responsibility of the Optometric Office Technician is to assist the Managing Optometrist in the technical and administrative operation of an optometric practice.  The position will interact with patients/customers by delivering an exceptional patient/customer experience, foster patient/customer retention, and promotes outstanding associate/doctor satisfaction.

OPTOMETRIC OFFICE TECHNICIAN

The Optometric Office Technician plays a key role in the optometric practice.  Their duties may include the utilization of computerized medical office software, administrative office procedures, health insurance processing billing and transcription of medical reports. 

An Optometric Office Technician role may combine skills of a medical office administrator, medical billing and collections, appointment scheduler or medical records clerk and direct patient care. 

ESSENTIAL DUTIES AND RESPONSIBILITIES:

Clinical Duties

  • Taking patient medical histories
  • Preparing patients for examinations
  • Administering tests prior to the eye exam
  • Assisting doctors during examinations
  • Assist with ordering glasses and contact lens supply

Administrative Job Duties

  • Greeting and directing patients
  • Answering telephones
  • Updating and maintaining Electronic Medical Records
  • Obtaining insurance verification and authorization
  • Adjust scheduling for priority patients
  • Scheduling appointments
  • Processing insurance claim forms
  • Patient and insurance billing
  • Optometric medical billing and coding
  • Vision insurance billing and coding
  • Accounts receivable and accounts payable
  • Bookkeeping
  • Selling glasses and contact lens supplies

*The Clinical Skills can be learned on the job.  No experience with clinical skills is necessary to apply. 

TRAVEL REQUIREMENTS:

  • Occasional travel locally, within 15 mile radius.

QUALIFICATIONS: Experience, Competencies and Education

  • Ability to provide enthusiastic and concise communication to meet/exceed customer expectations as well as foster positive and results-oriented associate, doctor and host relationships.
  • Ability to manage priorities through adaptability, willingness to take calculated risks, and follow-up.
  • Experience with personal computers preferred.
  • Valid State Driver’s License and State Minimum Insurance coverage.
  • High school diploma or equivalent, or comparable experience typically achieved with a minimum of 1-2 years in a retail setting.

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Medical Front Office Administrator

Smyrna, Georgia Perry Solutions LLC

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Job Description

Job Description

Job Description

Premier Pediatric Associates is looking for a front office administrator to join our team in our Smyrna office. This person will work to support the daily operations of the office. 

The ideal candidate is a high-energy individual with excellent organizational skills, a strong attention to detail and the ability to communicate effectively in both written and verbal communications.
 

Responsibilities:

  • Welcomes patients and visitors by greeting them, in person or on the telephone; answering or referring inquiries.
  • Optimizes patients' satisfaction, provider time, and exam room utilization by efficiently scheduling appointments.
  • Schedules and confirms patient appointments
  • Verify patient insurance benefits and eligibility prior to the appointments and notify patient of any concerns and update chart appropriately.
  • Register, check in, and check out patients in a timely manner; prepare necessary documents for the visit; notify provider of patients' late arrival; reschedule or move late arriving patients when necessary.
  • Ensures availability of treatment information by filing and retrieving patient records.
  • Maintains patient accounts by obtaining, recording, and updating patient demographics and insurance information.
  • Encourages patient compliance with preventive care by completing outreach responsibilities.
  • Maintains a clean and presentable front office area, reception are, and bathroom.
  • Performs all other duties as trained and requested by provider and/or management.


Requirements

  • Experience as an administrative assistant, or medical front desk receptionist preferred
  • Strong organizational, communication, and time-management skills
  • Proven ability to work in a fast-paced environment 
  • Positive, high-energy attitude
  • Resourcefulness, creativity, and problem-solving skill set
  • Familiarity with office equipment (i.e. printers, fax machines)

Hours of Operation

  • Monday - 8:30 AM to 7:00 PM
  • Tuesday - Thursday 8:30 AM to 5:30 PM
  • Friday - 8:30 AM to 4:00 PM
  • Saturdays (1st & 3rd of each month) - 8:30 AM to 12:30 PM


Pay Rate: $16.50 to $19.50 per hour
 

About Premier Pediatric Associates:

Premier Pediatric Associates is a private pediatric practice dedicated to partnering with families in developing healthy and amibitious children through the care of mind, body, spirit, and education.

Our employees enjoy a work culture that promotes providing patient-centered care with an emphasis on educating families, focusing on preventative healthcare, delivering unparalleled customer service and professionalism, and estabilishing a healthy work environment, which seeks to inspire and value our employees.

Premier Pediatric Associates benefits include medical insurance, paid time off, vacation time, retirement savings professional development, and free parking.

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AVP, Provider Contract Network Management - Atlanta, GA market - Healthcare

30309 Midtown Atlanta, Georgia The Cigna Group

Posted 2 days ago

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Job Description

**Work Location: Atlanta, GA**
The **AVP, Provider Contract Network Management** serves as an integral member of the Network Management & Affordability Team and reports to the VP, Network Management. This role is a key contributor to the development of the strategic direction and is accountable for the management of contracting and network management activities for multiple local geographies.
**DUTIES AND RESPONSIBILITIES**
+ Directly manages a contracting team or geography, providing leadership and mentoring to their direct reports.
+ Manages increasingly complex contracts and negotiations for fee for service and sophisticated value-based reimbursements with hospitals and other providers for both Cigna's US Commercial and IFP product lines (e.g., Hospital systems, Ancillaries, and large physician groups) for one or more geographies.
+ Proactively builds relationships that nurture provider partnerships and seeks broader value-based business opportunities to support the local market strategy.
+ Initiates, nurtures and maintains effective channels of communication with matrix partners including but not limited to, Claims Operations, Medical Management. Credentialing, Legal, Medical Economics, Compliance, Sales and Marketing and Service.
+ Manages strategic positioning for provider contracting, develops networks and identifies and acts upon opportunities for greater value-orientation and risk arrangements.
+ Identifying and implementing alternative network initiatives. Supports and provides direction to develop network analytics required for the network solution.
+ Responsible for meeting unit cost targets, while preserving an adequate network, to achieve and maintain Cigna's competitive position.
+ Identify and manages initiatives that improve total medical cost and quality.
+ Drives change with external provider partners by assessing clinical informatics and offering consultative expertise to assist with total medical cost initiatives.
+ Prepares, analyzes, reviews, and projects financial impact of high spend or increasingly complex provider contracts and alternate contract terms.
+ Creates and / or oversees the development of "HCP" agreements that meet internal operational standards and external provider expectations. Ensures the accurate implementation, and administration through matrix partners.
+ Assists in resolving elevated and complex provider service complaints. Researches problems and negotiates with internal/external partners/customers to resolve highly complex and/or escalated issues.
+ Manages key provider relationships and is accountable for critical interface with providers and business staff.
+ Demonstrates comprehensive knowledge of providers in an assigned geographic area through understanding the interrelationships as well as the competitive landscape.
+ Responsible for accurate and timely contract loading and submissions and interface with matrix partners for network implementation and maintenance.
+ Partner with Regulatory Affairs to ensure all network filings are timely and accurate.
**POSITION REQUIREMENTS**
+ Should possess a bachelor degree; preferably in the areas of Finance, Economics, Healthcare or Business related. MBA or MHA preferred.
+ **5+ years Contracting and Negotiating experience involving complex delivery systems and organizations required**
+ Experience with Physician, Hospital and Ancillary group contracting and negotiations
+ Experience with Healthcare - Commercial
+ Prior experience managing direct reports
+ Experience in developing and managing key provider relationships including senior executives
+ Knowledge of complex reimbursement methodologies, including incentive based models required
+ Demonstrated experience in seeking out, building and nurturing strong external relationships with provider partners
+ Intimate understanding and experience with larger, more complex integrated delivery systems, managed care, and provider business models
+ Team player with proven ability to develop strong working relationships within a fast-paced, matrix organization
+ The ability to influence both sales and provider audiences through strong written and verbal communication skills. Experience with formal presentations
+ Customer centric and interpersonal skills are required
+ Demonstrates managerial courage and change leadership in a dynamic environment
+ Superior problem solving, decision-making, negotiating skills, contract language and financial acumen
+ Proficient with Microsoft Office (Word, Excel, PowerPoint, Outlook)
+ Proficient in contract building software such as Contract Manager
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
**About Cigna Healthcare**
Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives.
_Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws._
_If you require reasonable accommodation in completing the online application process, please email:_ _for support. Do not email_ _for an update on your application or to provide your resume as you will not receive a response._
_The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State._
_Qualified applicants with criminal histories will be considered for employment in a manner_ _consistent with all federal, state and local ordinances._
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AVP, Provider Contract Network Management - Atlanta, GA market - Healthcare

30301 Atlanta, Georgia Cigna

Posted 20 days ago

Job Viewed

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Job Description

Permanent
Work Location: Atlanta, GA

The AVP, Provider Contract Network Management serves as an integral member of the Network Management & Affordability Team and reports to the VP, Network Management. This role is a key contributor to the development of the strategic direction and is accountable for the management of contracting and network management activities for multiple local geographies.

DUTIES AND RESPONSIBILITIES

  • Directly manages a contracting team or geography, providing leadership and mentoring to their direct reports.
  • Manages increasingly complex contracts and negotiations for fee for service and sophisticated value-based reimbursements with hospitals and other providers for both Cigna's US Commercial and IFP product lines (e.g., Hospital systems, Ancillaries, and large physician groups) for one or more geographies.
  • Proactively builds relationships that nurture provider partnerships and seeks broader value-based business opportunities to support the local market strategy.
  • Initiates, nurtures and maintains effective channels of communication with matrix partners including but not limited to, Claims Operations, Medical Management. Credentialing, Legal, Medical Economics, Compliance, Sales and Marketing and Service.
  • Manages strategic positioning for provider contracting, develops networks and identifies and acts upon opportunities for greater value-orientation and risk arrangements.
  • Identifying and implementing alternative network initiatives. Supports and provides direction to develop network analytics required for the network solution.
  • Responsible for meeting unit cost targets, while preserving an adequate network, to achieve and maintain Cigna's competitive position.
  • Identify and manages initiatives that improve total medical cost and quality.
  • Drives change with external provider partners by assessing clinical informatics and offering consultative expertise to assist with total medical cost initiatives.
  • Prepares, analyzes, reviews, and projects financial impact of high spend or increasingly complex provider contracts and alternate contract terms.
  • Creates and / or oversees the development of "HCP" agreements that meet internal operational standards and external provider expectations. Ensures the accurate implementation, and administration through matrix partners.
  • Assists in resolving elevated and complex provider service complaints. Researches problems and negotiates with internal/external partners/customers to resolve highly complex and/or escalated issues.
  • Manages key provider relationships and is accountable for critical interface with providers and business staff.
  • Demonstrates comprehensive knowledge of providers in an assigned geographic area through understanding the interrelationships as well as the competitive landscape.
  • Responsible for accurate and timely contract loading and submissions and interface with matrix partners for network implementation and maintenance.
  • Partner with Regulatory Affairs to ensure all network filings are timely and accurate.

POSITION REQUIREMENTS

  • Should possess a bachelor degree; preferably in the areas of Finance, Economics, Healthcare or Business related. MBA or MHA preferred.
  • 5+ years Contracting and Negotiating experience involving complex delivery systems and organizations required
  • Experience with Physician, Hospital and Ancillary group contracting and negotiations
  • Experience with Healthcare - Commercial
  • Prior experience managing direct reports
  • Experience in developing and managing key provider relationships including senior executives
  • Knowledge of complex reimbursement methodologies, including incentive based models required
  • Demonstrated experience in seeking out, building and nurturing strong external relationships with provider partners
  • Intimate understanding and experience with larger, more complex integrated delivery systems, managed care, and provider business models
  • Team player with proven ability to develop strong working relationships within a fast-paced, matrix organization
  • The ability to influence both sales and provider audiences through strong written and verbal communication skills. Experience with formal presentations
  • Customer centric and interpersonal skills are required
  • Demonstrates managerial courage and change leadership in a dynamic environment
  • Superior problem solving, decision-making, negotiating skills, contract language and financial acumen
  • Proficient with Microsoft Office (Word, Excel, PowerPoint, Outlook)
  • Proficient in contract building software such as Contract Manager

If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

About Cigna Healthcare

Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives.

Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

If you require reasonable accommodation in completing the online application process, please email: for support. Do not email for an update on your application or to provide your resume as you will not receive a response.

The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

Apply Now

Healthcare Operations Facility Administrator

30038 Redan, Georgia Fresenius Medical Care North America

Posted 2 days ago

Job Viewed

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Job Description

**About this role:** As a Facility Administrator with Fresenius Medical Care, you will manage and oversee the daily operations of the dialysis clinic. You will collaborate with the Medical Director and the Charge Nurse regarding the provision of quality patient care in the dialysis clinic.
**Training and advancement:** You will enter our Clinical Leadership Program that creates and supports a culture of continuous learning for our managers. The curriculum will cover onboarding, essential functions, leading your business, and advanced leadership. As a Facility Administrator, you may advance your career into a Director of Operations then senior leadership role.
**Our culture:** We believe our employees are our most important asset - we value, care about, and support our people. We are there when you may need us most, from tuition reimbursement to support your education goals, granting scholarships to family members, delivering relief when natural disasters strike, or providing financial support when personal hardship hits, we take care of our people.
**Our focus on diversity:** We have built a nurturing environment that welcomes every age, race, gender, sexual orientation, background, and cultural tradition. We have a diverse range of employee resource groups (ERGs) to encourage employees with similar interests, goals, social and cultural backgrounds, or experiences to come together for professional and personal development, discussion, activities, and peer support. Our diverse workforce and culture encourage opportunity, equity, and inclusion for all, which is a tremendous asset that sets us apart.
At Fresenius Medical Care, you will truly make a difference in the lives of people living with kidney disease. If this sounds like the career and company you have been looking for, and you want to be a vital part of the future of healthcare, apply today.
**PRINCIPAL RESPONSIBILITIES AND DUTIES**
CLINIC OPERATIONS:
+ Manages the operations of the clinic, including costs, processes, staffing, and quality standards.
+ Provides leadership, coaching, and development plans for all direct reports.
+ Partners with internal Human Resources, Quality, and Technical Services departments.
+ Collaborates with the Home Therapies Manager to oversee the facility's Home Therapies Program.
+ Maintains integrity of medical and operations records and complies with all data collections and auditing activities.
+ Manages clinic financials including efficient utilization of supplies or equipment and regular profits and loss review.
+ Responsible for all required network reporting and on-site state or federal surveys.
+ Coordinates inventory/supply management by reviewing monthly inventory count and approving purchase orders for necessary items to ensure cost containment, timely distribution, and competitive pricing.
+ Performs other related duties as assigned.
PATIENT CARE:
+ Collaborates closely with the Charge RN, the Medical Director, and physicians regarding the direct patient care responsibilities within the facility.
+ Coordinates all aspects of patient care from admission through discharge of the patient.
+ Monitors patient and family education regarding access care including medical instructions.
+ Acts as a resource for the patient and family to address concerns and questions and reviews patient satisfaction surveys.
STAFF:
+ Participates in the selection and hiring of new team members and ensures completion of new hiring orientation and mandatory trainings.
+ Responsible for all patient care employees completing appropriate training courses and that licensures and certifications are current.
+ Provides support for all clinical staff members at regular intervals and encourages professional growth.
+ Maintains current knowledge regarding company benefits, policies, procedures, and processes.
+ Completes employee evaluations and establishes annual goals.
+ Documents any disciplinary actions and confers with the clinic Director of Operations and Human Resources when needed.
+ Manages staff scheduling and payroll.
PHYSICIANS:
+ Facilitates the application process for physician privileges and compliance with Fresenius Medical Care Medical Staff By-Laws.
+ Responsible for strong physician relationships and ensures regular and effective communication.
+ Participates in Governing Body, an interdisciplinary team for each region including MSWs, Dietitians, MDs, DOs etc. that governs policies.
**EDUCATION**
+ Bachelor's Degree or an equivalent combination of education and experience.
**EXPERIENCE AND REQUIRED SKILLS:**
+ 4+ years of business operations experience in a healthcare facility.
**PHYSICAL DEMANDS AND WORKING CONDITIONS:**
+ Day-to-day work includes desk and personal computer work, facility staff, and physicians.
+ Position may require travel between assigned facilities and various locations within the community and/or travel to regional, business unit and corporate meetings may be required.
+ The work environment is characteristic of a healthcare facility with air temperature control and moderate noise levels.
+ May be exposed to infectious and contagious diseases/materials.
+ Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
** Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.**
**EOE, disability/veterans**
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Healthcare Operations Facility Administrator

30038 Redan, Georgia Fresenius Medical Care Holdings, Inc.

Posted 10 days ago

Job Viewed

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Job Description

Permanent

About this role: As a Facility Administrator with Fresenius Medical Care, you will manage and oversee the daily operations of the dialysis clinic. You will collaborate with the Medical Director and the Charge Nurse regarding the provision of quality patient care in the dialysis clinic. 

Training and advancement: You will enter our Clinical Leadership Program that creates and supports a culture of continuous learning for our managers. The curriculum will cover onboarding, essential functions, leading your business, and advanced leadership.  As a Facility Administrator, you may advance your career into a Director of Operations then senior leadership role.

Our culture: We believe our employees are our most important asset — we value, care about, and support our people. We are there when you may need us most, from tuition reimbursement to support your education goals, granting scholarships to family members, delivering relief when natural disasters strike, or providing financial support when personal hardship hits, we take care of our people.

Our focus on diversity: We have built a nurturing environment that welcomes every age, race, gender, sexual orientation, background, and cultural tradition. We have a diverse range of employee resource groups (ERGs) to encourage employees with similar interests, goals, social and cultural backgrounds, or experiences to come together for professional and personal development, discussion, activities, and peer support. Our diverse workforce and culture encourage opportunity, equity, and inclusion for all, which is a tremendous asset that sets us apart.

At Fresenius Medical Care, you will truly make a difference in the lives of people living with kidney disease. If this sounds like the career and company you have been looking for, and you want to be a vital part of the future of healthcare, apply today.

  

PRINCIPAL RESPONSIBILITIES AND DUTIES

CLINIC OPERATIONS:

  • Manages the operations of the clinic, including costs, processes, staffing, and quality standards.
  • Provides leadership, coaching, and development plans for all direct reports.
  • Partners with internal Human Resources, Quality, and Technical Services departments.
  • Collaborates with the Home Therapies Manager to oversee the facility’s Home Therapies Program.
  • Maintains integrity of medical and operations records and complies with all data collections and auditing activities.
  • Manages clinic financials including efficient utilization of supplies or equipment and regular profits and loss review.
  • Responsible for all required network reporting and on-site state or federal surveys.
  • Coordinates inventory/supply management by reviewing monthly inventory count and approving purchase orders for necessary items to ensure cost containment, timely distribution, and competitive pricing.
  • Performs other related duties as assigned.

PATIENT CARE:

  • Collaborates closely with the Charge RN, the Medical Director, and physicians regarding the direct patient care responsibilities within the facility.
  • Coordinates all aspects of patient care from admission through discharge of the patient.
  • Monitors patient and family education regarding access care including medical instructions.
  • Acts as a resource for the patient and family to address concerns and questions and reviews patient satisfaction surveys.

STAFF:

  • Participates in the selection and hiring of new team members and ensures completion of new hiring orientation and mandatory trainings.
  • Responsible for all patient care employees completing appropriate training courses and that licensures and certifications are current.
  • Provides support for all clinical staff members at regular intervals and encourages professional growth.
  • Maintains current knowledge regarding company benefits, policies, procedures, and processes.
  • Completes employee evaluations and establishes annual goals.
  • Documents any disciplinary actions and confers with the clinic Director of Operations and Human Resources when needed.
  • Manages staff scheduling and payroll.

PHYSICIANS:

  • Facilitates the application process for physician privileges and compliance with Fresenius Medical Care Medical Staff By-Laws.
  • Responsible for strong physician relationships and ensures regular and effective communication.
  • Participates in Governing Body, an interdisciplinary team for each region including MSWs, Dietitians, MDs, DOs etc. that governs policies.

EDUCATION

  • Bachelor’s Degree or an equivalent combination of education and experience.

EXPERIENCE AND REQUIRED SKILLS:

  • 4+ years of business operations experience in a healthcare facility.

PHYSICAL DEMANDS AND WORKING CONDITIONS:

  • Day-to-day work includes desk and personal computer work, facility staff, and physicians.
  • Position may require travel between assigned facilities and various locations within the community and/or travel to regional, business unit and corporate meetings may be required.
  • The work environment is characteristic of a healthcare facility with air temperature control and moderate noise levels.
  • May be exposed to infectious and contagious diseases/materials.
  • Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 

 Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.  

EOE, disability/veterans

Apply Now
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