NewClinical Director BCBA JobotClinical Director BCBACanton, MI$100,000–$130,000 / yearWe are a rapidly growing, BCBA-founded ABA organization committed to delivering compassionate, outcomes-driven autism services across center-based, home-based, school, and community settings. The Clinical Director will partner closely with executive leadership to drive clinical excellence, improve operational outcomes, mentor BCBA Supervisors, and support the continued expansion of services to families across assigned regions.
NewClinical Operations Director, Hospice AccentCare, Inc.Clinical Operations Director, HospiceMadison Heights, MI$110,000–$130,000We’re proud to be named one of America’s Greatest Workplaces 2025 by Newsweek — a reflection of our shared commitment to excellence, integrity and compassion as we shape the future of aging in place. You’ll belong to a team that cares deeply for patients and each other; a team committed to consistently providing exceptional care.
NewCivil Construction Division Director JobotCivil Construction Division DirectorGrand Ledge, MI$150,000–$260,000 / yearInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. The successful candidate will be responsible for overseeing all aspects of our civil construction division, including project planning, budgeting, team management, and execution.
NewDirector of Finance JobotDirector of FinancePortage, MI$155,000–$220,000 / yearInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. Backed by a long-term investment partner and experiencing continued growth through both acquisitions and organic expansion, we are building the financial infrastructure necessary to support our next chapter.
NewAssistant Director, Aquatics Great Wolf LodgeAssistant Director, AquaticsTraverse City, MIAn employee’s pay position within the salary range will be based on several factors, including, but not limited to, relevant education, qualifications, certifications, experience, skills, seniority, geographic location, performance, travel requirements, revenue-based metrics, any contractual agreements, and business or organizational needs. At Great Wolf, the Assistant Director of Aquatics is responsible for assisting the Director with the overall management and operation of the waterpark, leadership and development of aquatics staff, and financial planning/execution.
NewDirector of Nursing (DON) - Sign On Bonus Courtney ManorDirector of Nursing (DON) - Sign On BonusBad Axe, MISee Ciena Healthcare Management Privacy Policy at https://apploi.com/privacy_policy/ and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions. Prepares work assignment sheets, taking into consideration Resident safety, the educational preparation, experience, knowledge and ability of the persons to whom the assignments are made.
NewDirector of Nursing (DON) Courtney ManorDirector of Nursing (DON)Bad Axe, MISee Ciena Healthcare Management Privacy Policy at https://apploi.com/privacy_policy/ and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions. Prepares work assignment sheets, taking into consideration Resident safety, the educational preparation, experience, knowledge and ability of the persons to whom the assignments are made.
staff - Registered Nurse (RN) - Director ED - Emergency Department - $31-43 per hour Detroit Medical Centerstaff - Registered Nurse (RN) - Director ED - Emergency Department - $31-43 per hourCommerce Township, MI$31–$43 / hourTo meet the needs of our community, we operate 8 hospitals and more than 140 clinics and outpatient facilities across southeast Michigan, including a nationally recognized dedicated pediatric hospital (Children’s Hospital of Michigan) as well as a nationally recognized rehabilitation hospital (Rehabilitation Institute of Michigan). Summary : Reporting to the VP Patient Care Services or chief nursing leader for the site and through subordinate leadership personnel, directs practice, quality, personnel, operations and financial activities of nursing services and other departments, such as respiratory therapy, as assigned.
Registered Nurse (RN) - Director Hospice - $70K-90K per year Elara CaringRegistered Nurse (RN) - Director Hospice - $70K-90K per yearBerkley, MI$70,000–$90,000 / yearElara Caring is one of the nation’s leading providers of home-based care with a growing footprint of 26,000 caregivers and 60,000 patients in 18 states. Whether you are new to home-based care or a seasoned in-home care professional, Elara Caring will meet you where you are and develop a unique learning plan that recognizes your experience and invests in your clinical professional journey.
NewTravel Director of Operating Room - $3,616 per week LeaderStatTravel Director of Operating Room - $3,616 per weekLapeer, MIFor 20 years, LeaderStat has been dedicated to partnering with exceptional healthcare providers to find them the very best assignments throughout the country. Pay package is based on 8 hour shifts and 40 hours per week (subject to confirmation) with tax-free stipend amount to be determined.
Director - Radiology Technologist - $24-32 per hour Detroit Medical CenterDirector - Radiology Technologist - $24-32 per hourHamtramck, MI$24–$32 / hour1. Analytical ability to create solutions to difficult administrative, technical or human situations, to anticipate and resolve a broad range of issues and concerns on multiple, sometimes unrelated topics, to determine the need for process development and refinement, to independently evaluate situations and outline ramifications of multiple solutions or options, to recommend goals for a function/area and understand when intervention in current work processes must occur to ensure successful delivery of service. To meet the needs of our community, we operate 8 hospitals and more than 140 clinics and outpatient facilities across southeast Michigan, including a nationally recognized dedicated pediatric hospital (Children’s Hospital of Michigan) as well as a nationally recognized rehabilitation hospital (Rehabilitation Institute of Michigan).
staff - Director Registered Nurse (RN) - Case Management - $67K-97K per year Detroit Medical Centerstaff - Director Registered Nurse (RN) - Case Management - $67K-97K per yearDetroit, MI$67,000–$97,000 / yearLeadership skills including demonstrated willingness to pursue leadership roles with increasing levels of accountability, comfort with decision-making responsibilities, coaching, teaching and counseling skills, and the ability to inspire and build confidence in others and to forge alliances and garner support. Oversees hospital utilization performance improvement and operational management of the site Case Management Department to promote effective utilization of hospital resources, ensure processes support appropriate reimbursement for services rendered, support efficient patient throughput, and ensure compliance with all state and federal regulations related to case management services.
NewAssistant Store Director SpartanNash Associates, LLCAssistant Store DirectorTraverse City, MIOur braggingly happy team members — ranging from bakery managers to order selectors; from IT developers to vice presidents of finance; from HR Business Partners to export specialists — create braggingly happy customers spanning national accounts, independent and chain grocers, e-commerce retailers, U.S. military commissaries and exchanges, and the Company’s own brick-and-mortar grocery stores, pharmacies and fuel centers. Under direction of the Store Director: ensure all departments are fully staffed, trained, and operating efficiently; maintain store profitability by monitoring all financial aspects of purchasing, stocking, selling, payroll and other general expenses and income; maintains physical location properly including equipment, sanitization, safety, and general appearance; communicating and executing the corporate plans.
NewRegional Medical Director of Urogynecology Trinity HealthRegional Medical Director of UrogynecologyAnn Arbor, MIThis is a unique leadership opportunity for a physician who is passionate about advancing care, building high-performing teams, and shaping a developing service line. As a physician-led organization, IHA combines the autonomy and close-knit culture of private practice with the stability and resources of a prestigious national healthcare system.
NewInterim Director of Accounting Vaco LLCInterim Director of AccountingDetroit, MIRemote$100–$125 / hourThis role provides hands-on leadership during a transition period, supporting month- and quarter-end close activities, overseeing consolidation of multiple entities, preparing and reviewing external reporting, and driving accuracy and efficiency across the accounting function. Determining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to: the individual’s skill sets, experience and training; licensure and certification requirements; office location and other geographic considerations; other business and organizational needs.
NewMulti-site Director (Licensed Physical Therapist) Ivy Rehab Network, Inc.Multi-site Director (Licensed Physical Therapist)Portage, MI$100,000–$120,000 / yearAt Ivy Rehab , our Physical Therapists have opportunities to pursue multiple professional tracks, including mentorship, residency education, specialty program development, non-treating roles, clinic leadership, and future clinic partnership opportunities. An Area Director at Ivy Rehab leads the success of multiple clinics by driving strong operational performance, developing high-performing leaders, and ensuring exceptional patient care.
NewAssistant Director of Nursing (ADON) Christian Park VillageAssistant Director of Nursing (ADON)ESCANABA, MIThe Assistant Director of Nursing (ADON) supports the Director of Nursing in planning, organizing, developing, and directing the overall operation of the Nursing department to ensure the highest degree of quality care is provided to residents. Prepares work assignment sheets, taking into consideration Resident safety, the educational preparation, experience, knowledge, and ability of the persons to whom the assignments are made.
Medical Director of Lung Transplant Program, Western Michigan CHG HealthcareMedical Director of Lung Transplant Program, Western MichiganGrand Rapids, MIYour CompHealth recruiter will be your advocate assisting you with contract negotiation, including pay, benefits, and incentives with insights into facilities and national market trends. Contact Reid Nachtigal at reid.nachtigal@comphealth.com or (954) 837-2794 to learn more about this opportunity.
NewAssistant Director of Nursing (ADON) The Laurels of HudsonvilleAssistant Director of Nursing (ADON)HUDSONVILLE, MIThe Assistant Director of Nursing (ADON) supports the Director of Nursing in planning, organizing, developing, and directing the overall operation of the Nursing department to ensure the highest degree of quality care is provided to residents. Prepares work assignment sheets, taking into consideration Resident safety, the educational preparation, experience, knowledge, and ability of the persons to whom the assignments are made.
NewDirector of Nursing (DON) Lakeview ManorDirector of Nursing (DON)TAWAS CITY, MIPrepares work assignment sheets, taking into consideration Resident safety, the educational preparation, experience, knowledge and ability of the persons to whom the assignments are made. The DON serves as a key member of the facility’s leadership team, driving clinical excellence, fostering staff development, and promoting a culture of safety and resident-centered care.
NewDirector of Nursing (DON) - Sign On Bonus Lakeview ManorDirector of Nursing (DON) - Sign On BonusTAWAS CITY, MIPrepares work assignment sheets, taking into consideration Resident safety, the educational preparation, experience, knowledge and ability of the persons to whom the assignments are made. The DON serves as a key member of the facility’s leadership team, driving clinical excellence, fostering staff development, and promoting a culture of safety and resident-centered care.
NewAssistant Director of Nursing (ADON) Regency at TroyAssistant Director of Nursing (ADON)TROY, MIThe Assistant Director of Nursing (ADON) supports the Director of Nursing in planning, organizing, developing, and directing the overall operation of the Nursing department to ensure the highest degree of quality care is provided to residents. Prepares work assignment sheets, taking into consideration Resident safety, the educational preparation, experience, knowledge, and ability of the persons to whom the assignments are made.
NewAssistant Director of Nursing (ADON) Ely ManorAssistant Director of Nursing (ADON)ALLEGAN, MIThe Assistant Director of Nursing (ADON) supports the Director of Nursing in planning, organizing, developing, and directing the overall operation of the Nursing department to ensure the highest degree of quality care is provided to residents. Prepares work assignment sheets, taking into consideration Resident safety, the educational preparation, experience, knowledge, and ability of the persons to whom the assignments are made.
Director, Facilities Engineering - Relocate to Warroad, MN MarvinDirector, Facilities Engineering - Relocate to Warroad, MNGrand Rapids, MI$161,000–$215,000In this role, you’ll shape the long-term vision for our building portfolio, guiding the development, renovation, and modernization of new and existing buildings and structures to support organizational priorities, workforce needs, and future growth. If you’re passionate about aligning infrastructure initiatives with business goals, leading high-performing teams, and building strong partnerships across sites, we invite you to apply today.
NewMiCAL Director (Full-Time) Gryphon PlaceMiCAL Director (Full-Time)Kalamazoo, MIWorking closely with organizational leadership and state partners, the MiCAL Director plays a key role in shaping clinical protocols, supporting staff readiness, and ensuring the crisis line operates as an effective and responsive entry point to Michigan’s behavioral health system. The Director oversees program managers and shift leadership, ensures staff are supported in delivering effective care, and maintains accountability for service quality, clinical practices, and system performance.
NewAssociate Program Director - OBGYN Residency | Lansing, MI McLaren Health CareAssociate Program Director - OBGYN Residency | Lansing, MILansing, MIThe McLaren system includes 14 hospitals in Michigan and Ohio, ambulatory surgery centers, imaging centers, a 490-member employed primary and specialty care physician network, commercial and Medicaid HMOs covering approximately 640,000 lives in Michigan and Indiana, and a wholly owned medical malpractice insurance company. Among its services are a Level III Designated Trauma Center/Emergency Department, Orthopedic and Sports Medicine Institute, comprehensive cardiac programs, medical/surgical units, and state-of-the-art women and children's health services including a modern birthing center.
NewFood Service Director AramarkFood Service DirectorAlto, MIJob Description The Food Service Director at the Kent County Jail is a management position responsible for developing and executing dining solutions to meet customer needs and tastes. Establish and maintain systems and procedures for the ordering, receiving, storing, preparing and serving of food related products, as well as menu planning and development. ?
NewDirector of Compensation - Relocate to Warroad, MN MarvinDirector of Compensation - Relocate to Warroad, MNGrand Rapids, MI$161,000–$215,000We will support your relocation with a robust benefit package that includes the movement of household goods, up to 120 days of temporary housing, and much more – in addition to a relocation counselor to assist you throughout the entire journey. This role partners closely with senior leadership and key stakeholders to design and execute programs that drive equity, performance, and retention across the business.
NewDirector of Benefits - Relocate to Warroad, MN MarvinDirector of Benefits - Relocate to Warroad, MNDetroit, MI$162,000–$215,000This position partners with HR, Finance, Legal, operations, executive leadership, vendors, consultants, and healthcare providers to enhance the employee experience, manage benefit costs, and support employee health and wellbeing. Marvin offers an extensive relocation benefit package that includes the movement of your household goods, temporary housing, and much more – in addition to a relocation counselor to assist you throughout the entire journey.
NewPhysician - Medical Director, Trauma, Acute and Critical Care - Livonia Trinity HealthPhysician - Medical Director, Trauma, Acute and Critical Care - LivoniaLivonia, MIWere seeking a passionate and driven Physician Leader to help lead our Trauma, Acute & Critical Care Surgery team at Trinity Health IHA Medical Group located in Livonia, Michigan. A multidisciplinary trauma care program with a strong focus on continuous performance improvement, clinical education, and quality outcomes across the full spectrum of trauma services, from prevention through rehabilitation.
NewClinical Engineering Regulatory & Quality Operations Manager Stephens International Recruiting, Inc.Clinical Engineering Regulatory & Quality Operations ManagerLivonia, MIPurpose: Frontline, department‑based leader responsible for supervising daily functions, advancing people and processes, and supporting structures and programs that impact direct and indirect patient care. Support National Director and Area Directors with onboarding of new service region acquisitions and divestitures; monitor transition milestones and communicate potential barriers.
Director National Accounts EnerSysDirector National AccountsMI$125,100–$156,200 / yearThis role is responsible for driving strategic growth within some of EnerSys most important customer relationships while leading a high-performing National Accounts organization focused on delivering innovative power solutions, operational efficiencies, and measurable value to customers. EnerSys serves many of the worlds leading material handling, logistics, warehousing, manufacturing, food distribution, and industrial organizations through innovative battery, charging, monitoring, and energy management solutions.
Managing Director - National Accounts Credit Acceptance CorpManaging Director - National AccountsMIRemoteThis role drives sales performance through leaders, translates regional strategy into district and market-level execution plans, strengthens dealer relationships, improves market results, and supports P&L performance across assigned districts. Continuously evaluate and improve assigned districts and teams using the company's Organizational Health framework, including: Right People: Ensure the right leaders and team members are in the right roles and are performing at the expected level.
National Account Director - Oncology GPO Syneos - Commercial - ProdNational Account Director - Oncology GPODetroit, MINegotiate and execute contracts with assigned targeted accounts, remove economic barriers with appropriate contracts, help provide access for clinical and/or economic discussions, and implement focused initiatives within GPOs, super groups, and targeted accounts. Reporting to the VP Head of Sales, The National Account Director, GPO, Trade and Distribution is responsible for leading customer engagement with identified oncology and specialty immunology GPO accounts and specialty distributors by developing strategic solutions and implementing account plans.
NewLead Director, Commercial Product Execution National Accounts CVS Health CorpLead Director, Commercial Product Execution National AccountsDetroit, MI$100,000–$231,540 / year10+ years of experience in field sales leadership, product strategy, commercial product roles, sales enablement, business development, account growth, or related market-facing roles. As part of the Commercial Product and Experience organization, the Lead Director, Product Execution role is responsible for driving growth of individual products within the portfolio through new sales and buy-up expansion across existing clients, within an assigned national account territory.
National Account Director - Oncology GPO Syneos Health IncNational Account Director - Oncology GPODetroit, MITogether we share insights, use the latest technologies and apply advanced business practices to speed our customers' delivery of important therapies to patients. Selecting us as an employer secures a career in which you're guaranteed to: Collaborate with passionate problem solvers Partner with the most diverse team of experts in the industry.
Director of Business Development, National Sales ARCO Construction Company IncDirector of Business Development, National SalesSouthfield, MIARCO is consistently recognized as a top workplace in multiple markets nationwide and is ranked by Engineering News-Record as a top ten design-build firm and the largest domestic builder of distribution and warehouse space. Agencies must have a fully executed vendor agreement with ARCO as well as written approval to submit candidates from the ARCO TA Manager for the specific position before submitting candidates.
NewNational Sales Director, Michigan iA AmericanNational Sales Director, MichiganKalamazoo, MichiganiA American Warranty LP, American Amicable Group of Companies, iA American Life Insurance Company and Industrial Alliance Portfolio Management LLC are all part of iA Financial Group, one of the largest insurance and wealth management groups in North America. As a National Sales Director you will play a key role in managing relationships with key dealership personnel, implementing process/ procedures with our Account Executives, and generating profit for the dealership and IA.
Director of Business Development, National Sales ARCO a Family of Construction CompaniesDirector of Business Development, National SalesSouthfield, MichiganFull timeBecause ARCO is committed to creating opportunities for individual success, from day one, you will be given the tools to excel in your role, take on meaningful responsibilities, and experience why ARCO is truly the best place to build a career. ARCO hires only the best and brightest dedicated to providing our clients with superior solutions, cultivating our award-winning workplace culture, and driving success at all levels of the business.
Director of Sales - National Fleet Accounts Hinton Transportation Investments IncDirector of Sales - National Fleet AccountsWyoming, MIThe Director of Sales, National Fleet Accounts is focused on building and maintaining strategic relationships with Original Equipment Manufacturer (OEM) partners and accountable for driving revenue growth within the National Fleet Accounts. This role uses in-depth knowledge of national fleet operations to lead a team of inside and outside sales personnel, set and track key performance indicators (KPIs) and ensure National Fleet Accounts are fully satisfied with their service.
National Sales Director - Eastern United States Esperion Therapeutics IncNational Sales Director - Eastern United StatesAnn Arbor, MIRemoteAs the leader of the Company's field sales force for half the nation, the NSD is responsible for direct management, development, and supervision of Regional Sales Managers and their implementation of processes within local geography in accordance with approved sales and marketing resources and ensuring all sales personnel operate in an effective, efficient and compliant manner. The National Sales Director (NSD) is responsible for leading and providing strategic direction for Commercial Sales, including sales strategies, productivity, sales training and effectiveness, and ensuring achievement of performance targets and budgeted sales goals.
Director Of Sales - National Fleet Accounts Hinton Transportation Investments, Inc.Director Of Sales - National Fleet AccountsWyoming, MIThe Director of Sales, National Fleet Accounts is focused on building and maintaining strategic relationships with Original Equipment Manufacturer (OEM) partners and accountable for driving revenue growth within the National Fleet Accounts. This role uses in-depth knowledge of national fleet operations to lead a team of inside and outside sales personnel, set and track key performance indicators (KPIs) and ensure National Fleet Accounts are fully satisfied with their service.
Regional Director, Key Accounts - East US Esperion Therapeutics IncRegional Director, Key Accounts - East USAnn Arbor, MIRemoteThe Regional Director, Key Accounts (RDKA) is a first-line people leader responsible for leading a team of Key Account Directors/Managers and for developing and executing regional strategies and account plans across assigned Integrated Delivery Networks (IDNs), large health systems, and other organized customers. Proven track record of high performance engaging and working with complex health systems and organized customers (e.g., IDNs, AMCs, large group practices) with strong understanding of formulary processes, care delivery models, navigating patient journeys, and account-based selling strategies.
Regional Director, Northeast Operations (52341) Global Elite GroupRegional Director, Northeast Operations (52341)Garden City, MI$125,000–$150,000 / yearGlobal Elite Group is a highly specialized aviation security company, comprised of a diverse and collaborative team of committed professionals, industry leaders, and subject matter experts who rely on optimized processes and tools to deliver quality services. The Regional Director directs, plans, organizes, and coordinates with our JFK, LGA, EWR, BOS and PWM Airport Managers and fellow Regional Directors.
Regional Director Syneos - Commercial - ProdRegional DirectorDetroit, MI$200,000–$215,000 / yearData-Driven Decision Making: Analyze market data, sales trends, and key performance indicators (KPIs) to identify growth opportunities, adjust tactics proactively, and drive accountability across the region. You will leverage advanced analytics, market research, and local geographic trends to pinpoint untapped business opportunities and construct comprehensive regional business plans designed for flawless execution at launch.
Regional Director, Operations - Central Region Roadrunner FreightRegional Director, Operations - Central RegionRomulus, MI$150,000–$180,000 / yearWhile performing the duties of the job, the employee is regularly required to sit, stand, walk, reach/handle items, work with the fingers, see clearly at 20 feet or more, and have depth perception, peripheral vision, and ability to adjust focus and talk and hear others in conversations via the phone or in person. With driver teams executing over-the-road (OTR) moves - and no freight moving on rail - customers experience industry-leading transit times, minimal rehandling, and dramatically reduced risk of loss or damage.
Regional Director of Sales & Marketing Great Lakes Hospitality GroupRegional Director of Sales & MarketingAuburn Hills, MichiganWe are seeking an experienced and driven Regional Director of Sales & Marketing to lead the sales efforts for our four Auburn Hills hotels: Hampton Inn Auburn Hills North (Baldwin Road). This role is a unique opportunity to oversee a diverse hotel portfolio representing Hilton, IHG, and Marriott brands within the vibrant Auburn Hills market.
Regional Property Director - Multifamily Operations The Hayman CompanyRegional Property Director - Multifamily OperationsSouthfield, MichiganThe Regional Director is responsible for the general operations and business plan execution for a diverse portfolio of five to nine conventional multifamily properties: They will have a proven track record in managing a varied portfolio of properties, be a motivator, excellent communicator, and a hands-on leader. Responsible for the continuous implementation and maintenance of Hayman’s resident experience philosophy including but not limited to brand integrity, reputation management, resident events, work order management, hiring and developing staff with a customer experience mindset.
Regional Director-Neurology-Great Lakes Regeneron PharmaceuticalsRegional Director-Neurology-Great LakesMichiganThe Regional Director (RD), Rare Neurology will report to the Executive Director, Strategic Customer Engagement, Rare Neurology and be responsible for recruiting, leading, developing and retaining the Rare Neurology Medical Specialist team in the Great Lakes Region. The RD is responsible for ensuring strong and consistent sales performance that exceeds forecast and expectations relating to product goals and driving accountability for all results throughout the Region assigned allowing Regeneron to have a major presence in the Rare Neurology market.
Physician - Regional Director, Structural Heart Disease - Southeastern Michigan Corewell HealthPhysician - Regional Director, Structural Heart Disease - Southeastern MichiganRoyal Oak, MIThe Director will advance a coordinated, patient-centered strategy for structural heart disease at three campuses including Corewell Health William Beaumont University Hospital, Corewell Health Troy and Corewell Health Dearborn; expand access to leading transcatheter therapies; strengthen research and education; and partner with cardiology, cardiac surgery, imaging, nursing, operations and service-line leadership to position Corewell Health East as the regional destination for complex structural heart care. Corewell Health is a not-for-profit health system that provides health care and coverage with an exceptional team of 60,000+ dedicated people-including more than 11,500 physicians and advanced practice providers and more than 15,000 physicians and advanced Practice providers and more than 15,000 nurses providing care and services in 22 hospitals, 300+ outpatient locations and several post-acute facilities - and Priority Health, a provider-sponsored health plan serving more than 1.2 million members.