Facilities / Engineering Operations Manager 2 SodexoFacilities / Engineering Operations Manager 2CARLSBAD, NM$77,690–$100,540What You Bring: A proven track record of successful Facilities Management leadership experience as demonstrated by articulated results and accomplishments. Strong technical knowledge of the following: mechanical, electrical, plumbing, HVAC, structural, safety systems, architectural, landscape, and energy management.
Alternate Program Manager Oak Grove Technologies IncAlternate Program ManagerNMp>Oak Grove Technologies, LLC, a dynamic and fast-growing federal contractor, is seeking a highly skilled and motivated Alternate Program Manager to support operations at the Federal Law Enforcement Training Center (FLETC) in Artesia, New Mexico. The on-site Alternate Project Manager (APM) shall have previous experience (a minimum of one (1) year) as an APM on similar size Federal Contracts or equivalent (i.e., Quality Control, Operational Management of Federal contracts).
Program Manager Oak Grove Technologies IncProgram ManagerNMp>Oak Grove Technologies, LLC, a dynamic and fast-growing federal contractor, is seeking a highly skilled and motivated Program Manager to support operations at the Federal Law Enforcement Training Center (FLETC) in Artesia, New Mexico. The Program Manager and Alternate Program Manager must meet the minimum requirements as follows: The on-site Program Manager (PM) shall have previously had experience (a minimum of one (1) year) as a PM on federal contracts of similar size.
Project Manager - Facility Operations Support NANA Regional Corporation IncProject Manager - Facility Operations SupportCarlsbad, NMp>Except for Government-Furnished Property (GFP), the Contractor shall furnish all personnel, supervision, management, equipment, materials, transportation, and supplies required to plan, schedule, coordinate, and ensure effective performance of all services necessary to provide facility operational support services for FLETC, Artesia. If you are an individual with a disability, or have known limitations related to pregnancy, childbirth, or related medical conditions, and would like to request a reasonable accommodation for any part of the employment process, please contact us at job-assist@akima.com or 571-353-7053 (information about job applications status is not available at this contact information).
Remediation Project Manager - Carlsbad, NM Tetra Tech IncRemediation Project Manager - Carlsbad, NMCarlsbad, NMThe ideal candidate will have strong experience managing remediation projects for oil and gas clients and demonstrated familiarity with New Mexico Oil Conservation Division (NMOCD) and New Mexico State Land Office (NMSLO) requirements, processes, and stakeholder expectations. With 30,000 employees working together, Tetra Tech provides clear solutions to complex problems by Leading with Science to address the entire water cycle, protect and restore the environment, design sustainable and resilient infrastructure, and support the clean energy transition.
Project Manager – Facility Operations Support Akima, LLCProject Manager – Facility Operations SupportCarlsbad, New MexicoExcept for Government-Furnished Property (GFP), the Contractor shall furnish all personnel, supervision, management, equipment, materials, transportation, and supplies required to plan, schedule, coordinate, and ensure effective performance of all services necessary to provide facility operational support services for FLETC, Artesia. At AGL, the work you do every day makes a difference in the lives of our 15,000 Iñupiat shareholders, a group of Alaska natives from one of the most remote and harshest environments in the United States.
NewAcquisition Services Manager Salado Isolation Mining ContractorsAcquisition Services ManagerCarlsbad, NM$175,000–$250,000 / yearThis role is responsible for strategy and sourcing activities for subcontract acquisitions, including Capital Asset Project and minor construction subcontracts; analysis and due diligence in market research and risk assessment, working with finance, legal, and operations teams; negotiation and deal management at the subcontract level for negotiations on terms and pricing to secure favorable outcomes; project and team leadership to manage the end-to-end acquisition process, and manage cross functional teams. This role includes managing the work efforts of managers, supervisors and professionals; staffing, performance appraisals, pay reviews; making decisions based on project objectives and allocated resources; regular direct interaction with the customer, suppliers, functional and/or senior management on departmental/project matters; establishing, assuring, and reporting on adherence to budgets, schedules, work plans, and performance objectives; and, risk identification and resolution.
Safety Manager - Austin Industrial - (Artesia, NM) Austin Industries IncSafety Manager - Austin Industrial - (Artesia, NM)NMp>Austin Industrial provides premier self-perform maintenance, construction, and soft craft service to leading industrial companies across the U.S. An industry leader for more than 60 years, we offer single-source solutions to our customers in the oil, gas, chemical, food, agriculture, power, and manufacturing industries. To learn more about our employee-ownership structure, please go to https://www.austin-ind.com/our-company/100-employee-owned.
Risk Manager AECOMRisk ManagerCarlsbad, NMWe invite you to bring your bold ideas and big dreams and become part of a global team of over 50,000 planners, designers, engineers, scientists, digital innovators, program and construction managers, and other professionals delivering projects that create a positive and tangible impact around the world. • Extensive experience in the application of Quantitative Risk Analysis (QRA) techniques and tools, for example: @Risk and Primavera Risk Analysis (previously Pertmaster), including the analysis of complex logic-linked cost-loaded schedules.
Clinic Manager Goldbelt, Inc.Clinic ManagerArtesia, New Mexicop style="margin:0px">Goldbelt Government Services, LLC, an Alaska Native Corporation, offers an experienced and effective team providing high quality staff augmentation, administrative management, project/program management, and education and training services to all federal agencies. The Clinic Manager for this Federal Law Enforcement Training Center (FLETC) site is responsible for the day-to-day management, supervision, and operational execution of enterprise health unit services supporting federal law enforcement training programs.
Clinic Manager - RN, NP or PA VALOR HEALTHCARE, INC.Clinic Manager - RN, NP or PANMp>About Valor Healthcare: Valor Healthcare is a veteran- and physician-led provider of healthcare services for deserving, resilient patriots including those who serve or have served in the military as well as those who devote their careers to government service. Position Summary: The Clinic Manager will serve as the on-site management authority and primary government point of contact for all Health Unit operations at the FLETC Training Delivery Point (TDP).
Service Manager Archrock IncService ManagerCarlsbad, NMArchrock is a premier provider of natural gas compression services to customers in the energy industry throughout the U.S. and a leading supplier of aftermarket services to customers who own compression equipment. Expected to drive process improvements and to teach others to identify opportunities, provide ideas, methods and innovations and to implement improvements to enhance safety, teamwork, efficiency and quality.
Service Manager EquipmentShare.com IncService ManagerCarlsbad, NMp>As a Service Manager, you'll use our tech to create, assign, and monitor work orders, track machine service intervals, order parts, and diagnose issues faster by pulling data from hundreds of makes and models. Maintain and nurture existing customer relationships to ensure that our customers are 100% satisfied with the level of service and support they are receiving from EquipmentShare and are being kept up-to-date about new or additional ways in which EquipmentShare can help improve their business.
Service Manager Pump, Power & HVAC EquipmentShare.com IncService Manager Pump, Power & HVACCarlsbad, NMp>As a Service Manager, you'll use our tech to create, assign, and monitor work orders, track machine service intervals, order parts, and diagnose issues faster by pulling data from hundreds of makes and models. Maintain and nurture existing customer relationships to ensure that our customers are 100% satisfied with the level of service and support they are receiving from EquipmentShare and are being kept up-to-date about new or additional ways in which EquipmentShare can help improve their business.
NewService Manager EquipmentShareService ManagerCarlsbad, NMCoordination and supervision of quality performance of our equipment mechanics and service personnel* Scheduling repairs for customer and company owned rental equipment* Maintain and nurture existing customer relationships to ensure that our customers are 100% satisfied with the level of service and support they are receiving from EquipmentShare and are being kept up-to-date about new or additional ways in which EquipmentShare can help improve their business* Promptly respond to and resolve customer inquiries, requests, complaints or other communications* Employee training and development and maintaining a safe work environment* Other duties, assigned as neededWhy EquipmentShare? Superior customer service, teamwork and verbal/written communication skillsEducation and Experience:* High School diploma, Trade school certificate preferred* Experience in field service, maintenance and repair preferred* Experience leading maintenance teams* Valid driver's license with acceptable driving record.
Shift Manager Buffalo Wild Wings IncShift ManagerCarlsbad, NMp>Buffalo Wild Wings fuels moments worth sharing - for our guests and for our team members. You know what it takes to fuel moments worth sharing and have exceptional time management, attention to detail, and guest service skills.
NewService Manager Buffalo Wild Wings IncService ManagerCarlsbad, NM$22–$24.50 / hourli>You have a general knowledge of labor laws, health codes, safe food handling and sanitation, responsible alcohol service, safety and security systems and procedures, and computer operations. Actual placement within this range will vary based on various factors including but not limited to experience, education, training, and location.
NewGeneral Manager Buffalo Wild Wings IncGeneral ManagerCarlsbad, NM$80,000–$85,000 / yearli>You have a general knowledge of labor laws, health codes, safe food handling and sanitation, responsible alcohol service, safety and security systems and procedures, and computer operations. Actual placement within this range will vary based on various factors including but not limited to experience, education, training, and location.
Manager, Refinery Accounting HF Sinclair CorpManager, Refinery AccountingArtesia, NMDefine and guide refinery transaction processes to ensure consistency and proper accounting treatment • Reviews and/or performs certain fixed asset/project accounting functions • Assists preparation of studies, reports, and analyses in areas such as governmental requirements and statistical reports, Soloman studies, and internal/ external audit reporting • Maintains all required reporting work papers for Sarbanes Oxley compliance • Assists final consolidation and close in SAP • Reviews work related to accounts payable, liquid balance reporting, exchange reconciliation, pipeline transaction reporting and inventory reporting • Formulates procedures and policies, researching and enhancing the current Refinery accounting policies as needed, and administering approved accounting practices for assigned location • Oversees expense control and reporting, expense budgeting, analysis including variance explanations, cost control, cost control flashes and waste reduction • Special assignments or tasks assigned to the employee by their supervisor, as determined from time to time in their sole and complete discretion. budgets and capital expenditures • Reviews, analyzes and develops solutions for problems and variances arising within the department • Reviews crude or product inventories • Manage inventories, project accounting, and general accounting in the assigned area • Coordinate with auditors regarding refinery accounting issues • Responsible for ensuring that all refinery general ledger account balances are accurate and complete by (1) keeping up with day-to-day accounting transactions within the refinery to identify and capture any accounting impact and (2) processing monthly recurring journal entries related to energy consumption, royalty amortization, etc.
Warehouse Operations Manager SchneiderWarehouse Operations ManagerCarlsbad, NMThis diversity and openness ensures all associates have equal access to opportunities and resources to contribute fully to the organization's success, and it fuels innovation, improves strategic thinking and cultivates leadership. The Warehouse Operations Manager will coach warehouse associates while overseeing warehouse metrics related to safety, quality, productivity, cost control and customer service.
Territory Account Manager EquipmentShare.com IncTerritory Account ManagerCarlsbad, NM$150,000–$600,000 / yearli>Heavy Construction Equipment or Industry knowledge (rental or construction) with experience in B2B is sales preferred, but not required (if youre a born salesperson, well train you on what you need to know and how to win more business). Were hiring a Territory Account Manager at our rental facility in Carlsbad, NM, and were looking for someone whos ready to grow with us, bring energy and drive to their work, and help us build the future of construction.
Fast-Food Restaurant General Manager Popeyes Artesia Popeyes - Legacy ChickenFast-Food Restaurant General Manager Popeyes ArtesiaArtesia, NMFounded in New Orleans in 1972, Popeyes offers customers a taste of spicy, Cajun-style chicken and a variety of classic Southern sides. You take great pride in successfully running our chicken restaurant and maintaining a great work environment for your team!
Branch Manager Carlsbad Artesia Roswell Wells Fargo & CoBranch Manager Carlsbad Artesia RoswellCarlsbad, NMp>As a Branch Manager, you will serve as the sales leader of the branch, accountable for acquiring, deepening and retaining customer relationships to drive consistent growth in primary checking, deposits, lending, credit cards and investments through disciplined execution, strong coaching, and effective performance management. They are accountable for execution of all applicable risk programs (Credit, Market, Financial Crimes, Operational, Regulatory Compliance), which includes effectively following and adhering to applicable Wells Fargo policies and procedures, appropriately fulfilling risk and compliance obligations, timely and effective escalation and remediation of issues, and making sound risk decisions.
Part Sales Manager - Part Time AutoZone IncPart Sales Manager - Part TimeCarlsbad, NMAs permitted by state or local law, AutoZone may consider certain offenses to be relevant to positions responsible for conducting or overseeing financial transactions on behalf of AutoZone, driving company vehicles and/or supervision of minors. Parts Sales & Inventory Management - Lead efforts to exceed sales targets, optimize inventory levels, and ensure timely returns processing and merchandising.
Part Sales Manager - Full Time AutoZone IncPart Sales Manager - Full TimeArtesia, NMAs permitted by state or local law, AutoZone may consider certain offenses to be relevant to positions responsible for conducting or overseeing financial transactions on behalf of AutoZone, driving company vehicles and/or supervision of minors. Parts Sales & Inventory Management - Lead efforts to exceed sales targets, optimize inventory levels, and ensure timely returns processing and merchandising.
Area Manager, AMS Kodiak Gas Services IncArea Manager, AMSCarlsbad, NMThis position maintains customer relationships and works with Technicians and management to communicate, troubleshoot, and ensure the completion of safe, efficient, and economical day-to-day operations. Minimum 5 years' working experience in natural gas compression operations or a combination of OEM, trade school, or comparable work experience in a related field.
Fast-Food Restaurant Assistant Manager Popeyes - Legacy ChickenFast-Food Restaurant Assistant ManagerArtesia, NMFounded in New Orleans in 1972, Popeyes offers customers a taste of spicy, Cajun-style chicken and a variety of classic Southern sides. The one thing that hasn't changed throughout our history is our steadfast commitment to serving delicious food that does Louisiana proud!
General Manager - Burger King Carlsbad Burger KingGeneral Manager - Burger King CarlsbadCarlsbad, NMThe RGM operates under the direction of the District Manager and directly manages a team of an Assistant Manager, Hourly Shift Coordinators and Team Members (20-45 employees). Provides coaching and feedback to Team Members, Shift Coordinators, and Assistant Managers to increase the restaurant team's capabilities and raise restaurant performance.
General Manager - Burger King Artesia Burger KingGeneral Manager - Burger King ArtesiaArtesia, NMThe RGM operates under the direction of the District Manager and directly manages a team of an Assistant Manager, Hourly Shift Coordinators and Team Members (20-45 employees). Provides coaching and feedback to Team Members, Shift Coordinators, and Assistant Managers to increase the restaurant team's capabilities and raise restaurant performance.
Assistant Store Manager O'Reilly Automotive IncAssistant Store ManagerCarlsbad, NMSupervise the customer service levels on the retail showroom to include team member execution on customer service programs (Related sales, Hi5, Rock the Call, Never Say No, Rock the Lot, etc…) Work with the store manager to ensure the retail sales counter is adequately staffed, especially during peak retail business hours (lunch, late- afternoons, evenings, weekends, etc.) Assist the store manager in setting team member goals, providing feedback on goal achievement, coaching/mentoring team members, and making sure team members are staying current on their individual training. Perform all store opening/closing duties, including performing day end procedures, verifying/securing money/deposits according to company policy, preparing bank deposits as needed, ensuring all night security lights are on, locking doors and securing building, arming/disarming security alarms, and checking/securing/locking delivery vehicle(s) parked in a secure designated area.
Maintenance Manager Marathon Petroleum CorpMaintenance ManagerCarlsbad, NMDrives culture of production Centered Operations by ensuring successful implementation of production plan through planning, communication, and management of facility/area resources including the development and utilization of operational reporting and metrics. Oversees process for all maintenance crew activities by working with the Frontline Supervisors to develop and maintain weekly activity schedules for each team that ensures proper coverage and utilization of the techs in the most cost-effective manner.
Patient Experience Manager Community Health Systems IncPatient Experience ManagerCarlsbad, NMLeadership Responsibilities Qualifications Bachelor's Degree in relevant field required or Four (4) plus years of direct experience in lieu of a Bachelor's degree required Master's Degree preferred 2-4 years of experience in closely related field with Bachelor's degree required 2-4 years of previous leadership experience preferred Knowledge, Skills and Abilities Strong leadership, organizational, and communication skills. Licenses and Certifications Current active licensure in a clinical discipline (e.g., Registered Nurse or equivalent healthcare credential) required * Certified Patient Experience Professional (CPXP) obtained within 12 months of hire required.
Area Sales Manager Enhabit Home Health & HospiceArea Sales ManagerCarlsbad, New Mexicop style="margin:0px">With strong organizational stability, a commitment to excellence, and careers rooted in purpose, Enhabit empowers team members to build forward-moving careers while expanding what’s possible for care in the home. Enhabit in activities involving professional relationships with physicians, hospitals, public health agencies, nurses' associations, state and county medical societies to apprise them of the availability of services.
Restaurant General Manager Taco Bell CorpRestaurant General ManagerCarlsbad, NMp>nntttttnttttttntttttttLocationn 1220 West Pierce St. Carlsbad, NM, United StatesnnttttttnnttttttntttttttCareer AreantttttttRestaurant ManagementnttttttnnttttttntttttttJob IDnttttttt#P1-2054253-2nttttttnnttttttntttttttCompanyntttttttDesert De Oro Foods Inc - Taco Bellnttttttn nttttttntttttttDate Postednttttttt05/22/2026nttttttntttttnnttttt. nttttntttttnttttttntttttnttttnttttntttttnttttttFind a job near menttttttnn n nnntttttnttttnttt.
Restaurant General Manager Opportunity - Competitive Salary $50K-$70K Taco Bell CorpRestaurant General Manager Opportunity - Competitive Salary $50K-$70KCarlsbad, NM$50,000–$70,000 / yearp>nntttttnttttttntttttttLocationn 1220 West Pierce St. Carlsbad, NM, United StatesnnttttttnnttttttntttttttCareer AreantttttttRestaurant ManagementnttttttnnttttttntttttttJob IDnttttttt#P1-4645650-1nttttttnnttttttntttttttCompanyntttttttDesert De Oro Foods Inc - Taco Bellnttttttn nttttttntttttttDate Postednttttttt05/22/2026nttttttntttttnnttttt. nttttntttttnttttttntttttnttttnttttntttttnttttttFind a job near menttttttnn n nnntttttnttttnttt.
Foodservice Manager Maverik Inc.Foodservice ManagerArtesia, NM$18.47–$20.47 / hourInterpersonal & Communication Skills:Engage effectively with Team Members and provide outstanding customer experiences through strong communication skills. Effective Problem Solving: Possess strong problem-solving skills with the ability to recognize & analyze an issue while creating effective solutions.
NewAssistant Manager Sunbelt Rentals IncAssistant ManagerCarlsbad, NM$71,269–$97,995.70 / yearPlease visit https://www.sunbeltrentals.com/careers/ for more information on our benefits and to join our Talent Network. Assess daily the need for purchasing equipment through feedback from salesman, CSRs, customer feedback, vendor representatives and marketing department product managers.
General Manager EquipmentShare.com IncGeneral ManagerArtesia, NMWe're hiring a General Manager at our rental facility in Artesia, NM, and we're looking for someone who's ready to grow with us, bring energy and drive to their work, and help us build the future of construction. Monitor metrics including, but not limited to: equipment utilization; underperforming assets; warranty recovery; billed mechanical hours; aged receivables and customer satisfaction.
Area Sales Manager Enhabit IncArea Sales ManagerCarlsbad, NMp>With strong organizational stability, a commitment to excellence, and careers rooted in purpose, Enhabit empowers team members to build forward-moving careers while expanding what's possible for care in the home. Responsibilities include: Represent Enhabit in activities involving professional relationships with physicians, hospitals, public health agencies, nurses'' associations, state and county medical societies to apprise them of the availability of services.
Assistant Manager I Dollar Tree IncAssistant Manager ICarlsbad, NMli>Responsible for maintaining the cleanliness throughout the store, including cleaning and restocking bathrooms, sweeping and mopping floors, taking out the trash, and ensuring all areas are neat and presentable. Process all corporate directives including Pull and Hold/Destroy, Task Compliance, Key Survey information requests and any additional communications related to store activities.
NewClinic Manager InGenesisClinic ManagerArtesia, NMAs the industry landscape shifts with new challenges in patient care, quality and compliance requirements, workforce retention, and operational efficiencies, we deliver strategic, data-driven solutions that include redefining workforce management and clinical service delivery. The Clinic Manager serves as the Contractor’s primary Point of Contact (POC) with the Government at the Artesia location and has authority to speak and act on behalf of clinic staff in matters related to contract performance.
Store Manager - Famous Footwear Caleres IncStore Manager - Famous FootwearCarlsbad, NMfrom floor level to above shoulder height utilizing appropriate equipment and safety techniques; Ability to meet demands of frequent walking, standing, stooping, kneeling, climbing, pushing, pulling, and repetitive lifting; Ability to be mobile on the sales floor for extended periods of time. You'll dedicate time to develop internal talent by assessing associates' strengths and opportunities, motivating new levels of greatness by modeling the selling behaviors and infusing coaching moments to power our Customer Connection.
Warehouse Operations Manager Schneider National IncWarehouse Operations ManagerCarlsbad, NMThis diversity and openness ensures all associates have equal access to opportunities and resources to contribute fully to the organization's success, and it fuels innovation, improves strategic thinking and cultivates leadership. The Warehouse Operations Manager will coach warehouse associates while overseeing warehouse metrics related to safety, quality, productivity, cost control and customer service.
Pharmacy Manager Walgreen CoPharmacy ManagerCarlsbad, NM$5,863.20–$7,354.20 / weekWalgreens has approximately 220,000 team members, including nearly 90,000 healthcare service providers, and is committed to being the first choice for pharmacy, retail and health services, building trusted relationships that create healthier futures for customers, patients, team members and communities. Models and shares customer service best practices with all team members to deliver a distinctive and joyful patient experience, including interpersonal habits that show care (e.g., greeting, eye contact, courtesy, etc.) and Walgreens service traits (e.g., demonstrating curiosity to identify needs and proactively helping, servicing until satisfied, championing empathy and inclusivity, etc.).
Store Manager in Training Yesway CareersStore Manager in TrainingCarlsbad, New Mexicodiv>ESSENTIAL FUNCTIONS: (other duties may be assigned) Assist the Store Manager with management responsibilities including training and development of employees and store responsibilities; Scheduling employees for shifts; Resolving store issues including customer concerns; Ensure compliance with all required regulations and requirements; Assist with audits and proper placement and stocking of merchandise; Ensure hospitality for all store guests by overseeing timely guest transactions; and. REQUIREMENTS: (Equivalent combinations of education, licenses, certifications and/or experience may be considered) EducationHigh School Diploma or GED required.
Assistant Store Manager Yesway CareersAssistant Store ManagerArtesia, New Mexicodiv>ESSENTIAL FUNCTIONS: (other duties may be assigned) Assist the Store Manager with management responsibilities including training and development of employees and store responsibilities; Scheduling employees for shifts; Resolving store issues including customer concerns; Ensure compliance with all required regulations and requirements; Assist with audits and proper placement and stocking of merchandise; Ensure hospitality for all store guests by overseeing timely guest transactions; and. REQUIREMENTS: (Equivalent combinations of education, licenses, certifications and/or experience may be considered) EducationHigh School Diploma or GED required; and.
Commercial Account Manager WaFd Insurance WaFd IncCommercial Account Manager WaFd InsuranceCarlsbad, NMAlong with the key functions listed below, each position will be expected to uphold the value that WaFd Bank places on simply being kind when servicing our co-workers and WF clients. Experience in all aspects of servicing commercial accounts (billing, endorsements, certificates, etc.) as well as marketing both new business and renewals.
Commercial Account Manager - WaFd Insurance WaFd BankCommercial Account Manager - WaFd InsuranceCarlsbad, New Mexicop style="margin:0px">WaFd Bank Benefits Summary - Click here for more information. Along with the key functions listed below, each position will be expected to uphold the value that WaFd Bank places on simply being kind when servicing our co-workers and WF clients.Responsible for managing a commercial lines book of business and assisting two producers with their accounts.
Shift Manager Taco Bell CorpShift ManagerCarlsbad, NMp>Shift Manager Carlsbad, NM Location 1220 West Pierce St., Carlsbad, NM, United States Career Area Restaurant Management Job ID #P1-2053815-3 Company Desert De Oro Foods Inc - Taco Bell. Day-to-Day: Ensure consistent customer satisfaction by executing the MIC (Manager in Charge) Success Routine and prioritizing customer needs.
Area Sales Manager - Hospice Enhabit Home Health & HospiceArea Sales Manager - HospiceCarlsbad, NMWith strong organizational stability, a commitment to excellence, and careers rooted in purpose, Enhabit empowers team members to build forward-moving careers while expanding what’s possible for care in the home. Represent the branch in activities involving professional contacts with physicians, hospitals, facilities, senior living communities, professional associations, and similar health groups and institutions, to apprise them of the availability of Medicare services.