Manager, GMP Quality Assurance - Clinical, QA - Remote Agios PharmaceuticalsManager, GMP Quality Assurance - Clinical, QA - RemotePhiladelphia, PARemote$110,029–$165,044 / yearThe current base salary range for this position is expected to be between $110,029 and $165,044 annualized; final salary will be determined based on various factors including, but not limited to, years of relevant experience, job knowledge, skills and proficiency, degree/education, and internal comparators. The Manager, GMP Quality Assurance, Clinical will be responsible for responsible for supporting and maintaining high quality levels on Agios Drug Substance and Drug Product by Contract Manufacturing Organizations (CMOs).
CQA Vendor Oversight and Quality Assurance Lead (US) CSL BehringCQA Vendor Oversight and Quality Assurance Lead (US)King of Prussia, PAWe use three strategic scientific platforms of plasma fractionation, recombinant protein technology, and cell and gene therapy to support continued innovation and continually refine ways in which products can address unmet medical needs and help patients lead full lives. Focused on serving patients’ needs by using the latest technologies, we discover, develop and deliver innovative therapies for people living with conditions in the immunology, hematology, cardiovascular and metabolic, respiratory, and transplant therapeutic areas.
GLP Vendor Oversight and Quality Assurance Lead CSL BehringGLP Vendor Oversight and Quality Assurance LeadKing of Prussia, PAWe use three strategic scientific platforms of plasma fractionation, recombinant protein technology, and cell and gene therapy to support continued innovation and continually refine ways in which products can address unmet medical needs and help patients lead full lives. Focused on serving patients’ needs by using the latest technologies, we discover, develop and deliver innovative therapies for people living with conditions in the immunology, hematology, cardiovascular and metabolic, respiratory, and transplant therapeutic areas.
NewSr. Manager Quality Management L3Harris TechnologiesSr. Manager Quality ManagementCamden, NJThis Manager represents QA on Material Review Board (MRB) and Configuration Control Board (CCB); performs root cause analysis and implements corrective and preventive actions. Lead Material Review Board and Corrective Action Board, including disposition of non-conforming hardware, containment requirements, root cause and corrective action to prevent recurrence and evaluate effectiveness.
Assurance Manager bdo consultingAssurance ManagerPhiladelphia, PA$120,000–$140,000 / yearTraditionally responsibilities of the Assurance Manager will include advising the client on various economic and regulatory risks within their industry, resolving complex accounting issues, apply GAAP and GAAS consistently within complex situations, writing technical consultation memos on GAAP / GAAS issues, and documenting, validating, testing, and assessing various financial reporting control systems. The annual allocation to the ESOP is fully funded by BDO through investments in company stock and grants employees the chance to grow their wealth over time as their shares vest and grow in value with the firm’s success, with no employee contributions.
Senior Testing and Quality Engineer Waters CorporationSenior Testing and Quality EngineerNew Castle, DEResponsibilities include leading investigations into product non-conformances, reporting quality system metrics, supporting product transfers into production, and driving improvement activities and projects related to product and process quality. This individual will report to the Quality Engineering Manager and is responsible for supporting the Material Sciences QMS Processes, Product Quality, and the nonconforming product process within the New Castle, Delaware Manufacturing facility.
NewTravel Physical Therapist (PT) Fusion Medical StaffingTravel Physical Therapist (PT)Cynwyd, PAEducate patients and caregivers on home exercise programs, proper body mechanics, injury prevention strategies, and self-management techniques to promote long-term functional recovery. Working in settings such as hospitals, clinics, and rehabilitation centers, they create personalized, evidence-based treatment plans using exercise and manual therapy to help patients recover and become independent.
Director of Quality West Pharmaceutical ServicesDirector of QualityExton, PAWest solved the problem of supplying penicillin in mass quantities to the US Government during World War 2. Through our work to deliver thousands of life-saving and life-enhancing injectable medicines to millions of patients daily, West’s indelible mark on the healthcare industry has just begun. Reporting to the Senior Director of Quality, this role is accountable for driving cross-site harmonization and operational excellence across three manufacturing sites, with explicit governance responsibility for change control and document management processes.
Senior Highway Engineer HARDESTY & HANOVERSenior Highway EngineerHamilton Township, NJThe successful candidate will support complex transportation projects involving geometric design, grading, drainage, construction staging, maintenance, and protection of traffic, access design, and right-of-way coordination. This role includes project management and technical leadership responsibilities, including oversight of project scope, schedule, budget, and coordination of multidisciplinary design teams.
NewQuality Engineer PlanIT GroupQuality EngineerKing of Prussia, PAApplies quality principles in the areas of: design, incoming material, production control, product evaluation, program performance, reliability, inventory control, and/or research and development as they apply to product or process quality for make and/or buy products. • Experience in one of the following disciplines: Quality Engineering, Systems Engineering, Materials Process Engineering, Mechanical Engineering or Manufacturing Engineering.
NewBIM Manager JobotBIM ManagerPhiladelphia, PARemote$100,000–$135,000 / yearThis individual must be capable of evaluating complex projects and determining the most effective model structure, consultant integration strategy, work-sharing environment, file organization approach, and coordination workflow to support successful project execution. Information 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.
Project Manager - Industrial JobotProject Manager - IndustrialExton, PA$100,000–$145,000 / 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. This role is the single point of contact for customers, coordinating engineering, procurement, fabrication/manufacturing, quality, field service, and logistics to meet contractual obligations and drive customer satisfaction.
QA/QC Manager - Mechanical JobotQA/QC Manager - MechanicalHorsham, PA$130,000–$140,000 / yearWith decades of experience delivering innovative mechanical, electrical, and plumbing (MEP) solutions, they specialize in complex, large-scale projects across industries including healthcare, data centers, commercial, and industrial facilities. Information 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.
NewClinical Operations Manager (RN/BSN) - Community Health Mitchell MartinClinical Operations Manager (RN/BSN) - Community HealthPhiladelphia, PA$101,000–$113,000 / yearBy applying for this job, you agree to receive AI-generated calls, text messages, and/or emails from Mitchell Martin Inc and its affiliates and contracted partners at various frequency through traditional and automated methods. • Are you a BSN-prepared RN who enjoys leading teams, improving clinical operations, and making a difference in your community?.
Estimator - Heavy Highway JobotEstimator - Heavy HighwayPilesgrove, NJ$100,000–$170,000 / 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 play a critical role in our team, providing accurate and competitive estimates for heavy highway projects, including roads, bridges, and other infrastructure.
NewChief Medical Officer JobotChief Medical OfficerPottstown, PA$260,000–$300,000 / yearReporting directly to the CEO, the CMO will play a critical role in shaping clinical strategy, ensuring quality outcomes, and inspiring a team of dedicated providers who deliver compassionate, patient-centered care to all — regardless of insurance status or ability to pay. Information 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.
NewCNC Operator JobotCNC OperatorUpper Gwynedd, PA$31–$35 / hourInformation 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. Programming Expertise: Program mills by entering detailed instructions, setting tool registers, offsets, and compensation, with a strong grasp of geometric dimensions, tolerances, and basic math principles.
NewNew Development Program Manager L3Harris TechnologiesNew Development Program ManagerCamden, NJ$153,000–$284,000 / yearThe PM will have a unique end-to-end life cycle management opportunity to leverage decades of L3Harris experience in C5ISR and Navigation & Machinery Control solutions to shape next generation solutions with customers, build a portfolio of new business, and own its profitability in execution. About L3Harris Technologies: L3Harris Technologies is an agile global aerospace and defense technology innovator, delivering end-to-end solutions that meet customers’ mission-critical needs.
Construction Resident Engineer The LiRo GroupConstruction Resident EngineerCherry Hill, NY$80–$95 / hourRecently, Global Infrastructure Solutions Inc. (GISI), the parent company of The LiRo Group and Hill International, Inc. consolidated a portion of the highly experienced staff of both LiRo and Hill in the Northeast to create a larger, more efficient, and cost-effective team to serve clients. We work hard to build a corporate culture that empowers all our employees to freely share their ideas, know their presence, and contributions are truly valued, fostering a climate where our employees are enabled to maximize their full potential.
NewDigital Operations - Digital Marketing Specialist ECLARODigital Operations - Digital Marketing SpecialistLawrence Township, NJ$69.48–$73.69 / hourPosition Overview: The US Content Production Manager serves as a pivotal strategic and operational partner within a highly matrixed organizational framework, working in close alignment with Brand and Omnichannel Strategy teams. This position requires continuous collaboration with internal stakeholders and external agency partners including creative, production, and digital execution vendors to enable efficient workflows, timely asset delivery, and consistent brand fidelity.
NewGRA CMC Specialist CSL BehringGRA CMC SpecialistKing of Prussia, PASupport the collaboration with CSL’s Corporate & External Affairs organization to support legislative and statutory initiatives to allow CSL to take an active leadership role in shaping policy and regulatory frameworks that impact the development, registration, and life-cycle management of plasma-derived therapies. Ensures Accountability: Follows through on commitments and makes sure others do the same; Acts with a clear sense of ownership; Takes personal responsibility for decisions, actions, and failures; Establishes clear responsibilities and processes for monitoring work and measuring results; Designs feedback loops into work.
NewTravel Occupational Therapist (OT) Fusion Medical StaffingTravel Occupational Therapist (OT)Phoenixville, PAThe Occupational Therapist (OT) provides comprehensive, evidence-based therapeutic interventions to help patients develop, recover, and enhance the skills necessary for independent daily living. Working across diverse settings, the OT evaluates patient needs, diagnoses functional limitations, and designs individualized treatment plans tailored to each patient‘s unique goals.
Digital Marketing Specialist ECLARODigital Marketing SpecialistLawrence Township, NJ$81.74–$86.69 / hourIf needed, lead internal MLR review processes and work with external partners to ensure timely and accurate preparation of digital programs (e.g., CRM, third-party programs, HCP media, websites, mobile, email, social media, SEO / SEM, IVA, Field-Trigger e-mails, etc.). Position Overview: The Omnichannel Strategist serves as a dedicated point-of-contact for a brand, their creative, digital and media agencies, ensuring seamless planning and execution of omni-channel campaigns / tactics aligned to the brand strategy.
NewBUS ANAL - Senior Specialist AI & Data Solutions ECLAROBUS ANAL - Senior Specialist AI & Data SolutionsLawrence Township, NJ$58.78–$62.34 / hourPosition Overview: This role serves as the Web Delivery Lead within the Global Digital Engagement Platforms team, responsible for leading the end-to-end delivery of enterprise websites built on the Adobe Experience Manager (AEM) platform. Beyond traditional delivery leadership, this role demands a builder's mindset someone who can architect automation solutions, train and fine-tune AI models for content operations, and embed intelligent capabilities into the web delivery lifecycle.
Principal Regulatory Affairs Project Manager, Medical Devices West Pharmaceutical ServicesPrincipal Regulatory Affairs Project Manager, Medical DevicesExton, PAWest solved the problem of supplying penicillin in mass quantities to the US Government during World War 2. Through our work to deliver thousands of life-saving and life-enhancing injectable medicines to millions of patients daily, West’s indelible mark on the healthcare industry has just begun. Drive end-to-end regulatory project execution for high-impact programs, from early development through post-market activities, ensuring timely delivery of key milestones, proactive risk management, and strategic decision-making.
NewTravel Physical Therapy Assistant (PTA) Fusion Medical StaffingTravel Physical Therapy Assistant (PTA)Hammonton, NJThe Physical Therapy Assistant (PTA) works under the supervision of a Physical Therapist to help implement treatment plans that improve patients‘ mobility, reduce pain, and enhance functional independence. They document patient progress, educate patients on home exercise programs, and collaborate with the healthcare team to support optimal recovery and overall quality of life.
NewMedical Director Saint Francis LIFE - Trinity Health PACE Trinity HealthMedical Director Saint Francis LIFE - Trinity Health PACEWilmington, DEThis role provides leadership in medical policy development, supervises Primary Care Providers (PCPs), and collaborates with interdisciplinary teams to ensure optimal care for seniors. The Medical Director oversees participant care, ensuring high-quality clinical outcomes and leading the Quality Assurance Performance Improvement (QAPI) program.
NewSenior Project Manager (Custom Software & Healthcare) JobotSenior Project Manager (Custom Software & Healthcare)Philadelphia, PA$120,000–$200,000 / 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. Rather than supporting a single product, you'll partner with innovative healthcare organizations to design and deliver technology that improves patient experiences, provider workflows, and healthcare outcomes.
NewSr Plumbing Design Engineer JobotSr Plumbing Design EngineerPhiladelphia, PARemote$100,000–$150,000 / 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. Our National Division operates as a fully remote team focused on Pharmaceutical Manufacturing, Life Sciences, Healthcare, Hospitals, Advanced Manufacturing, Mission-Critical Facilities, and High-End Commercial Projects.
Catering Manager - West Chester University AramarkCatering Manager - West Chester UniversityWest Chester, PAProvide completed Banquet Event Orders to team and provide quality assurance all requests are met prior to event. So, no matter what you're pursuing - a new challenge, a sense of belonging, or just a great place to work - our focus is helping you reach your full potential.
Clinical Director BCBA JobotClinical Director BCBAPhiladelphia, PA$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.
Physical Therapist School 2026-2027 SY Epic Special Education StaffingPhysical Therapist School 2026-2027 SYLambertville, NJ$33.75–$38.81We’re offering a $2,000 Completion Bonus for eligible clinicians and educators who commit to and complete their full school year assignment (30+ hours/week), plus the opportunity to earn up to $3,000 in referral bonuses. Epic Special Education Staffing is partnering with an exceptional school district who is looking for a contract School Physical Therapist for the 2026 - 2027 school year.
Physical Therapist School ESY Epic Special Education StaffingPhysical Therapist School ESYSaint Georges, DE$40.50–$46.58We’re offering a $2,000 Completion Bonus for eligible clinicians and educators who commit to and complete their full school year assignment (30+ hours/week), plus the opportunity to earn up to $3,000 in referral bonuses. Epic Special Education Staffing is partnering with an exceptional school district who is looking for a contract School Physical Therapist for the 2025 - 2026 ESY school year.
NewManager, Strategic Change Management KPMGManager, Strategic Change ManagementPhiladelphia, PAExperience designing and leading initiatives business transformation projects based on a deep understanding of business processes, project management methodologies and leading practices in Organizational Development, Learning & Development, Change Leadership and Strategic Change Management; Experienced in a variety of business transformations including AI Adoption, Digital / ERP, M&A, Cost-Takeout, Portfolio Change Capability Builds / Change Office, Global Business Services / Outsourcing, etc. Serve as the primary change lead for client engagements; Diagnose organizational readiness and change impacts across stakeholders, roles, and processes; Design integrated change strategies covering leadership alignment, stakeholder engagement, communications, training / capability upskilling, and adoption measurement; Translate business strategy into clear change narratives and actionable execution plans.
NewTravel Speech Language Pathologist (SLP) Fusion Medical StaffingTravel Speech Language Pathologist (SLP)Ewing, NJEducate patients, families, and caregivers on effective communication strategies, home-based exercises, and safe swallowing practices, while offering supportive counseling as required. Working in a variety of settings, the SLP develops and implements individualized treatment plans aimed at enhancing speech, language, and cognitive-communication abilities.
Catering & Premium Service Manager AramarkCatering & Premium Service ManagerPhila, PAProvide completed Banquet Event Orders to team and provide quality assurance all requests are met prior to event. So, no matter what you're pursuing - a new challenge, a sense of belonging, or just a great place to work - our focus is helping you reach your full potential.
Auditor - GLP CSL BehringAuditor - GLPKing of Prussia, PATrend Analysis: Identify non-compliance trends and systematic risks within the Non-clinical (GRLP/GLP/GCLP) discipline, communicating these findings to line management and clinical functional leads to ensure trial robustness. We use three strategic scientific platforms of plasma fractionation, recombinant protein technology, and cell and gene therapy to support continued innovation and continually refine ways in which products can address unmet medical needs and help patients lead full lives.
Auditor - GVP CSL BehringAuditor - GVPKing of Prussia, PAWe use three strategic scientific platforms of plasma fractionation, recombinant protein technology, and cell and gene therapy to support continued innovation and continually refine ways in which products can address unmet medical needs and help patients lead full lives. Trend Analysis: Identify non-compliance trends and systematic risks within the PV discipline, communicating these findings to line management and functional leads to support PV system health and protect the integrity of the PSMF documenting it.
NewPrimary Care Physician Trinity HealthPrimary Care PhysicianPhiladelphia, PAUnder the supervision of the medical director, the Primary Care physician (PCP) provides primary medical care to PACE Organization (PO) participants, including assessment, development of a plan of care in collaboration with the interdisciplinary team, provision of direct participant medical care, and evaluation of effectiveness of the plan of care. Advise the Medical Director in ways and means to establish better accountability of PO services to participants and referral sources, keeps Medical Director aware of needed material and human resources as program expands.
Auditor - GCP CSL BehringAuditor - GCPKing of Prussia, PAWe use three strategic scientific platforms of plasma fractionation, recombinant protein technology, and cell and gene therapy to support continued innovation and continually refine ways in which products can address unmet medical needs and help patients lead full lives. Trend Analysis: Identify non-compliance trends and systematic risks within the Clinical (GCP) discipline, communicating these findings to line management and clinical functional leads to ensure trial robustness.
Project Manager Keller North America, Inc.Project ManagerPhiladelphia, PA$110,000–$125,000 / yearAssembles proposals which includes performing risk assessment, evaluating opportunities to increase profit, estimating, engineering, technical writing, site visits and client Q & A.• Responsible for negotiation of the contract and understanding the contract requirements.• By connecting global resources and local experience, Keller develops innovative, practical, and cost-effective solutions to geotechnical challenges.
NewProduction Program Manager L3Harris TechnologiesProduction Program ManagerCamden, NJ$92,500–$171,500 / yearJob Description: The Production Program Manager oversees all efforts relating to contract execution and is responsible for planning, executing, and monitoring projects from beginning to end, according to strict deadlines and budgets. Utilize program management tools to monitor and report program performance to objectives (including budget, schedule, and other management requirements) and facilitate program coordination and decision-making.
NewPhysician - Orthopedic Surgery - Hand Surgery Capital HealthPhysician - Orthopedic Surgery - Hand SurgeryPennington, NJCapital Health Medical Group is seeking a Hand Surgeon to provide comprehensive evaluations, surgical and non-surgical treatments, and follow-up care for patients with conditions affecting the hand, wrist, forearm, and peripheral upper extremity nerve structures. This role includes outpatient clinic, inpatient consultative services, emergency call coverage, and collaboration with a multidisciplinary team to provide high-quality, patient-centered care.
NewAssistant Medical Director - Anesthesiology - Up to $150K Sign On Bonus! - Mercy Fitzgerald Hospital VituityAssistant Medical Director - Anesthesiology - Up to $150K Sign On Bonus! - Mercy Fitzgerald HospitalDarby, PAStrong interpersonal and leadership skills; ability to motivate physicians and non-physicians, manage multiple assignments, work successfully with a diversity of people and locations, maintain good working relationships; Supportive team member; Ability to establish effective relationships quickly with both clients and non-clients preferred. Develop relationships with appropriate outpatient resources such as skilled nursing facilities, sobering centers, urgent care centers, primary care physicians, and mental health crisis centers.
Senior Manager, Regulatory Affairs West Pharmaceutical ServicesSenior Manager, Regulatory AffairsExton, PAWest solved the problem of supplying penicillin in mass quantities to the US Government during World War 2. Through our work to deliver thousands of life-saving and life-enhancing injectable medicines to millions of patients daily, West’s indelible mark on the healthcare industry has just begun. This role serves as a key bridge between regulatory experts, quality, commercial teams, and external clients to enable consistent, high‑quality execution of contracted regulatory deliverables.
NewTravel Nurse RN - Geriatrics / Skilled Nursing Facility - $1,680 to $1,712 per week in Langhorne, PA TalentBurst, Inc.Travel Nurse RN - Geriatrics / Skilled Nursing Facility - $1,680 to $1,712 per week in Langhorne, PALanghorne, PA$1,680–$1,712Summary: Under the direction of the RN Nursing Supervisor, Unit Manager, ADON or ADON – Unit, or Center Nurse Executive (Nurse Leader), the Registered Nurse (RN) delivers efficient and effective nursing care while achieving positive clinical outcomes and patient/family satisfaction. He/she operates within the scope of practice defined by the State Nurse Practice Act and delegates aspects of patient care to LPNs and CNAs consistent with their scope of practice.
Business Analyst Senior Manager, DT&I (Partnership) bdo consultingBusiness Analyst Senior Manager, DT&I (Partnership)Philadelphia, PA$170,000–$240,000 / yearThe annual allocation to the ESOP is fully funded by BDO through investments in company stock and grants employees the chance to grow their wealth over time as their shares vest and grow in value with the firm’s success, with no employee contributions. Eight (8) or more years of experience as a business analyst, project coordinator, project manager, business manager, technical writer, technical support, or systems analyst, required.
NewTravel Nurse RN - Intermediate Care - $2,097 per week in Philadelphia, PA Magnet MedicalTravel Nurse RN - Intermediate Care - $2,097 per week in Philadelphia, PAPhiladelphia, PA$2,097As an Intermediate Care (IMC) Registered Nurse (RN), you will provide specialized nursing care to patients who require a higher level of monitoring and intervention than general medical-surgical patients but do not require intensive care unit (ICU) level care. Emergency Response and Crisis Management: Respond to medical emergencies and crises within the IMC unit, initiating rapid interventions and stabilizing patients until higher-level care can be provided if needed.
NewCommercial Project Manager - Central NJ Page GroupCommercial Project Manager - Central NJTrenton, NJ$90,000–$110,000 / yearFull timeThis Central New Jersey-based General Contractor is a recognized leader in the commercial construction market with a strong portfolio of healthcare, education, industrial, and corporate projects. Backed by a loyal client base and a robust backlog of work, the company is seeking an experienced Project Manager to join its growing team.
Family Nurse Practitioner (FNP) | PRN Health Risk Assessments | Mercer County, NJ HarmonyCaresFamily Nurse Practitioner (FNP) | PRN Health Risk Assessments | Mercer County, NJHamilton, NJBoard certification in one of the following: American Nurses Credentialing Center (ANCC), American Association of Nurse Practitioners (AANP) or National Commission on Certification of Physician Assistants (NCCPA). HarmonyCares employs more than 200+ primary care providers to deliver patient-centered care under an integrated, team-based, physician-driven model.