Senior Manager Parcel Insights & Pricing Ryder System IncSenior Manager Parcel Insights & PricingDes Moines, IACompensation Information: The compensation offered to a candidate may be influenced by a variety of factors, including the candidates relevant experience; education, including relevant degrees or certifications; work location; market data/ranges; internal equity; internal salary ranges; etc. Employee development and supervision: Assist in planning staffing requirements, hiring (internal & external), work plan development, employee training and development, employee review and performance appraisals, provide overview and direction on projects, facilitate the flow of work and communication between analysts.
Life Sciences MedTech Supply Chain, Management Consulting Manager Accenture PlcLife Sciences MedTech Supply Chain, Management Consulting ManagerDes Moines, IAWe work with C-suite executives, leaders, and boards of the world's leading organizations, helping them reinvent every part of their enterprise to drive greater growth, enhance competitiveness, implement operational improvements, reduce cost, deliver sustainable 360° stakeholder value, and set a new performance frontier for themselves and the industry in which they operate. We work with our pharmaceutical, biotech, medical technology, distributor, and consumer health clients globally to redefine the future of the Life Sciences industry: combining the latest technology with scientific breakthroughs to revolutionize how medical treatments are discovered, developed, and delivered to patients around the world.
Oracle EPM (PBCS~PCMCS) Manager Deloitte Touche Tohmatsu LtdOracle EPM (PBCS~PCMCS) ManagerDes Moines, IA$134,500–$265,100 / yearDeloitte's Finance Transformation offering helps finance and global business services leaders navigate an increasingly challenging environment marked by disruptive tech like AI, market uncertainty, and regulatory change, and recognize the opportunity to better serve the enterprise, shareholders, customers, and regulators. The wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
Systems Account Manager Trane Technologies PlcSystems Account ManagerGrimes, IA$72,600–$143,220 / yearDL NUMBER - Driver License, Valid and in State Must possess a valid driver's license for a minimum of 12 months, with no major or frequent traffic violations included, but not limited to: DUI, Hit & Run, License Suspension, Reckless/Careless Driving or multiple smaller infractions or preventable collisions in the previous 3 years. In this role, you are primarily responsible for delivering on our business strategy by developing long-term customer relationships with consulting engineers, contractors, and building owners with a focus on providing customers a total solution for the most energy efficient buildings.
Strategic Account Manager - Cold Storage, Commercial Roofing Amrize LtdStrategic Account Manager - Cold Storage, Commercial RoofingIARemoteWe're seeking a Strategic Account Manager - Cold Storage, Commercial Roofing who's ready to be part of a people-first company offering best-in-class products, exceptional training, and deep industry pride-all built to help our partners and team succeed. This role focuses on building deep relationships with major owners, developers, design firms, and contractors involved in cold chain infrastructure-ensuring roofing systems meet stringent thermal performance, moisture control, and durability requirements.
Sales Manager Sales - Outside Sales Builders FirstSource IncSales Manager Sales - Outside SalesIAResponsibilities include interviewing, hiring, and training team members; planning, assigning, and directing work; appraising performance; rewarding and disciplining team members; addressing complaints and solving problems. Represents company (committee participation, board membership, etc) at trade or professional association meetings or shows to promote Builders FirstSource products and services.
(USA) Emerging Store Manager - SC Walmart(USA) Emerging Store Manager - SCIowaBachelor's degree in management, business administration, retail management, financial management and 3 years' experience in a management role with financial accountability in a retail or multi-unit environment., Bachelor of Science in Business Management and Leadership through Live Better U and Bellevue University, Demonstrated willingness and ability to relocate within assigned region for Store Manager placement.,
Strategic Account Manager - Data Centers, Commercial Roofing Amrize LtdStrategic Account Manager - Data Centers, Commercial RoofingIARemoteWe're seeking a Strategic Account Manager - Data Centers, Commercial Roofing who's ready to be part of a people-first company offering best-in-class products, exceptional training, and deep industry pride-all built to help our partners and team succeed. This role focuses on building deep relationships with major data center owners, developers, general contractors, architects, consultants, and engineering firms to position the company as the preferred roofing partner for high-performance, high-reliability environments.
Territory Manager (Western Iowa) HalterTerritory Manager (Western Iowa)IowaYour day-to-day could include being on horseback, helping customers gather their cattle, on a side-by-side traversing their pastures, talking about how Halter could benefit their pastures, or attending industry events like CattleCon or your local Livestock Association meetups. Prospecting New Business: You’re driving up driveways, attending local cattle auctions, meeting with your local Livestock, Cattlemans, Stockmans associations, building your new business pipeline through outbound lead generation efforts.
Commercial Construction Assistant Project Manager HITT ContractingCommercial Construction Assistant Project ManagerDallas, IowaGather data, interpret it into meaningful information, and relay that information through clear, concise communication strategies; ability to see how pieces and processes fit into and affect the bigger picture/business model. An Assistant Project Manager (APM) obtains, evaluates, coordinates and distributes the information and authorizations necessary to construct projects on time, within budget and to the quality specified.
Assistant Store Manager BootBarn.comAssistant Store ManagerWest Des Moines, IAEnsure appropriate merchandise stock levels, merchandise adjacencies and presentations, signing and assortments to meet the needs of your customer along with adhering to all Company visual presentation guidelines. The Assistant Store Manager is an essential part of the store leadership team and is responsible for collaborating with the Store Manager to cultivate and maintain an environment that supports the Boot Barn Mission, Vision, and Values.
Pharmacist - Clinical Program Manager - Specialty Pharmacy CVS Health CorpPharmacist - Clinical Program Manager - Specialty PharmacyIARemote$135,575–$228,800 / yearUtilize market intelligence, clinical trends/projections, client requests and organic innovation to develop new and novel pharmacy care programs/products that optimize patient care and pharmacy services. You will collaborate with Trade, Pharmacy Trade Product, Specialty Operations, Account Management, Professional Practice, Prescriber Sales and other entities to ensure alignment of services, review results and identify opportunities to optimize patient, physician, and pharma relationships.
Regional Sales Manager (Central/ Midwest USA) Amphenol Network Solutions IncRegional Sales Manager (Central/ Midwest USA)IAThe Regional Sales Manager will collaborate with Strategic Sales Managers to accelerate Tier 1 telco growth while independently driving expansion across all other market segments using data-driven pipelines and market trends. Amphenol Network Solutions is committed to delivering an extraordinary customer experience that meets or exceeds our customer's requirements and satisfaction as we continually improve the effectiveness of our Quality Management System.
OneStream Manager Deloitte Touche Tohmatsu LtdOneStream ManagerDes Moines, IA$134,500–$265,100 / yearIn an increasingly challenging environment marked by disruptive tech like AI, market uncertainty, and regulatory change, finance and global business services leaders recognize the opportunity to better serve the enterprise, shareholders, customers, and regulators. Our purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities.
Manager, Sales USA TODAY Co IncManager, SalesDes Moines, IARemoteThrough our trusted brands, including the USA TODAY NETWORK, comprised of the national publication, USA TODAY, and local media organizations, including our network of local properties, in the United States, and Newsquest, a wholly-owned subsidiary operating in the United Kingdom, we provide essential journalism, local content, and digital experiences to audiences and businesses. As a Sales Manager, you will balance hands-on coaching, performance management, and strategic leadership, while partnering closely with post-sale, sales enablement, and cross-functional teams to support strong outcomes for both clients and sellers.
Salesforce Life Sciences Senior Manager Deloitte Touche Tohmatsu LtdSalesforce Life Sciences Senior ManagerDes Moines, IA$193,300–$292,000 / yearThe wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs. Our purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities.
Utilities Transmission & Distribution Control Room & Real-Time Systems Consultant or Manager Accenture PlcUtilities Transmission & Distribution Control Room & Real-Time Systems Consultant or ManagerDes Moines, IAEvery day, we work with the largest electric, gas, and water utilities to deliver innovative solutions and help them become more efficient, reliable, environmentally friendly and safer places to work. Whether supporting a system implementation, business process improvement initiative, operational transformation, or technology assessment, you bring strong analytical skills, industry knowledge, and a client-first mindset.
Manager Nursing Services-Central Sterile Processing-IMMC UnityPoint HealthManager Nursing Services-Central Sterile Processing-IMMCDes Moines, IowaWhat We're Looking For: A dynamic nursing leader with strong operational and people management skills, a passion for quality and patient safety, and the ability to inspire teams through change, collaboration, and innovation. In this role, you'll partner closely with OR teams, physicians, nurses, and clinical staff to ensure instrument readiness, regulatory compliance, and seamless support of patient care operations.
Enterprise Productivity & Performance Senior Manager Accenture PlcEnterprise Productivity & Performance Senior ManagerDes Moines, IAWorking at the intersection of strategy, operations, technology, data, and AI, we help clients identify and realize enterprise-wide performance opportunities that improve investor metrics, strengthen competitiveness, and enable sustained value creation. Enterprise Productivity & Performance (EPP), part of Accenture's CEO Advisory practice, helps organizations address the questions that matter most to executive leadership teams: What will truly move the needle on enterprise value?
Visual Design Manager Accenture PlcVisual Design ManagerDes Moines, IAThe work: In this role you will have accountability across three dimensions: Client Delivery: Lead the visual design direction on engagements (internal or clients) from concept through delivery, with accountability for design quality, aesthetic cohesion, and adherence to project timelines. People & Practice Development: Manage, support, and mentor team members in their day-to-day work, helping them grow their visual craft, develop creative confidence, navigate challenges, and evolve as visual designers.
SAP Finance Senior Manager - Retail (Grocery) Accenture PlcSAP Finance Senior Manager - Retail (Grocery)Des Moines, IAThe Work: Team with clients on their SAP functional transformation programs through your combined SAP application and functional process expertise which includes your ability to: Engage with senior client Finance executives on the business challenges/trends and the potential value of SAP solutions (current & future). Additionally, the Retail industry is going through remarkable levels of transformation as they are developing new business models, new digital sales channels, analytics capabilities to understand customer needs, and transforming internal operations for efficiencies.
Healthcare Clinical Supply Chain Sourcing & Procurement Senior Manager Accenture PlcHealthcare Clinical Supply Chain Sourcing & Procurement Senior ManagerDes Moines, IAAccenture is a leading solutions and services company that helps the world's leading enterprises reinvent by building their digital core and unleashing the power of AI to create value at speed across the enterprise, bringing together the talent of our approximately 786,000 people, our proprietary assets and platforms, and deep ecosystem relationships. Health Supply Chain Management professionals help clients develop strategies and operating models integrating planning, sourcing, procurement, product design, manufacturing and fulfillment functions within an organization, as well as connect suppliers and customers across the extended supply chain.
Banking Product Owner Senior Manager Accenture PlcBanking Product Owner Senior ManagerDes Moines, IAIn Strategy & Consulting we work with C-suite executives, leaders, and boards of the world's leading organizations, helping them reinvent every part of their enterprise to drive greater growth, enhance competitiveness, implement operational improvements, reduce cost, deliver sustainable 360° stakeholder value, and set a new performance frontier for themselves and the industry in which they operate. Accenture is a leading solutions and services company that helps the world's leading enterprises reinvent by building their digital core and unleashing the power of AI to create value at speed across the enterprise, bringing together the talent of our approximately 786,000 people, our proprietary assets and platforms, and deep ecosystem relationships.
NewPlanning Transformation Manager Accenture PlcPlanning Transformation ManagerDes Moines, IAAs part of working with clients you will help with several aspects of life sciences integrated planning including: Integrated Planning Strategy: Design and implement IBP/S&OP frameworks tailored to life sciences environments, accounting for regulatory release cycles, CMO/CDMO network complexity, and the distinct planning dynamics of biopharma and med tech product portfolios. Accenture is a leading solutions and services company that helps the world's leading enterprises reinvent by building their digital core and unleashing the power of AI to create value at speed across the enterprise, bringing together the talent of our approximately 786,000 people, our proprietary assets and platforms, and deep ecosystem relationships.
Major Account Manager Vertiv Group Corp.Major Account ManagerDes Moines, IA$124,032–$155,084 / yearTo perform the job successfully, an individual should demonstrate the following competencies: Customer Focus - Is dedicated to meeting the expectations and requirements of internal and external customer; Gets first-hand customer information and uses it for improvements in products and services; Acts with customers in mind; Establishes and maintains effective relationships with customers and gains their trust and respect. Form successful working relationships with Company Service Center Managers, Sales Engineers, Major Account Customer Success Managers, and other Vertiv Service Entities to ensure complete customer satisfaction at all levels.
CFOEV Senior Manager - PRD Accenture PlcCFOEV Senior Manager - PRDDes Moines, IAIn Strategy & Consulting we work with C-suite executives, leaders and boards of the world's leading organizations, helping them reinvent every part of their enterprise to drive greater growth, enhance competitiveness, implement operational improvements, reduce cost, deliver sustainable 360° stakeholder value, and set a new performance frontier for themselves and the industry in which they operate. Underpinned by technology, data, analytics, AI, change management, talent and sustainability capabilities, our Strategy & Consulting services help architect and accelerate all aspects of an organization's total enterprise reinvention.
Organizational Change Senior Manager - Utilities Accenture PlcOrganizational Change Senior Manager - UtilitiesDes Moines, IAThe Work: You will help clients reinvent how their organizations operate in an AI-enabled, data-informed world where work is digital by default, change is continuous, and people work alongside advanced tools to deliver outcomes at speed and scale. Build and lead change teams within large-scale reinvention programs, guiding clients through designing and embedding continuous change practices.
Oracle ICM Configuration Lead - Associate Manager Accenture PlcOracle ICM Configuration Lead - Associate ManagerDes Moines, IACombining unmatched experience and specialized skills across more than 40 industries, we offer Strategy and Consulting, Interactive, Technology and Operations services-all powered by the world's largest network of Advanced Technology and Intelligent Operations centers. The candidate will need to be client-facing and can serve as a subject matter expert for key capabilities such as: Incentive Compensation, Territory Management, Sales Coaching, Gamification, and Analytics.
NewUtilities Industry Senior Manager, CIS Transformation Accenture PlcUtilities Industry Senior Manager, CIS TransformationDes Moines, IAIn Consulting we work with C-suite executives, leaders and boards of the world's leading organizations, helping them reinvent every part of their enterprise to drive greater growth, enhance competitiveness, implement operational improvements, reduce cost, deliver sustainable 360° stakeholder value, and set a new performance frontier for themselves and the industry in which they operate. Accenture is a leading solutions and services company that helps the world's leading enterprises reinvent by building their digital core and unleashing the power of AI to create value at speed across the enterprise, bringing together the talent of our approximately 786,000 people, our proprietary assets and platforms, and deep ecosystem relationships.
Store Manager, Des Moines KnitWell GroupStore Manager, Des MoinesDes Moines, IowaMaintain knowledge of business and competitive landscape, fashion trends and key business drivers to strategically identify opportunities that will maximize sales and ensure financial goals are achieved. At Talbots relationships are the key to our business, we hire individuals who bring new ideas to the table, understand smart risk taking and can enhance an already thriving culture.
Finance & Accounting Senior Manager Accenture PlcFinance & Accounting Senior ManagerDes Moines, IAWork on Operations Transformation project-based solutions - end-to-end delivery of specific work-streams covering problem structuring and solving, communication of solutions, client engagement and stakeholder management. The right candidate will be creative and resourceful and will utilize traditional and out of the box solutions to achieve superior business outcomes by leveraging transformation methodologies and assets.
Pricing and Sales Strategy_ Senior Manager, Strategy, Growth, and Transformation Deloitte Touche Tohmatsu LtdPricing and Sales Strategy_ Senior Manager, Strategy, Growth, and TransformationDes Moines, IAThe Pricing & Sales Strategy business serves clients who are seeking to drive profitable growth through revenue management using pricing strategy, transactional analytics, improved commercial capabilities, and implementation of pricing systems. We can enhance customer experiences and drive sustained growth and customer value creation and capture, through customer and commercial strategies, digital products and innovation, marketing, commerce, sales, and service.
Human Resource Manager AmcorHuman Resource ManagerIowaThe Human Resources Manager will oversee employee relations, compensation and benefits administration, payroll, recruitment, training and development, performance management, and workforce planning. Reporting directly to the HR Director, the HR Manager will also maintain a strong collaborative relationship with Plant Leadership to support business objectives and workforce needs.
Visual Design Associate Manager Accenture PlcVisual Design Associate ManagerDes Moines, IAThe work: In this role you will have accountability across three dimensions: Client Delivery: Contribute to and help shape the visual design direction on engagements (internal or client) from concept through delivery, supporting quality, aesthetic cohesion, and adherence to project timelines. Within Song, our Design & Digital Products practice helps iconic brands reinvent products, services, and spaces with the best of emerging technology to drive impact for end-users and for the business.
Store Manager, Des Moines The Talbots IncStore Manager, Des MoinesClive, IAMaintain knowledge of business and competitive landscape, fashion trends and key business drivers to strategically identify opportunities that will maximize sales and ensure financial goals are achieved. At Talbots relationships are the key to our business, we hire individuals who bring new ideas to the table, understand smart risk taking and can enhance an already thriving culture.
Research Solutions Account & Strategic Sales Manager RELX Group plcResearch Solutions Account & Strategic Sales ManagerIA$81,400–$151,100 / yearYou'll be at the forefront of transforming how science gets done - putting cutting-edge AI tools and world-class research databases into the hands of faculty, researchers, and university leaders who are driving the world's most important discoveries. Building on our publishing heritage, we combine quality information and vast data sets with analytics to support visionary science and research, health education and interactive learning, as well as exceptional healthcare and clinical practice.
Account Manager DIRECTV L&I DSIAccount Manager DIRECTV L&IUrbandale, IA$60,000–$80,000We provide enhanced value that delivers results for our clients and partners, through sales management, marketing assistance, hardware logistic solutions, immersive training, engineering expertise, and proprietary software solutions. This Sales Account Manager plays a key role in supporting DIRECTV’s sales efforts in Lodging, Institutions (L&I), and Enterprise verticals.
Floating Store Manager The Salvation Army USAFloating Store ManagerDes Moines, IAYou'll be responsible for overseeing all store operations, including staff supervision, sales performance, store maintenance, customer service, banking, and record keeping, while ensuring that all functions support our mission of serving those in need in our community. At The Salvation Army Thrift Store, your work helps turn donations into funding for programs that support people in our community.
Agentic Commerce Manager | Comms, Media, & Technology Accenture PlcAgentic Commerce Manager | Comms, Media, & TechnologyDes Moines, IAYou will work across strategy, digital experience, content, platform integration, and data teams to help clients improve how their products show up across search, AI interfaces, and partner ecosystems, while ensuring readiness for agent-mediated interactions. As journeys evolve beyond traditional digital channels, organizations must rethink how their products, content, platforms, and data are structured to operate within AI-driven and ecosystem-based environments.
Urgent Care Veterinary Practice Manager American Veterinary Group LLCUrgent Care Veterinary Practice ManagerWest Des Moines, IAOur single doctor practices offer care for common urgent cases, including wound management, ear infections, vomiting/diarrhea, and euthanasia, and each of our paperless clinics is specially designed to deliver efficient care and equipped with cloud-based EMR, digital x-ray, and a full suite of IDEXX in-house lab equipment. Community Engagement and Brand Ambassadorship: Nurture collaborative and mutually beneficial relationships with referring veterinarians and local businesses, positioning UrgentVet as the foremost choice for urgent pet care.
P&C Insurance (Personal & Commercial) Transformation Manager Accenture PlcP&C Insurance (Personal & Commercial) Transformation ManagerDes Moines, IAAs a Transformation Manager / Senior Manager, you will lead cross-functional teams to reimagine how work gets done, combining deep insurance expertise with advanced analytics and agentic AI and technology solutions to improve client outcomes. We bring together the talent of our approximately 799,000 people with proprietary assets and platforms, deep process and industry expertise, and leading ecosystem relationships to deliver end-to-end solutions and measurable outcomes at scale.
Assistant Store Manager (West Des Moines, IA) TJMaxxAssistant Store Manager (West Des Moines, IA)West Des Moines, IowaDrive store performance by supporting sales results, managing expenses, and overseeing key operations including merchandising, backroom, frontline, cash office, customer service, markdowns, scheduling, shipping, and receiving, with a strong focus on minimizing shrink and damages. Proficient in store operations, customer service, merchandising, people management, health and safety, and loss prevention, with strong follow-through skills to successfully implement tasks and initiatives.
Sr. Project Manager ClaycoSr. Project ManagerDes Moines, IAResponsibilities range from project set up, project buy out, contract execution and compliance, material and equipment procurement, daily progress tracking, Project safety compliance, material and equipment invoice approval, manpower timesheet approval, responsible for project sequencing and scheduling, maintaining and updating schedules, coordination and communication with GC, extra work and change order distribution/tracking, coordination with Operation managers to secure adequate manpower, weekly cost report job forecasting, overall project fiscal responsibility. Operates within the organization's formal and informal structures, builds allies and relationships across departments, uses allies to build consensus and create results, is appropriately diplomatic, understands others' roles and perspectives, can sell projects and ideas across the organization.
Store Manager The Salvation Army USAStore ManagerDes Moines, IAYou'll be responsible for overseeing all store operations, including staff supervision, sales performance, store maintenance, customer service, banking, and record keeping, while ensuring that all functions support our mission of serving those in need in our community. At The Salvation Army Thrift Store, your work helps turn donations into funding for programs that support people in our community.
Digital Assets Manager Accenture PlcDigital Assets ManagerDes Moines, IAAccenture is a leading global professional services company that helps the world's leading businesses, governments and other organizations build their digital core, optimize their operations, accelerate revenue growth and enhance citizen services-creating tangible value at speed and scale. Our broad range of services, solutions and assets across Strategy & Consulting, Technology, Operations, Industry X and Song, together with our culture of shared success and commitment to creating 360° value, enable us to help our clients reinvent and build trusted, lasting relationships.
NewAnaplan + Pigment Alliance Partner/Senior Manager Accenture PlcAnaplan + Pigment Alliance Partner/Senior ManagerDes Moines, IAAs a Partner Development Director, you will scale and strengthen Accenture's ecosystem alliances with Anaplan + Pigment - originating partner-led transformation deals, developing joint go-to-market strategies, and serving as a trusted advisor to both Accenture leadership and partner executives. The Work: Strategic Go-to-Market (GTM): Collaborate with alliance partners to define target markets, joint industry solutions, and differentiated offerings that drive client value.
SIU Manager BerkleySIU ManagerUrbandale, IowaThe SIU Manager will be responsible for overseeing a team of investigators and support specialists, managing complex and high-exposure investigations, and assisting with investigative tools to support the enterprise anti-fraud efforts. • Completion of one or more of the following designations: Fraud Claims Law Specialist (FCLS), Certified Insurance Fraud Investigator (CIFI), Certified Fraud Examiner (CFE), Chartered Property Casualty Underwriter (CPCU), Associate in Claims (AIC).
Manager, Business Analytics CVS Health CorpManager, Business AnalyticsIA$66,330–$145,860 / yearThis involves extracting, analyzing, and interpreting contracting, utilization, financial, and clinical/quality data from various sources to support nationwide payer contract negotiations, market penetration, conversion, and expansion strategies, value-based care initiatives, and other quantitative analysis & reporting requirements. To develop and deliver decision support tools & insights via creating and sustaining analytics & reporting assets and leveraging business intelligence resources in support of contracting, financial and operational strategic decision-making by Retail Health leadership.
Adobe Workfront Manager Accenture PlcAdobe Workfront ManagerDes Moines, IAOur Workfront Implementation Consultant contributes to the business in three main areas: Solution Leadership - Working with our clients in an advisory capacity to help them define solutions and accelerate delivery acting as a product owner, or work in support of a client product owner, on large scale implementations and transformation programs. Configure Adobe Workfront objects such as custom forms, project templates, programs, portfolios, reports, dashboards, approval processes, milestones, email notifications, statuses, job roles, teams, groups, companies, expense types, layout templates, filters, views, groupings, etc.
NewNurse Account Manager / Vaccinator PRN Guardian Pharmacy Services ManagementNurse Account Manager / Vaccinator PRNAnkeny, IowaWith our comprehensive suite of tech-enabled pharmacy services and a dedicated team of professionals committed to enriching the lives of those we serve, we are redefining how pharmacy care is delivered. Our core focus is delivering customized medication management solutions to support healthcare organizations serving seniors and individuals with complex care needs.