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Job Summary

This role is part of a physician team and ensures utilization management responsibilities are performed in accordance with the highest and most current clinical standards.

The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate medical necessity and appropriateness of requested treatments. The job includes potential telephonic peer‑to‑peer discussions, compliance with NCQA, URAC, CMS, DOH, DOL regulations, and participation as physician member of the multidisciplinary team for case and disease management.

Essential Responsibilities

• Conduct electronic review of escalated cases against medical policy criteria, including telephonic peer‑to‑peer discussions, to determine medical necessity and appropriateness. Complete initial determinations, review appeals and grievances, and other reviews as assigned.
• Compose clear and concise rationales for member and provider determination notifications while adhering to required compliance standards.
• Participate as a member of the CMDM multidisciplinary team: attend huddles and grand rounds and advise team on cases requiring physician expertise.
• Participate in protocol and guidelines development to ensure consistency in the review process.
• Actively manage projects and/or participate on project teams that require a physician subject matter expert.
• Perform other duties as assigned.

Education

• Required: Medical Doctor (MD) or Doctor of Osteopathic Medicine (DO)
• Preferred: Master’s Degree in Business Administration/Management or Public Health

Experience

• Required: 5 years in clinical direct patient care (hospital, outpatient, or private practice)
• Preferred: 1 year in medical management in a health insurance plan; strong knowledge of managed care industry

Licenses and Certification

• Required: Medical Doctor or Doctor of Osteopathic Medicine (DO)
• Board certification at least once in a specialty recognized by the American Board of Medical Specialties or the American Osteopathic Association Specialty Certifying Boards
• Active medical state licensure required; additional specific state licensure(s) may be required based on business need.
• Preferred: None

Skills

• Critical thinking
• Case management
• Customer service
• Oral & written communication
• Collaboration
• Listening
• Telephone skills
• General computer skills
• Clinical software
• Managed care

Travel

0% - 25%

Physical Demands

Office-based. Requires occasional teaching/training. Regular travel from office to various work sites; lifting <10 lbs constantly, 10–25 lbs rarely, 25–50 lbs rarely.

EEO Statement

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on veteran or disability status and on any category protected by applicable federal, state, or local law.

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Provider Careers at Bronson Medical Group in Kalamazoo, MI is seeking a full-time Nurse Practitioner or Physician Assistant to join their family medicine practice. The ideal candidate will work alongside physicians and other healthcare professionals to deliver comprehensive outpatient care. Responsibilities include performing patient histories, developing treatment plans, and maintaining documentation. The position offers competitive compensation, CME stipend, and a collaborative work environment.
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Munson Healthcare is looking for a full-time BC/BE Endocrinologist to join its Endocrinology Team in beautiful Traverse City, Michigan. This role focuses on providing high-quality care in an outpatient clinic setting without the need for on-call duties.

The successful candidate will benefit from a supportive multidisciplinary team and will be involved in diabetes education and management initiatives. Competitive compensation and generous benefits are offered, including a sign-on bonus and professional liability coverage.

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Kaiser Permanente - The Permanente Medical Group, Inc. -Northern California is seeking a Per Diem Neurologist to join our team in Vallejo, CA. This position offers an opportunity to practice in a supportive environment emphasizing work-life balance, AI-based charting, and no RVUs for billing. Enjoy a fulfilling lifestyle with family-oriented communities, great recreational options, and proximity to popular destinations like San Francisco and Napa Valley. Join a physician-led organization dedicated to excellence in patient care.
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Alliance Recruiting Resources presents a Family Medicine opportunity in Athens, Georgia. This role offers competitive compensation ranging from $240K to $260K along with comprehensive benefits.

Candidates can choose a schedule of four 10-hour days, seeing between 17 to 20 patients a day in a small group setting. Join a growing team with over 400 employees and make a difference in community healthcare.

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PLAY A VITAL ROLE IN THE LIVES OF OUR NATION'S DEFENDERS

As a Psychiatrist on the U.S. Army health care team, you'll have the opportunity to immerse yourself into a special culture and environment in which your diagnoses and treatments will support the readiness of our military's efforts and improve the lives of our Soldiers and their families. Additionally, when you join the Army Medical Corps, you'll work with some of the most innovative technologies and treatments in the industry, all while practicing at world-class medical facilities. You'll gain access to invaluable opportunities and advance your skills like supporting humanitarian missions, leadership training and a competitive benefit package. Join us and work alongside professionals at the top of their fields while helping expand the boundaries of psychiatry.

Benefits may include:

• Repayment of qualified education loans to lending institution, paid annually over a maximum of 3 years while serving
• Based on your area of concentration, you may be eligible for an accessions bonus, paid over a four-year period while serving.
• No-cost or low-cost medical and dental care for you and your family
• 30 days of paid vacation earned annually
• Commissary and post exchange shopping privileges
• Enrollment into the Uniformed Services Blended Retirement System
• Specialized training to become a leader in psychiatric

Requirements:

• Doctor of medicine or doctor of osteopathy degree from an accredited U.S. school of medicine or osteopathy; foreign graduates may apply with permanent certificate from the Educational Council of Foreign Medical Graduates
• Current license to practice medicine in the United States, District of Columbia or Puerto Rico
• Eligibility for board certification
• Completion of at least one year of an approved graduate medical education internship
• Completion of a training program in psychiatry or residency in the U.S.
• Between 21 and 42 years of age (waivers granted on a case-by-case basis)
• U.S. citizenship

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Weatherby Healthcare in Dallas, Texas is offering a telehealth opportunity for a physician specializing in neurology. This role involves working 7am - 7pm CT, with a 7 on, 7 off schedule focusing on tele stroke and general neurology.

Preferred qualifications include experience in vascular fellowship, EEG, and telehealth. The opportunity includes competitive compensation, paid malpractice insurance, and 24-hour access to a Weatherby Healthcare consultant.

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Full-time opportunity for BE/BC Family Medicine physicians to join a large physician-owned multispecialty group with 100 physicians in 25 specialties and subspecialties in West Tennessee located 1 hour west of Memphis, TN.

About the position:

• Partnership track for those with interest
• 100% Outpatient opportunity
• Rural satellite clinics
• Physician Residency Stipend available
• Clinical Research & Resident Teaching Opportunities
• Physician Autonomy & Collaboration Among 100 Physician Partners
• Good Work-Life Balance

About the compensation/benefits:

• 2-year base salary guarantee
• Relocation reimbursement up to $10,000
• 401k/profit sharing
• 8-week sabbatical leave
• Educational leave (10 days/yr)
• Educational allowance ($3k/yr)
• Up to 6 weeks vacation
• Paid Benefits Include family health insurance, specified life insurance premium coverage, malpractice insurance, medical and narcotics license renewals

About the location:

• Low Cost of Living, No State Income Tax
• Proximity to Memphis (1 hour west) & Nashville (2 hours east)
• Excellent Schools & Family-Friendly Community
• Recently named the Fastest Growing City in America and a designated gig city

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Accolades Physician Resources is seeking an ObGyn Hospitalist Physician in Charleston, SC. This full-time role offers guaranteed 24-hour shifts with excellent medical, dental, and vision benefits, plus 401(k) matching.

Ideal candidates will be board-certified or board-eligible in Obstetrics & Gynecology, with the ability to obtain a South Carolina medical license. The position includes a supportive environment with opportunities for promotion and professional development.

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A large not-for-profit health system in St. Louis, MO with over 140 years of history is in search of Family Medicine physicians to join its clinician-focused, outpatient practices.

Opportunity Highlights

• Employed position with hospital-affiliated Medical Group
• Recognized regionally & nationally for performance excellence, quality, technology, safety, and patient experience
• Excellent financial package with 2-year guarantee plus RVU bonus
• Generous sign-on & retention bonuses
• Benefits include retirement with immediate match, CME stipend & time, and more

Community/Location

The metropolitan city of St. Louis, MO offers a low cost of living, named the "20-minute city" for little traffic and easy commutes. St. Louis offers easy access to travel with an International Airport. St Louis is also home to USA Today\'s #1 City Park, Forest Park, located right in the middle of town! Great schools include public, private, and parochial. Some of the nation\'s best universities are here including Washington University, St. Louis University, University of Missouri. St. Louis is a great sports town with Cardinals baseball at Busch Stadium, St. Louis Blues Hockey, a new professional soccer stadium, and more!

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RWJBarnabas Health, the largest integrated healthcare system in New Jersey, is seeking a full-time Internal Medicine Physician for an established practice in Whiting, NJ. This position offers a competitive salary range of $224,000 to $359,000 annually, alongside a comprehensive benefits package including health insurance, malpractice coverage, a 401k with company match, and an annual $4,000 stipend for continuing medical education. Experience and new graduates are welcomed to apply.
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Alliance Recruiting Resources is seeking a family medicine physician to join a dedicated group of 6 primary care physicians and 3 APPs in Vicksburg, Mississippi. The clinic operates Monday to Friday and offers a 4-day workweek once established, ensuring a healthy work-life balance.

With excellent earning potential exceeding $300K and multiple ancillary services, this role provides an opportunity to make a significant impact in the community. Enjoy a vibrant local culture and be strategically located close to Jackson, Memphis, and New Orleans.

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Maineafp is seeking a full-time board-certified or board-eligible Family Medicine physician to join UCHealth in Pueblo, Colorado. This position entails 36 patient-facing hours weekly, with additional support for after-hours on-call duties.

The compensation package includes a salary range of $283,000-$315,000 annually along with a $30,000 starting bonus, productivity bonuses, student loan repayment assistance, and comprehensive health benefits. Maineafp values diversity and is an equal opportunity employer.

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Opportunity Information

Palo Alto Foundation Medical Group is seeking a full-time, board‑certified, or board‑eligible Endocrinology physician.

Location

Mountain View, CA

Position Details

• Average of 16 patients per day
• Outpatient only, with shared call
• Office has CDE support

Qualifications

• Board‑certified or board‑eligible in Endocrinology
• Endocrinology fellowship required
• Must be proficient with thyroid FNA and reading and interpreting DEXA scan
• Proficient in insulin pumps and CGM

Join Us and Enjoy

• Guaranteed salary for two years with production bonus
• Shareholder eligible after two years
• Shareholders enjoy very competitive, production‑based income
• Schedule flexibility and sabbaticals for work‑life balance
• Relocation allowance
• Generous benefits package
• 401(k), cash‑balance retirement plan, HSA

Equal Opportunity Statement

*It is the policy of Sutter Health and its partners to provide equal employment for all qualified individuals; to prohibit discrimination in employment because of basis of race, color, creed, religion, marital status, sexual orientation, registered domestic partner status, sex, gender, gender identity or expression, ancestry, national origin (including possession of a driver's license issued to individuals who did not present proof of authorized presence in the U.S.), age, medical condition, physical or mental disability, military or protected veteran status, political affiliation, pregnancy or perceived pregnancy, childbirth, breastfeeding or related medical condition, genetic information or any other characteristic made unlawful by local, state or federal law, ordinance or regulation. We promote the full realization of equal employment opportunities through a positive continuing program within each medical group, company, hospital, department, and service area. Equal employment opportunities apply to every aspect of Sutter's employment policies and practices.

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As Physician Reviewer/Advisor for Independent Medical Exams (IME), you will utilize clinical expertise and review insurance appeals, prospective and retrospective claims. The Physician Reviewer will provide an interpretation of the medical necessity of services provided by other healthcare professionals in compliance with client specific policies, nationally recognized evidence‑based guidelines, and standards of care.

Major duties and responsibilities

• Reviews all medical records and addresses each question posed by the client utilizing client specific criteria or other nationally recognized evidence‑based criteria.
• Ensures that the rationale for the determination is clear, concise, and contains adequate supporting documentation to substantiate the decision.
• Identifies, critiques, and utilizes current criteria and resources such as national, state, and professional association guidelines and peer‑reviewed literature that support sound and objective decision‑making and rationales in reviews; refrains from using case studies, cohorts, and the like to make decisions due to their limited sample sizes.
• Provides copies of any criteria utilized in a review with the report in a timely manner.
• Returns cases on or before the due date and time.
• Makes telephone calls as mandated by the state and/or client specifics.
• Maintains proper credentialing and state licenses and any special certifications or requirements necessary to perform the job.
• Attends all required orientation and training.
• Performs other duties as assigned, including identifying and responding to quality assurance issues, complaints, regulatory issues, depositions, court appearances, or audits.
• Board certification required; active practice required.

Benefits

• Robust opportunity for supplemental income.
• Schedule flexibility and predictable work hours – you choose services and case types, dictate volume, and conduct exams and reviews based on your schedule availability.
• No doctor/patient relationship is established and no treatment is provided. These are advisory‑only opinions.
• Enhanced industry expertise strengthening your medical practice with medical necessity and utilization review/management expertise.
• Expanded credentials as an expert in Independent Medical Exams and physician advisor services.
• Fully prepped cases, streamlined case flow, transcription services at no cost, and user‑friendly work portal.

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Overview

ObGyn Hospitalist Physician Employment in South Carolina – Laborist role with a private group. No call or office duties.

Location: Charleston, SC – a fast‑growing community with excellent dining, shopping, and outdoor amenities. Choose living arrangements between urban and suburban options such as Mount Pleasant or Sullivan's Island.

Role

Provide obstetrical and gynecological care in one of two hospitals, primarily working 24‑hour or occasional 12‑hour shifts.

Duties

• Deliver obstetrical and gynecological care, including contraceptive services.
• Provide direct care to high‑risk patients, with Maternal‑Fetal Medicine support accessed via telephone or video when necessary.
• Participate daily in Labor and Delivery board rounds.
• Act as Safety Officer on Labor & Delivery to ensure optimal patient outcomes.
• Support community physicians and midwives through clinical assistance and practice coverage as requested.

Shift Details

• Choose 1 of 2 hospital sites.
• Predominantly 24‑hour shifts; some 12‑hour shifts.
• Full‑time: 5 to 9 24‑hour shifts per 28‑day block.
• Promotable to Site Director.

Package

• W2 employment with guaranteed shifts and hourly rate.
• Flexible scheduling; potential bonus and promotion opportunities.
• Medical, dental, and vision coverage.
• 401(k) plan with employer match.
• Malpractice coverage with tail coverage.
• 4 weeks paid time off.

CME & Professional Support

• $2,000 annual stipend toward ACOG/ACOG membership dues, certification maintenance, and state licensure fees.

Skills & Qualifications

• Ability to obtain and maintain a medical license in South Carolina.
• Board‑certified or board‑eligible in Obstetrics & Gynecology.
• Preferred: 1+ year of relevant experience.
• Board‑certified or board‑eligible medical doctor with or without U.S. residency and current U.S. work visa.

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Job Description

Licensure/Certification Qualifications

INTERNAL MEDICINE

Bismarck, North Dakota

Become a part of a collegial and energetic group of physicians and practitioners at Essentia Health - Bismarck, ND!

PRACTICE SPECIFICS

• Seeking one full-time Internal Medicine Physician to be a part of a dynamic team of Internal Medicine providers at Essentia Health in Fargo, ND
• Currently working with 5 full-time providers: 4 Internal Medicine Physicians and 1 Nurse Practitioner
• Robust team of nursing and support staff
• Clinic-only practice: 36 contact hours/week
• Average practice volume per day: 18-20 patients/day
• Excellent compensation package with paid malpractice insurance
• Training required: IM Residency

REQUIREMENTS

• BC/BE Internal Medicine

LOCATION

• Central North Dakota. Bismarck is the second-most populous city in the state after Fargo.
• Bismarck/Mandan population: 133,626 based on the 2020 census.
• Bismarck is ranked by Forbes magazine as the seventh fastest-growing small city in the United States.
• Situated on the eastern bank of the Missouri River, Bismarck is a safe and family-friendly city with an active downtown, great schools, and numerous community activities.

COMPENSATION

• $331,053. Hired candidates may be eligible to receive additional compensation in the form of bonuses, quality incentives or production-based compensation.

For further information contact

Eric Bain, Senior, Physician Recruiter

Cell:

Email:

Employee Benefits at Essentia Health

At Essentia Health, we're committed to supporting your well‑being, growth, and work‑life balance. Our comprehensive benefits include medical, dental, vision, life, and disability insurance, along with supplemental options to fit your needs. We offer a 401(k) plan with employer contributions to help you plan for the future, and we invest in your professional development through training, tuition reimbursement, and educational programs. To help you thrive both at work and at home, we provide flexible scheduling, generous time off, and wellness resources focused on your physical, mental, and emotional health. Please note that benefit eligibility may vary. For full details, refer to your benefit summary or contact our HR Service Center at (218) 576‑0000.

Job Location

• Essentia Health - Mid Dakota Bismarck 9th St Clinic

Shift Rotation

• Day/Eve/Night Rotation (United States of America)

FTE

• 1

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Overview

Excellent hospital-employed position for a Family Medicine physician to work in a small group setting in several locations in Western North Carolina.

Position Details

• Monday - Friday practice with regular office hours. See patients 4.5 days per week.
• See 20+ patients per day - already established patient base.
• Solid compensation based on the 50th percentile of salary survey for area + RVU incentive.
• Full benefits include malpractice, health, 31 days PTO, 403-B retirement, $15K loan repayment per year, etc.
• Financial potential above $300K
• Great locations - Morganton, Lenoir, NC

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About the Opportunity

Hawai‘i Pacific Health is seeking a dedicated per diem Pediatric Pulmonologist to join our team on the island of O‘ahu , to provide comprehensive inpatient care.

What You’ll Do:

• Provide inpatient care for pediatric patients with pulmonary and respiratory conditions, including asthma, chronic lung disease, cystic fibrosis, and sleep related breathing disorders.

• Participate in inpatient consult services and shared call coverage as assigned.

• Collaborate with a multidisciplinary care team including pediatric subspecialists and allied health professionals.

What You’ll Enjoy:

• A collaborative environment with experienced clinical support staff

• Working in Honolulu , where natural beauty and metropolitan life connect

Qualifications:

• MD or DO degree

• Board Certified or Board Eligible in the specialty of practice

• Eligible to obtain a medical license in the State of Hawaii

About Kapi‘olani Medical Center for Women & Children

Kapi‘olani Medical Center for Women & Children is Hawai‘i’s only maternity, newborn and pediatric specialty hospital. It is well recognized as Hawai'i’s leader in the care of women, infants and children. With 253 beds, the not-for-profit medical center delivers an average of 6,000 babies per year and is also a medical teaching and research facility. Specialty services for patients throughout Hawai'i and the Pacific region include intensive care for infants and children, 24-hour emergency pediatric and adult care, critical care air transport and high-risk perinatal care. Over 1,400 employees and more than 700 physicians provide specialty care at Kapi‘olani. The medical center is home to the Kapi‘olani Women’s Center and the Women’s Cancer Center, and offers numerous community programs and services, such as specialty pediatric clinics, the Kapi‘olani Child Protection Center and the Sex Abuse Treatment Center.

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77 consultants is seeking an experienced full-time Staff Physician specializing in Internal Medicine for a position at a pioneering Value-Based Care Clinic in Dallas, Texas. This role involves serving as core faculty for the Internal Medicine Health Equity Track, providing high-quality clinical care and mentoring residents in a collaborative environment focused on health equity.

The ideal candidate will have strong interests in medical education, proven ability in collaborative care, and must possess an active Texas Medical License. This role emphasizes patient-centered medicine and academic contributions.

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The Lutheran Church—Missouri Synod (LCMS) is dedicated to making known the love of Christ by word and deed within our churches, communities, and the world. The LCMS Mission Advancement (MADV) unit connects people in their voluntary charitable giving to the Synod’s ministry and mission efforts. It works in a manner consistent with Scripture and the Lutheran Confessions while complying with legal, regulatory and ethical principles expected of all trustworthy philanthropic organizations. MADV works closely with the LCMS Communications department to support the mission and ministry efforts of the Offices of National Mission, International Mission and Pastoral Education (all of which report to the LCMS Chief Mission Officer) as well as the general operations of the corporate Synod.

Reporting Relationships

• Reports to the MADV executive director.
• Relates to, collaborates with and supports other MADV directors.
• Supervises select MADV staff and interacts with the staff of other MADV subunits.
• Working relationships will also include other departments of the Synod, entities and partners as they relate to specific programs and projects.

Essential Job Functions

• Serves on the MADV management team (cabinet) to strategically plan and carry out the unit’s work of fund-raising, contributor care and constituent relations.
• Provides the MADV executive director with frequent counsel and updates on significant contributions holding the potential to transform the organization’s overall mission capacity and transform the way the involved contributor sees themselves in the overall mission of the Christian church.
• Assists the MADV executive director in developing the annual operating budget for the Transformative Giving subunit, including the cost of personnel and activities required to uplift, support and strengthen constituent relationships in a way worthy of the Gospel.
• Leads recruiting, orientation, training, mentoring and supervision of the Mission Advancement staff, drawing on staff involvement from other MADV subunits as appropriate, and holds the Transformative Giving subunit accountable for work to be performed under the unit’s annual and long‑range plans and its policies and procedures.
• Models ethical behavior and upholds the highest standards and principles, serving as a professional example for other MADV staff.
• Designs and implements strategies and activities to move prospects and donors to higher levels of giving.
• Assumes management responsibility for the funding of select initiatives that do not fall readily into campaigns/special programs, member engagement, missionary support and pastoral formation/care areas.
• Performs other duties and responsibilities as assigned by the President, the Chief Mission Officer or the MADV executive director.

Education And Experience

• Active membership in good standing in an LCMS congregation, faithful to the Holy Scriptures and the Lutheran Confessions, and supportive of the Synod's Constitution, Bylaws, and policies.
• Minimum of a bachelor’s degree in a related field; a master’s degree strongly preferred.
• Advanced education or certification in fundraising or development/advancement best practices (e.g., CFRE) strongly preferred.
• Six or more years’ experience in a non‑profit or professional environment including three years of manager‑level experience.
• Demonstrated experience leading, supervising, and developing a high‑performing team, including setting goals, providing feedback, managing performance, and fostering a collaborative working environment.

Knowledge, Skills And Abilities

• Demonstrated ability to set and achieve goals.
• Ability to function in a management system that emphasizes results and accountability.
• Ability to rapidly build positive relationships with internal and external stakeholders, major gifts colleagues and other MADV staff members to strengthen teamwork.
• Ability to plan, organize, execute and evaluate strategies and activities; openness to positive improvements and new approaches in resource development and fund raising.
• Strong communication skills, both written and oral, including giving presentations.
• Strong working knowledge of Christian stewardship principles and the ability to apply those principles in a fundraising environment.
• Familiarity with the Synod's doctrine, practices, mission, structure and/or programmatic ministries strongly preferred.
• Ability to engage/work effectively with a broad spectrum of Synod stakeholders, e.g., senior executive leadership, rostered church workers, lay congregants, agencies, auxiliaries and other partners of Synod to secure interest, involvement and investment in the work of Synod.
• Willingness to travel when warranted with colleagues and contributors.
• Knowledge of financial matters and a willingness to use technology to enhance productivity.

Supervisory Responsibility

This position is responsible for directly supervising a number of other staff members in MADV, including but not limited to:

• Mission Advocates and Research Manager
• Gift Planning Manager
• Grants/Foundations Staff

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