Technical Project Manager – Clinical Systems Canfield Scientific, Inc.Technical Project Manager – Clinical SystemsParsippany-Troy Hills, NJFull timeThe right candidate will possess strong organizational and problem-solving skills with attention to detail and excellent communication skills, who can translate between technical and non-technical stakeholders. This role sits at the intersection of information systems, software development, and operations, driving delivery of web-based clinical platforms used for medical imaging review and data workflows.
NewBilingual Registered Dietitian Clinical Research - PRN Professional Case ManagementBilingual Registered Dietitian Clinical Research - PRNLong Island, NY$50Performs the full scope of Registered Dietitian practices; including, but not limited to, providing virtual lifestyle counseling visits to improve nutrition and dietary quality, mental health and developing coping skills, and building health behavior and lifestyle habits that align with participant's goals and values. Please contact Ashley Sin at (303) 317-5486 x486 or at ashley.sin@emvenio.com today to learn more about our opportunities where you can make a difference in your own career!
Dialysis Clinical Manager Registered Nurse - RN Fresenius Medical CareDialysis Clinical Manager Registered Nurse - RNNew York, NY$90,000–$151,000 / yearOther: • Collaborates closely with, providing oversight as needed to, the Clinical Manager/Charge RN acting as nurse manager, the Medical Director, and the physicians regarding the direct patient care responsibilities within the facility to ensure the provision of outstanding quality of patient care, as defined by the FMS quality goals, and compliance with the pertinent company policies and procedures. • Demonstrated leadership competencies and management skills for the position, including excellent communication, customer service, continuous quality improvement, relationship development, results orientation, team building, motivating employees, performance management and decision making.
NewClinical Supervisor Mitchell MartinClinical SupervisorQueens, NY$70,000–$80,000 / 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. Clinical Supervisor - Astoria, NY (Onsite) - Full Time - Mon-Fri 08:30am-05:00pm (1 Late Evening) - $70,000-$80,000 Per Year.
Clinical Nurse Manager – CNM – Inpatient Psychiatry-Medicine – 11North NewYork-PresbyterianClinical Nurse Manager – CNM – Inpatient Psychiatry-Medicine – 11NorthManhattan, NY$145,000–$168,000 / yearWe have also received designation from the American Nurses Credential Center Magnet Recognition Program for our amazing nursing care and professionalism in nursing practice. In collaboration with the Patient Care Director, you’ll participate in the establishment of short- and long-term goals and ensure its alignment with the hospital’s overall strategic goals.
NewRegistered Clinical Dietitian Lantern Hill by Erickson Senior LivingRegistered Clinical DietitianBerkeley Heights, NJ$50,000–$55,000 / yearLantern Hill helps people live better lives by fulfilling our promises of a vibrant lifestyle, financial stability, and focused health and well-being services for those who live and work with us. See Erickson Senior Living Privacy Policy at https://www.ericksonseniorliving.com/privacy-policy and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions.
Medical Director, Sickle Cell Disease, Clinical Development Agios PharmaceuticalsMedical Director, Sickle Cell Disease, Clinical DevelopmentNew York, NY$221,600–$369,333 / yearThe current base salary range for this position is expected to be between $221,600 and $369,333 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. Follow important developments and relevant trends in scientific literature and develop/maintain contracts with external experts to support understanding of the candidate drug effects and to gain strategic insights to the further development and placement of study and overall program.
Manager, GMP Quality Assurance - Clinical, QA - Remote Agios PharmaceuticalsManager, GMP Quality Assurance - Clinical, QA - RemoteNew York, NYRemote$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).
Senior Manager, Clinical Nurse Educator – Sickle Cell Disease - Remote Agios PharmaceuticalsSenior Manager, Clinical Nurse Educator – Sickle Cell Disease - RemoteNew York, NYRemote$127,219–$190,828 / yearBuilding on the company’s leadership in the field of cellular metabolism, Agios is advancing a robust clinical pipeline of investigational medicines with active and planned programs in alpha- and beta-thalassemia, sickle cell disease, pediatric PK deficiency and MDS-associated anemia. Our teams cultivate strong bonds with patient communities, healthcare professionals, partners and colleagues, which helps us discover, develop and deliver therapies for genetically defined diseases – and make a bigger difference in their lives.
Clinical Nurse Manager - RN – ED – FT Nights NewYork-PresbyterianClinical Nurse Manager - RN – ED – FT NightsBronxville, NY$145,000–$168,000 / yearAt NewYork-Presbyterian, nursing is a life-changing career journey focused on amazing patient outcomes every step of the way. This is a full-time night position covering the hours of 7:00pm – 7:00am at NewYork-Presbyterian Westchester located in Bronxville, right across from the Metro North Station.
Clinical Nurse Manager - Cardiothoracic ICU - FT - Nights NewYork-PresbyterianClinical Nurse Manager - Cardiothoracic ICU - FT - NightsManhattan, NY$145,000–$168,000 / yearIn collaboration with the Patient Care Director, participates in the establishment of unit(s) short- and long-term goals and ensures its alignment with the hospital’s overall strategic goals. The Clinical Nurse Manager assumes first line leadership responsibility and accountability for managing the delivery of patient care on an assigned unit.
Hospice Inpatient Clinical Coordinator - $15,000 Sign-On Bonus or Student Loan Assistance! MJHSHospice Inpatient Clinical Coordinator - $15,000 Sign-On Bonus or Student Loan Assistance!Edgewater, NJThe Hospice Inpatient Clinical Coordinator is responsible for developing and strengthening business relationships with hospital partners, assessing patients referred for hospice enrollment, and providing General Inpatient (GIP) level of care to hospice in-patients with specialized clinical skills and compassion. Key responsibilities include conducting comprehensive assessments, collaborating with inpatient providers and staff, developing individualized care plans with an interdisciplinary team, educating referrers, patients and families about hospice, coordinating with healthcare providers, and maintaining accurate and detailed documentation.
Clinical Nurse Manager - Pediatric Oncology Center HIP7 - Morgan Stanley Children's Hospital NewYork-PresbyterianClinical Nurse Manager - Pediatric Oncology Center HIP7 - Morgan Stanley Children's HospitalManhattan, NY$145,000–$168,000 / yearHere, courageous nurses administer chemotherapy, manage symptoms, support patients and educate families, all while serving as the nerve center of extensive multidisciplinary teams. Work in collaboration with the Patient Care Director, participate in the establishment of short and long term goals and ensure its alignment with the hospital’s overall strategic goals.
Clinical Nurse Manager - Pediatric Service Line Evening Flex NewYork-PresbyterianClinical Nurse Manager - Pediatric Service Line Evening FlexManhattan, NY$145,000–$168,000 / yearAs the Pediatric Service Line Clinical Manager, you will lead a Magnet designated nursing team and collaborate with the transformational leaders of the entire pediatric team, working closely with the three units’ Patient Care Directors and fellow Clinical Managers. The Epicenter of Pediatric Nursing in a World Class OrganizationClinical Nurse Manager - Pediatric Service Line Evening FlexAt NewYork-Presbyterian, amazing things are truly happening!
NewRN Clinical Reviewer Greenlife Healthcare StaffingRN Clinical ReviewerJericho, NYThis individual will work under the direction of the supervisor of the team performing clinical reviews and abstractions of assigned cases related to a maternal death or to an adverse event that occurred during an outpatient surgical procedure. Impactful Work: Contribute to a mission-driven organization dedicated to improving patient outcomes by identifying and analyzing critical events in maternal care and outpatient surgical procedures.
Associate Director, Clinical Educator, Sickle Cell Disease (East Zone) - Remote Agios PharmaceuticalsAssociate Director, Clinical Educator, Sickle Cell Disease (East Zone) - RemoteNew York, NYRemote$153,541–$230,312 / yearThe current base salary range for this position is expected to be between $153,541 and $230,312 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 Regional Agios Clinical Educator Manager is a unique leadership opportunity, providing day to day oversight of 5-7 Agios Clinical Educators (ACEs) who interact directly with patients and healthcare professionals.
Associate Director, Clinical Educator, Sickle Cell Disease (West Zone) - Remote Agios PharmaceuticalsAssociate Director, Clinical Educator, Sickle Cell Disease (West Zone) - RemoteNew York, NYRemote$153,541–$230,312 / yearThe current base salary range for this position is expected to be between $153,541 and $230,312 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 Regional Agios Clinical Educator Manager is a unique leadership opportunity, providing day to day oversight of 5-7 Agios Clinical Educators (ACEs) who interact directly with patients and healthcare professionals.
Licensed Clinical Social Worker (LCSW only) Benchmark Human ServicesLicensed Clinical Social Worker (LCSW only)Stamford, CT$65,000–$80,000 / yearOur Licensed Clinical Social Worker (LCSW) will conduct evaluations and assessments, participate in Individualized Family Service Plan (IFSP) development and implementation, monitor outcomes as a member of the team, and provide EI supports to families for the benefit of the child. Children’s Services help babies and toddlers with disabilities or delays learn new skills that typically develop during the first three years of life including physical, cognitive, social/emotional, and communication skills.
NewClinical Coordinator II West Side Federation for Senior and Supportive HousingClinical Coordinator IIMorningside, NY$75,000–$85,000 / yearWest Side Federation for Senior and Supportive Housing Clinical Coordinator II Job Description: Clinical Coordinator II The Clinical Coordinator II will supervise the provision of professional social work services, including but not limited to, supervision of social workers, case managers, recreation, medication and other program staff members, while carrying a small caseload. The Clinical Coordinator II reports to the Managing Director or Director of Clinical and Social Services and works closely with the Building Manager.
NewLicensed Clinical Social Worker BMS Family Health and Wellness CentersLicensed Clinical Social WorkerBrooklyn Heights, NY$88,000–$98,000 / yearRequirements: REQUIRED QUALIFICATIONS Master’s degree in social work from an accredited program Valid New York State LCSW license 5 or more years of social work experience Bilingual in English and Spanish (advanced or native Spanish language speaker), preferred. Salary: $88,000 - 98,000 annually Compensation details: 88000-98000 Yearly Salary PI7eea12163041-25448-402582275c143e31-5e48-4549-b638-05792d185386
NewPhysician Assistant - Advanced Clinical Provider - Hospital at Home Program - **Day Shift - New York, NY NewYork-PresbyterianPhysician Assistant - Advanced Clinical Provider - Hospital at Home Program - **Day Shift - New York, NYManhattan, NY$161,000–$193,000 / yearThis program will be designed and delivered by NYP providers and clinical staff, allowing NYP's best-in-class care across all measures of quality, service, cost, and innovation to be continued in the home setting. In this vital role within our Care Team Model, ACPs deliver high-quality, patient-centered care to patients receiving acute-level services in the home setting.
VP of Product - Patient Experience Dassault SystèmesVP of Product - Patient ExperienceNew York, NY$216,000–$288,000 / yearCelebrating 25 years of ground-breaking technological innovation across more than 36,000 trials and 11 million patients, Medidata offers industry-leading expertise, analytics-powered insights, and one of the largest clinical trial data sets in the industry. More than 1 million users trust Medidatas seamless, end-to-end platform to improve patient experiences, accelerate clinical breakthroughs, and bring therapies to market faster.
Clinical Trial Associate/Sr. Clinical Trial Associate, Clinical Operations Agios Pharmaceuticals IncClinical Trial Associate/Sr. Clinical Trial Associate, Clinical OperationsNY$66,518–$99,777 / yearWhat you will do: Partner with Clinical Operations Trial Managers and cross-functional teams to support the planning, coordination, and day-to-day execution of clinical trials across the study lifecycle, including but not limited to issue tracking, protocol deviation review, and study status reporting, to help ensure quality, timeliness, and achievement of study goals. Clinical Trial Associate level is expected to be between $82,022 and $123,033 annualized and the current base salary range for this position at the Clinical Trial Associate level is expected to be between $66,518 and $99,777; 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.
Senior Clinical Research Manager BeOne Medicines AGSenior Clinical Research ManagerNY$136,400–$181,400 / yearLead and contribute to strategic initiatives and task forces aimed at improving clinical operations processes and outcomes, driving projects from inception to completion in alignment with organizational goals and in collaboration with cross-functional teams. General Description: The Senior Clinical Research Manager oversees clinical monitoring activities and the CRA team's performance to ensure they comply with ICH-GCP, local regulations, and company SOPs, and maintain quality across clinical trials.
Assistant Clinical Research Coordinator/Equipment Supervisor Frontage Clinical Services IncAssistant Clinical Research Coordinator/Equipment SupervisorSecaucus, NJPerforms study procedures (e.g., obtain ECG recordings, vital signs, safety assessments, etc.) as required by study protocol under the supervision of the Clinical Research Coordinator, Principal Investigator, and Sub-Investigators. Our core competencies include drug metabolism, pharmacokinetics/ pharmacodynamics (PK/PD), safety and toxicology, bioanalytical services, chemistry and manufacturing controls for drug development, and core laboratory services for clinical trials.
NewAssistant Clinical Research Manager Columbia UniversityAssistant Clinical Research ManagerNew York, NY$85,000–$91,000 / yearResponsibilities include oversight of study coordination activities, staff support, workload distribution, and implementation of process improvements to enhance research operations and patient safety. The Assistant Clinical Research Manager is responsible for supporting the operational management of research studies and assisting in the supervision of research staff.
NewManager, Clinical Trial Management Precision Medicine Group LLCManager, Clinical Trial ManagementNY$133,900–$200,900 / yearThis compensation range 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. Work with the Clinical Operations Management Team and management of other functional areas to continually improve and enhance CTM expectations and procedures to promote quality, consistency and efficiency while achieving established Key Performance Indicators (KPIs).
Clinical Research Associate II - FSP Precision Medicine Group LLCClinical Research Associate II - FSPNY$91,500–$137,300 / yearEssential functions of the job include but are not limited to: Oversees all aspects of study site management to ensure patient safety is protected, quality of data generated by managed sites resulting in consistently low query levels and in acceptable Quality Assurance reports. Documents activities via confirmation letters, follow-up letters, trip reports, communication logs, and other required project documents as per SOPs, Clinical Monitoring Plan/Site Management Plan and client requirements.
Senior Clinical Research Manager - CICET Columbia UniversitySenior Clinical Research Manager - CICETNY$130,000–$150,000 / yearThe CRM supervises clinical research coordinators, manages study operations across multiple trials, and collaborates with investigators, regulatory teams, research pharmacy, and clinical departments to ensure the successful implementation of complex cell and gene therapy clinical trials. Reporting to the CICET CGTM Senior Research Nurse Manager, the CRM leads the coordination and execution of investigator-initiated and industry-sponsored clinical trials, ensuring compliance with Good Clinical Practice (GCP), FDA regulations, institutional policies, and sponsor requirements.
Clinical Research Associate - Sponsor Dedicated IQVIAClinical Research Associate - Sponsor DedicatedParsippany, KansasEnsure copies/originals (as required) site documents are available for filing in the Trial Master File (TMF) and verify that the Investigator's Site File (ISF) is maintained in accordance with GCP and local regulatory requirements. • Perform site monitoring visits (selection, initiation, monitoring and close-out visits) in accordance with contracted scope of work and regulatory requirements, i.e., Good Clinical Practice (GCP) and International Conference on Harmonization (ICH) guidelines.
Program Manager Clinical Research Montefiore Medical CenterProgram Manager Clinical ResearchNY$84,000–$105,000 / yearThe Clinical Research Program Manager- Monitor will be responsible for all ongoing monitoring activities -patient case reviews, pharmacy reviews, regulatory reviews for Montefiore Einstein Cancer Center Investigator Initiated Trials (trials where MECC clinicians are the Sponsor Investigators/IND Holder). Demonstrated communication, leadership, and team building skills: evidence of this should include dealing well with people, effective problem solving, appropriately confronting issues, motivating others as individuals and as groups, planning, organizing and directing the activities of others.
Senior Clinical Research Associate Protagonist TherapeuticsSenior Clinical Research AssociateNewark, New JerseySupport study vendor management by performing key activities as delegated by study CTM, including but not limited to: Participate in evaluation of new vendors (CROs, labs, central readers, EDC, etc.) by drafting and/or reviewing RFPs, analyzing responses and drafting work orders for select vendors • Manage the day to day interactions with select study vendor(s), such as a central or specialty lab including developing training materials, lab manuals and acting as first point of contact for issue and query escalation and resolution. Yes, up to 10% Core Responsibilities Overall Study Execution Part of the clinical study team and takes a lead on execution by performing key activities as delegated by the Clinical Study lead, including but not limited to: Develop and/or review key study operational documents (e.g., study reference manual, laboratory and pharmacy manuals, data management plan, query generation, monitoring plan; review site audit reports) •.
Clinical Research Coordinator - Albuquerque, NM IQVIAClinical Research Coordinator - Albuquerque, NMParsippany, New MexicoAs a CRC, you will play a critical role in coordinating study operations, supporting patient recruitment and retention, performing study‑related procedures, and ensuring adherence to study protocols and regulatory requirements. This role is well‑suited for a detail‑oriented research professional who enjoys direct patient interaction, values data integrity, and is committed to high‑quality clinical research within diverse communities.
Clinical Research Coordinator - Wichita, KS IQVIAClinical Research Coordinator - Wichita, KSParsippany, KansasThe CRC will play a critical role in study coordination, patient engagement, clinical procedures, and data management while ensuring compliance with study protocols, regulatory requirements, and Good Clinical Practice (GCP) guidelines. IQVIA is a leading global provider of clinical research services, commercial insights and healthcare intelligence to the life sciences and healthcare industries.
Clinical Research Administrative Assistant Frontage Clinical Services IncClinical Research Administrative AssistantSecaucus, NJ$20–$22 / hourOur core competencies include pre-clinical, drug metabolism, pharmacokinetics/ pharmacodynamics (PK/PD), safety and toxicology, bioanalytical services, chemistry and manufacturing controls for drug development, and core laboratory services for clinical trials. Position Summary: We are seeking a proactive and detail-oriented Clinical Research Assistant to provide critical administrative and operational support within our research environment.
Clinical Research Coordinator - Danbury Hospital Clinical Trials department - Danbury, CT Nuvance HealthClinical Research Coordinator - Danbury Hospital Clinical Trials department - Danbury, CTDanbury, CT$29.65–$55.55 / hourOur team of more than 15,000 caregivers delivers compassionate care through seven community hospitals, primary care and specialty practice locations, outpatient settings, home care services and telehealth visits. Performs procedures including EKG, Phlebotomy, blood and body fluid sampling, packing and shipment of human samples, body measurements and examinations within scope of practice and training, consistent with clinic and study specific policies/procedures and scope of care under the guidance of the supervisor.
NewSenior Trauma Clinical Data Coordinator - Full Time - Day Hackensack Meridian HealthSenior Trauma Clinical Data Coordinator - Full Time - DayHackensack, New JerseyFull timeResponsibilities: A day in the life of a Senior Trauma Clinical Data Coordinator at Hackensack Meridian Health includes: Works in collaboration with Trauma principal investigators, sub-investigators, Trauma Research RN, and regulatory specialists on all research issues ensuring adherence to trauma research protocols. Qualifications: Education, Knowledge, Skills and Abilities Required: Bachelor of Arts/Bachelor of Science diploma/degree in science or healthcare field OR minimum of 4+ years of experience in a related area with High School diploma, general equivalency diploma (GED), and/or GED equivalent programs.
Clinical Research Project Manager iMPact Business GroupClinical Research Project ManagerMahwah, NJLeading people who perform project management duties involving cross-functional teams focused on delivering internal products or administrative systems. Organizing project activities and interdepartmental meetings, ensuring communication facilitates the completion of the program or project on schedule and within budget constraints.
Senior Clinical Research Associate BeOne Medicines AGSenior Clinical Research AssociateNY$105,800–$140,800 / yearThe SCRA collaborates with the Clinical Study Teams (CSTs) by supporting day to day clinical study activities, departmental tasks, and provides mentoring to other CRA team members within established protocols and portfolio under general supervision. General Description: The SCRA is primarily a site monitor and is responsible for the management and oversight of their assigned clinical study sites to ensure data quality and patient safety in accordance with ICH-GCP guidelines, local regulations, and applicable SOPs.
Clinical Research Coordinator - Sioux Falls, SD IQVIAClinical Research Coordinator - Sioux Falls, SDParsippany, South DakotaThe actual base pay offered may vary based on a number of factors including job-related qualifications such as knowledge, skills, education, and experience; location; and/or schedule (full or part-time). IQVIA is a leading global provider of clinical research services, commercial insights and healthcare intelligence to the life sciences and healthcare industries.
Clinical Research Coordinator - Loma Linda, CA IQVIAClinical Research Coordinator - Loma Linda, CAParsippany, CaliforniaThe actual base pay offered may vary based on a number of factors including job-related qualifications such as knowledge, skills, education, and experience; location; and/or schedule (full or part-time). IQVIA is a leading global provider of clinical research services, commercial insights and healthcare intelligence to the life sciences and healthcare industries.
Clinical Program Manager, Oncology Research (RN or NP Required) - Tisch Cancer Center Mount Sinai Health SystemClinical Program Manager, Oncology Research (RN or NP Required) - Tisch Cancer CenterNY$115,494–$192,328 / yearEducation Responsibilities: Develops educational content and delivers nurse-to-nurse education, specifically the education of Nursing Staff regarding specific protocol requirements, treatment administration of investigational agents, coordination of timed or sequenced events (i.e. serial vitals) and the accurate capture of clinical data for the purposes of the study and patient monitoring. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time - discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it.
Clinical Research Coordinator - Philadelphia, PA IQVIAClinical Research Coordinator - Philadelphia, PAParsippany, PennsylvaniaIQVIA is a leading global provider of clinical research services, commercial insights and healthcare intelligence to the life sciences and healthcare industries. By combining deep scientific expertise with cutting-edge technology, we deliver high-quality data and insights that shape the future of clinical trials.
Clinical Research Coordinator I - Genetics & Genomic Sciences Mount Sinai Health SystemClinical Research Coordinator I - Genetics & Genomic SciencesNY$58,661–$73,530 / yearMount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time - discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it. We are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics, top 5 in Cardiology/Heart Surgery, and top 20 in Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology.
Clinical Research Coordinator II Rutgers The State University of New JerseyClinical Research Coordinator IINewark, NJAligned with Rutgers UniversityNew Brunswick and collaborating university wide, RBHS includes eight schools, a behavioral health network, and five centers and institutes that focus on cancer treatment and research, neuroscience, advanced biotechnology and medicine, environmental and occupational health, and health care policy and aging research. Under Policy 100.3.1 Immunization Policy for Covered Individuals, if employment will commence during Flu Season, Rutgers University may require certain prospective employees to provide proof that they are vaccinated against Seasonal Influenza for the current Flu Season, unless the University has granted the individual a medical or religious exemption.