NewConstruction Sr. Project Manager (Heavy Civil) JobotConstruction Sr. Project Manager (Heavy Civil)Vancouver, WA$155,000–$170,000 / 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. We're recognized as one of the highest value industrial and mechanical construction contractors in the marketplace, handling complex infrastructure and critical plant processes.
Tax Senior JobotTax SeniorVancouver, WA$85,000–$110,000 / 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. We partner with individuals and business owners to simplify complexity, reduce tax burden, and provide proactive guidance that helps clients make confident financial decisions year-round.
NewSenior BAS/HVAC Controls Programmer/Specialist - Relocation Assitance Provided! JobotSenior BAS/HVAC Controls Programmer/Specialist - Relocation Assitance Provided!Portland, OR$110,000–$135,000 / yearAs a senior programmer/specialist on our team, you will be responsible for creating control algorithms, managing system databases, integrating multiple systems, executing project start-ups, and providing training and documentation for end users. 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.
Senior Billing Specialist JobotSenior Billing SpecialistVancouver, WA$28–$33 / 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. Proficiency with Excel and calculators to perform moderately complex calculations, including unit and weight conversions; skilled in 10-key data entry with a high degree of accuracy.
Senior Software Engineer (LTI/LMS Integrations, Scala) JobotSenior Software Engineer (LTI/LMS Integrations, Scala)Portland, ORRemote$150,000–$190,000 / 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. Successful candidates are likely to come from strong EdTech backgrounds where they’ve built integrations with Learning Management Systems (LMS) and educational platforms.
Senior Project Engineer CalPortlandSenior Project EngineerVancouver, WA$105,000–$130,000The Project Engineer will manage engineering projects from conception, design, procurement, installation, project cost, and commissioning to include review of project performance with plant operations and maintenance personnel. Support local plant in technical matters as assigned, including equipment troubleshooting, critical path scheduling, material/equipment selections and mathematical calculations, etc.
NewSr. Vehicle Maintenance Technician/NonDOT FedExSr. Vehicle Maintenance Technician/NonDOTPortland, OR$33–$43.41 / hourAbility to read and speak the English language sufficiently to understand traffic signs, communicate with traffic safety officials and to respond to official inquiries and directions in accordance with FMCSA enforcement guidance. Knowledge of the use and operation of all equipment and testing equipment, gauges and tools normally associated with the troubleshooting and repair of hydraulic, gasoline, diesel, electric, and/or hybrid motorized equipment.
NewSenior Area Transmission Planner PacifiCorpSenior Area Transmission PlannerPORTLAND, OR$102,000–$161,370 / yearProject management and leadership skills including the ability to work as a team member, to maintain project timelines, budgets, and deliver on commitments. PacifiCorp is seeking customer-centric candidates to grow and sustain our commitment to a culture of customer service excellence, environmental sustainability, inclusion and belonging.
Substation Senior Structural Engineer LeidosSubstation Senior Structural EngineerVancouver, WA$73,450–$132,775If you received an email purporting to be from Leidos that asks for payment-related information or any other personal information (e.g., about you or your previous employer), and you are concerned about its legitimacy, please make us aware immediately by emailing us at LeidosCareersFraud@leidos.com. We are seeking a Substation Senior Structural Engineer with 5+ years of experience within the utility industry working directly for a utility or consulting company, doing design engineering and reviews.
Senior Quality Engineer Orchid Orthopedic SolutionsSenior Quality EngineerWest Linn, ORThe Senior Quality Engineer supports the ongoing quality of Orchid's legacy products across all sites by focusing on a strong relationship with critical customers, working with project management and manufacturing engineers to support new product introductions and ongoing validation, and planning and executing training based on business needs. Uses quality tools to implement improvements including: process flowcharting, Pareto analysis, correlation and regression analysis, significance tests, design of experiments, statistical process control, gauge repeatability and reproducibility, and trend analysis techniques.
NewSenior Companionship & Care Aide Papa Inc.Senior Companionship & Care AideWashington County, OR$13–$22Join Papa’s network of compassionate individuals and start creating meaningful connections with older adults and families in your area today! Papa is a service that connects caring individuals with older adults and families who are seeking non-medical support with everyday tasks and companionship.
NewSenior Care Dietitian (Full Time) **SIGN ON BONUS! Ontario CenterSenior Care Dietitian (Full Time) **SIGN ON BONUS!Portland, OROntario Center for Rehabilitation and Healthcare (formerly Ontario County Health Facility)is a long-term care facility that provides the highest possible quality of care and quality of life for all Health Facility residents. In addition to an emphasis on individuality and self-determination, the nursing home is viewed as home as much as a medical institution, with the residents’ psychosocial needs deserving a prominence at least equal to their medical condition.
Senior Civil Engineer Wallis EngineeringSenior Civil EngineerVancouver, WA$90,000–$140,000 / yearFull timeOur business purpose: to provide civil engineering services that help our public agency clients deliver successful public infrastructure projects, leveraging our teamwork focus, our production ability, and our construction expertise. In addition, the professional growth of our engineering staff is important to us – we rely upon a very unique and highly effective professional development program to help our engineers grow professionally, and foster our firm’s culture of production-focused teamwork.
Senior HVAC Technician-LME JLLSenior HVAC Technician-LMEVancouver, WAFull timeWhether you've got deep experience in commercial real estate, skilled trades or technology, or you're looking to apply your relevant experience to a new industry, join our team as we help shape a brighter way forward. child care, elder care), nationality, ethnic or national origin or ancestry, citizenship, marital status, civil partner status, sexual orientation, gender identity or expression, transgender status, veteran’s status, genetic information, trade union membership, social position, political view or status as a qualified individual with a disability, protected leave status or any other protected characteristic in accordance with applicable law.
Support Services Business Systems Analyst or SR Cambia Health SolutionsSupport Services Business Systems Analyst or SRVancouver, WAFull timeAs a member of the Business System Analyst Support Services team, our The Business Systems Analysts participates in the daily support, maintenance, and enhancement of existing systems, as well as the development, configuration, and delivery of new systems to directly support Cambia Core Strategies and Key Initiatives- all in service of creating a person-focused health care experience. • Demonstrated ability to facilitate communication between technical and business staff by providing functional requirements and/or working with software developers to find the best solutions to meet the business requirements of various projects wit.
Pharmacy Operations Program Manager or Sr DOE Cambia Health SolutionsPharmacy Operations Program Manager or Sr DOEVancouver, WAFull timeBachelor's degree in business, health administration, or related field and 5+ years of progressive experience in operational/business management, project/program management in healthcare, healthcare insurance operations or other large complex industries, and/or vendor management, or equivalent combination of education and experience. As a member of the Pharmacy Services Operations team, our Pharmacy Operations Program Managers oversee complex pharmacy benefit programs, manage vendor relationships, and drive operational excellence - all in service of creating a person-focused health care experience.
Senior Equipment Engineer TSMC Washington LLCSenior Equipment EngineerCamas, WA$112,000–$135,480 / yearFull timeResponsibilities will include: 1) working closely with Manufacturing and process and equipment engineers to achieve fab moves requirement and maintain operation line; 2) sustaining daily process, including eMUC (Electronic Manual Unload Card) recovery, maintaining in-line/off-line monitor performance to ensure process stability and wafer quality, and resolving outlier tool issues; 3) proactively applying “Stop and Fix” when seeing signals, to prevent more wafers being impacted by a potential event; 4) escalating system weakness or chronic issue for owners to follow up for continuous improvement. REQUIREMENTS: Master’s Degree or foreign equivalent in related Engineering discipline such as Electrical, Mechanical, Civil or Chemical Engineering, Materials Science, Physics, or Chemistry and two (2) years of experience in a related position.
Senior Manufacturing Planning Engineer TSMC Washington LLCSenior Manufacturing Planning EngineerCamas, WA$112,000–$135,480 / yearFull timeResponsibilities include: 1) working with Planning, Manufacturing, Process Engineering, Equipment Engineering, and IT groups and HQ (headquarters) to develop and customize HQ dispatching rules to meet Fab 11 requirements; 2) analyzing data and adjusting system as needed; 3) monitoring transfer of KPI (Key Performance Indices); 4) working with Manufacturing on tool prioritizing and dispatching; 5) performing projects to improve dispatching with CIM (Computer Integrated Manufacturing) team. Senior level manufacturing engineering experience in a semiconductor manufacturing facility; and Experience with tool dispatching and CIM (computer integrated manufacturing).
Sr Staff Software Engineer Qualcomm IncorporatedSr Staff Software EngineerVancouver, WA$185,900–$278,900 / yearFull timeDevelops critical optimized software to enable AI models deployed on hardware (e.g., machine learning kernels, compiler tools, or model efficiency tools, etc.) to allow specific hardware features; collaborates with hardware teams for joint design and development. As a Qualcomm Machine Learning Engineer, you will create and implement machine learning techniques, frameworks, and tools that enable the efficient discovery and utilization of state-of-the-art machine learning solutions over a broad set of technology verticals or designs.
Senior Project Manager Otak Inc.Senior Project ManagerVancouver, WA$131,000–$170,000 / yearFull timeAs a senior member of our Transportation and Infrastructure Group, you will lead projects from concept through construction, guide multidisciplinary teams, and collaborate with clients to deliver safe, sustainable, and community-focused transportation solutions across Oregon and Southwest Washington. You will build a community-centered portfolio by shaping and delivering municipal roadways, multi-use trails, bridges, underpasses, and civic improvements, while engaging in purpose-driven work that enhances community connectivity and environmental quality.
Sr. Specialist, People Technology ZoomInfo technologies, LLCSr. Specialist, People TechnologyVancouver, WA$180,250–$223,600 / yearFull timeEmployer will accept a Bachelor's degree in Computer Science, Engineering, or related fields, followed by 7 years of progressively responsible, post baccalaureate work experience in the job offered, or in an IT Consulting-related occupation. 4. 5 years of experience in building and maintaining custom reports, calculated fields, advanced reports, report writer and Dashboards in Workday, SAP BO and Power BI.
Senior Transit Engineer ParametrixSenior Transit EngineerVancouver, WA$155,000–$175,000 / yearFull timeParametrix is a 100% employee-owned consulting firm helping clients deliver resilient infrastructure, vibrant and livable communities, and environmentally sustainable solutions. We are committed to being a Best Place to Work, offering hybrid work environments that promote meaningful connections, support work-life balance, and encourage career development.
Senior Operations Technology System Administrator Avangrid Service CompanySenior Operations Technology System AdministratorVancouver, WAFull timeThis position is responsible for the design, implementation, and support of the Avangrid Power Operational Technology (OT) Infrastructure and Associated Applications, with emphasis on current infrastructure around Disaster Recovery and Business Continuity. * Ability to foster and participate in a productive team environment by establishing and maintaining effective working relationships with co-workers, managers, customers, contractors, and vendors.
NewSenior Manager Talent and Leadership Development Portland General Electric CompanySenior Manager Talent and Leadership DevelopmentPortland, OregonFunctional Leadership Exercises comprehensive functional and industry knowledge in specialized areas; identifies and resolves complex multidimensional business problems; exercises delegated authority over planning, direction and timely execution for a functional area or program; establishes and maintains contacts with management levels within and outside the company and at government agencies and with industry experts in accomplishing function or program objectives. Financial Management Sets strategy and develops plans, policies and processes for the accounting, budgeting and, where applicable, charging of department resources and services, including the definition of cost models and charging models; sets, negotiates, approves and manages all financial budgets and targets, ensuring that there is adequate funding for department objectives and plans.
Sr Mgr Human Resources Henkels & McCoySr Mgr Human ResourcesVancouver, Washington$105,000–$158,000 / yearBuilding on a 100-year legacy of performance and service to utility, commercial, industrial, and government clients, H&M West brings together extensive knowledge and innovation to deliver infrastructure construction solutions that meet future energy needs today. The Senior HR Manager is responsible for overseeing all aspects of human resources practices and processes, ensuring alignment with organizational goals for the Pacific Northwest Region and other regions as needed.
Senior Administrative Assistant Integrated Resources, IncSenior Administrative AssistantBeaverton, ORCommunications: Under the leader’s direction, write, contribute, and/or edit draft communications; involve appropriate stakeholders; manage distribution lists and send communications on leader’s behalf. Team & Culture Building: Help the team build connections through staff meetings, team building activities, offsites, and workspace initiatives.
Senior Engineer - Environmental & Solid Waste Engineering Macpower Digital Assets Edge Private LimitedSenior Engineer - Environmental & Solid Waste EngineeringPortland, OR$94,605–$141,444 / yearOversee landfill construction projects from design to final approval, including consultant and contractor management, budget oversight, bid preparation, contract administration, and coordination of construction quality assurance firms and material procurement. Collaborate with subject matter experts within department to develop cost-effective engineering solutions for operational, environmental, and compliance challenges at landfills, transfer stations, hauling operations, and other facilities.
Senior Business Analyst - Supply Chain Planning Macpower Digital Assets Edge Private LimitedSenior Business Analyst - Supply Chain PlanningBeaverton, OR$45–$48 / hourKey Responsibilities: Build scalable visualization tools using Power BI for data-driven insights and quick decision-making. Job Summary: As a Senior Business Analyst you will support supply chain planning in a manufacturing environment at hybrid locations in Beaverton, Oregon, or St.
Senior Frontend Software Engineer (React.JS, Redux, TypeScript, Node.JS & AWS) Macpower Digital Assets Edge Private LimitedSenior Frontend Software Engineer (React.JS, Redux, TypeScript, Node.JS & AWS)Beaverton, OR$70–$81.38 / hourStrong working knowledge of AWS CloudFront, Lambda, SNS, SQS, S3, EventBridge, MediaConvert, Translate, Transcribe, CloudWatch, DynamoDB, and OpenSearch. The role involves building and enhancing scalable, reliable, and user-friendly web applications within an advanced engineering environment.
Senior IAM Engineer (SailPoint IIQ) Macpower Digital Assets Edge Private LimitedSenior IAM Engineer (SailPoint IIQ)Beaverton, ORRemote$60–$63.45 / hourJob Overview: Senior Identity & Access Management (IAM) Engineer SailPoint IIQ This position supports SailPoint IdentityIQ through expert development, deployment, and management. Familiarity with Microsoft Active Directory, relational databases, BeanShell scripting, REST APIs, and web services.
Sr Mgr Human Resources MasTec IncSr Mgr Human ResourcesVancouver, WA$105,000–$158,000 / yearBuilding on a 100-year legacy of performance and service to utility, commercial, industrial, and government clients, H&M West brings together extensive knowledge and innovation to deliver infrastructure construction solutions that meet future energy needs today. Position Summary The Senior HR Manager is responsible for overseeing all aspects of human resources practices and processes, ensuring alignment with organizational goals for the Pacific Northwest Region and other regions as needed.
Senior CAD Technician - MWH MWHSenior CAD Technician - MWHPortland, ORIncorporating industry-leading preconstruction and construction services, the Company’s multi-disciplined team of engineering and construction professionals delivers a wide range of projects, including new facilities, infrastructure improvement and expansion, and capital construction services. With the ultimate goal of delivering maximum value to clients and their local communities, MWH Constructors provides single-source, integrated design and construction services through a full range of project delivery methods.
Sr. Specialist, Talent Acquisition Banfield Pet HospitalSr. Specialist, Talent AcquisitionVancouver, WA$75,029–$103,165 / yearExpert level experience to perform searches that produce qualified candidates according to relevant job criteria, using various recruitment sources including cold calls, talent pipelines, networking, Internet recruiting resources, career fairs, internal talent pools, and employee referrals, is required. Source active and passive candidates that fit and will further our culture through networking, direct sourcing, and working with external executive search firms (as needed), providing exceptional service delivery by understanding our business landscape, competitive demographics, and employment value proposition to provide a qualified and diverse candidate pool.
Sr. Cybersecurity Advisor - Identity Security | Pacific NW - Remote, USA Optiv Security IncSr. Cybersecurity Advisor - Identity Security | Pacific NW - Remote, USAPortland, ORRemote$200,000–$250,000 / yearCSA has extensive real-world knowledge and can design pragmatic Identity Governance, Digital Access Management (MFA/SSO), Privileged Access Management and Identity Orchestration security solutions tailored to each client's unique environment and provide our clients and sellers with consistent security expertise on all sales opportunities. Advance sales techniques; makes connections, facilitates meetings, reads the room, asks probing questions, overcomes objections, gains trust, maintains composure under pressure, positions solutions, and assist in finalization of sale.
Senior Meteorologist Iberdrola SASenior MeteorologistPortland, OR$96,400–$120,500 / yearThe role is in a high-energy, dynamic environment where accurate energy production estimates are critical to the success of the business and where excellent communication and organizational skills, continuous improvement contributions, and strategic initiative are recognized and rewarded. Ability to create user-friendly, GUI-based data analysis tools and/or proficiency with any of the following programing languages: Matlab, R, Python, SQL, Visual Basic (Microsoft Excel).
Senior Product Manager - Global Ecommerce HPSenior Product Manager - Global EcommerceVancouver, WashingtonThe SHOP product line owns the customer experiences that help customers find, evaluate, and select the right products, including home, category and landing pages, listing and search experiences, product detail pages, and supporting content and pricing capabilities. This role has end‑to‑end accountability for the performance of the SHOP product line and is responsible for setting product direction, aligning multiple product pods, and driving meaningful customer and business outcomes.
Senior Manager, Sales ASM International NVSenior Manager, SalesHillsboro, ORThe role requires the ability to lead the sales effort by identifying and communicating high-value problems, understanding the value proposition of the proposed solution, identifying key decision makers, and aligning the process/hardware/software/spares support organizations to deliver the solution successfully at the customer site. To accomplish these responsibilities, the Senior Sales Manager will define strategies and tactics to direct the technical, operational and commercial teams in partnership with ASMs Key Product Units (KPUs) to oversee ASM interests in marketing, sales, process performance, hardware/software performance and product evolution.
Senior Field Service Copier Technician Pacific Office AutomationSenior Field Service Copier TechnicianBeaverton, ORPacific Office Automation is currently seeking a Senior Field Service Technician who is skilled in repairing and maintaining Konica Minolta, Canon, & Ricoh Production Printers for our office in Beaverton, OR. With over 40 years of success in office equipment and technology sales/service, our growth and reputation have afforded us great relationships with top manufacturers such as Canon, Sharp, Konica Minolta, HP, Ricoh, Lexmark, and many more.
Senior Accountant – Financial Reporting & SOX Compliance Cala Sourcing Solutions LLCSenior Accountant – Financial Reporting & SOX CompliancePortland, OR$70–$70This role will play a key part in the month-end close process, account reconciliations, internal controls, SEC reporting support, and specialized investment and operational accounting. The ideal candidate combines strong technical accounting expertise with the ability to collaborate across departments and communicate financial results to management.
Senior Assortment Planner eTeam Inc.Senior Assortment PlannerBeaverton, OR$37.32–$39.26 / hourWe are looking for a Senior Assortment Planner to establish clear end-to-end bottoms-up merchandise plans partnering with Merchandising & Enterprise Business Planning to create a line grounded in profitability, productivity, and consumer centric offerings that support the goals of and the consumer sport offense. You will partner cross-functionally with Direct Merchandising, Sport Planning, Sport Merchandising, Allocation Planning, Concept Planning, and Marketing/Brand teams.
Senior Business Systems Analyst Metasys TechnologiesSenior Business Systems AnalystPortland, ORRemote$90–$95 / hourServe as a senior functional lead supporting core enterprise financial and operational systems, ensuring stability, usability, and effective end-user support across business teams. Contribute technical and functional leadership to enterprise initiatives involving finance systems modernization, automation, workflow improvements, and business process transformation.
Senior BIM Technician / VDC Specialist Access SciencesSenior BIM Technician / VDC SpecialistHillsboro, ORTroubleshoot technical BIM/CAD issues, develop practical solutions, and document resolutions for inclusion in team procedures and the departmental manual. The position may be filled at either the Senior BIM Technician or VDC Specialist level, depending on experience, technical authority, and demonstrated leadership.
NewSenior AI Agent & Evaluations Engineer VacatiaSenior AI Agent & Evaluations EngineerPortland, ORWe're developing AI agents that sit at the center of critical business workflows—helping owners, supporting operations, surfacing insights, and automating decisions that historically required significant human effort. If you're excited about building intelligent systems that solve complex business problems, improving agent behavior through rigorous evaluation, and helping shape the future of vacation ownership, we'd love to hear from you.
Senior Building Enclosure Consultant TEEMASenior Building Enclosure ConsultantPortland, OR$130,000–$175,000This is a leadership role with full project ownership—from concept through delivery—offering the opportunity to shape technical solutions, mentor emerging talent, and grow client relationships. This role is ideal for someone who thrives on solving complex challenges, building client partnerships, and advancing their career in a technically respected and forward-thinking team.
Part-Time Caregiver for Seniors Portland WestPart-Time Caregiver for SeniorsPortland, OregonWe are proud to lead the industry in programs like Senior Gems, which certifies our caregivers in Alzheimer's and Dementia care, and our first-in-the-industry Parkinson's Care Program, delivering specialized training to our caregivers who care for seniors with Parkinson's. We are currently hiring part-time caregivers to support seniors in central and south Portland, Beaverton, Hillsboro, Lake Oswego, West Linn, Milwaukie, Oregon City, Tigard, Wilsonville, Sherwood, and surrounding areas.
Senior State Legislative Affairs Manager/State Legislative Affairs Manager Portland General Electric CompanySenior State Legislative Affairs Manager/State Legislative Affairs ManagerPortland, OregonThe Senior State Legislative Affairs Manager/State Legislative Affairs Manager is responsible for working with the Director of Government Affairs, company teams and external stakeholders to formulate and implement the company’s legislative plans, and for engaging in the legislative process on matters that affect the company at the state level. The Senior State Legislative Affairs Manager/State Legislative Affairs Manager is PGE’s lead Oregon lobbyist and represents the company formally and informally before state legislators and state agencies on public policy and legislation affecting PGE and our customers.
Senior Director - Sector Lead Cbre ValuationSenior Director - Sector LeadPortland, ORCBRE serves clients through four business segments: Advisory (leasing, sales, debt origination, mortgage serving, valuations); Building Operations & Experience (facilities management, property management, flex space & experience); Project Management (program management, project management, cost consulting); Real Estate Investments (investment management, development). About the Role: As a CBRE Senior Director - Sector Lead, you will lead consulting services to several high-profile groups of corporate real estate clients to support the growth and delivery of our advisory services in Workplace and Portfolio Strategy, Occupancy Planning, and Change Management.
VAS Senior Associate Cbre ValuationVAS Senior AssociatePortland, ORCBRE serves clients through four business segments: Advisory (leasing, sales, debt origination, mortgage serving, valuations); Building Operations & Experience (facilities management, property management, flex space & experience); Project Management (program management, project management, cost consulting); Real Estate Investments (investment management, development). CBRE Group, Inc. (NYSE:CBRE), a Fortune 500 and S&P 500 company headquartered in Dallas, is the world's largest commercial real estate services and investment firm (based on 2024 revenue).
Sr Director of Nursing, DCH WC and Periop Oregon Health & Science UniversitySr Director of Nursing, DCH WC and PeriopPortland, OregonThe incumbent provides senior level leadership over Doernbecher emphasizing safe, high quality, patient-centered, cost effective, and integrated care by collaborating effectively with physician, hospital and department leadership ensuring seamless, high-quality care across the inpatient continuum. • Drive operational excellence by analyzing and acting on key outcomes (e.g., ALOS, case mix index, utilization, variances to budgets, access and throughput, inpatient/outpatient volumes) to recognize trends, evaluate status, and implement interventions in partnership with physician leaders.