boards.greenhouse.io Open in urlscan Pro
3.93.90.216  Public Scan

Submitted URL: https://www.meddoc.net/view/10719427/2160981/2/gH1310417
Effective URL: https://boards.greenhouse.io/strivehealth/jobs/4027269006
Submission: On May 18 via manual from US — Scanned from DE

Form analysis 3 forms found in the DOM

POST https://boards.greenhouse.io/strivehealth/jobs/4027269006

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  <input type="hidden" name="page_load_time" id="page_load_time" value="Thu, 18 May 2023 19:04:57 GMT">
  <div id="main_fields">
    <h2 class="heading">Apply for this Job</h2>
    <div class="required-fields">
      <span class="asterisk">*</span> Required
    </div>
    <div class="clear"></div>
    <div id="apply_with_buttons">
      <div name="widget-holder">
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      </div>
      <hr>
    </div>
    <script>
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    <div class="field">
      <label for="first_name">First Name <span class="asterisk">*</span></label>
      <input type="text" id="first_name" name="job_application[first_name]" aria-required="true" maxlength="255" autocomplete="given-name">
    </div>
    <div class="field">
      <label for="last_name">Last Name <span class="asterisk">*</span></label>
      <input type="text" id="last_name" name="job_application[last_name]" aria-required="true" maxlength="255" autocomplete="family-name">
    </div>
    <div class="field">
      <label for="email">Email <span class="asterisk">*</span></label>
      <input type="text" id="email" name="job_application[email]" aria-required="true" maxlength="255" autocomplete="email">
    </div>
    <div class="field">
      <label for="phone">Phone <span class="asterisk">*</span></label>
      <input type="text" id="phone" name="job_application[phone]" maxlength="255" autocomplete="tel" required="required" aria-required="true">
    </div>
    <div id="dev-fields" aria-hidden="true" style="display: none;">
      <div class="field">
        <label for="dev-field-1"></label>
        <input type="text" id="dev-field-1" name="dev_field_1" maxlength="255" autocomplete="off">
      </div>
    </div>
    <div class="field">
      <fieldset id="resume_fieldset" aria-describedby="validate_resume">
        <legend>
          <label aria-label="required" id="resume"> Resume/CV <span class="asterisk">*</span>
          </label>
        </legend>
        <div class="attach-or-paste " required="required" data-allow-s3="true" data-field="resume" data-file-types="[&quot;pdf&quot;,&quot;doc&quot;,&quot;docx&quot;,&quot;txt&quot;,&quot;rtf&quot;]" data-model="job_application">
          <div class="drop-zone hidden"> Drop files here </div>
          <div id="resume_chosen" class="chosen">
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          </div>
          <div class="link-container">
            <button name="button" type="button" data-source="attach" class="unstyled-button link-button" aria-describedby="resume-allowable-file-types">Attach</button>
            <a data-source="dropbox" href="#">Dropbox</a>
            <a data-source="google-drive" href="#">Google Drive</a>
            <button name="button" type="button" data-source="paste" class="unstyled-button link-button" aria-pressed="false">or enter manually</button>
          </div>
          <div data-messages="uploaders"></div>
          <div class="validation-anchor" id="validate_resume" style="display: none"></div>
          <div id="resume-allowable-file-types" class="file-types"> (File types: pdf, doc, docx, txt, rtf) </div>
          <div class="progress-bar">
            <div class="upload">
              <div class="progress">
                <div class="bar" style="width: 0%"></div>
              </div>
            </div>
            <a href="#" class="cancel">
      <img width="11" height="11" alt="Cancel" src="https://boards.cdn.greenhouse.io/assets/cancellation/x-00cb7c69bded92bc90f03e0028a3457a4905b1e28c8a7fe16b792086c4288c29.png">
    </a>
          </div>
          <textarea name="job_application[resume_text]" id="resume_text" class="paste" title="Enter manually"></textarea>
        </div>
      </fieldset>
    </div>
    <div class="field">
      <fieldset id="cover_letter_fieldset" aria-describedby="validate_cover_letter">
        <legend>
          <label id="cover_letter" aria-label=""> Cover Letter </label>
        </legend>
        <div class="attach-or-paste " data-allow-s3="true" data-field="cover_letter" data-file-types="[&quot;pdf&quot;,&quot;doc&quot;,&quot;docx&quot;,&quot;txt&quot;,&quot;rtf&quot;]" data-model="job_application">
          <div class="drop-zone hidden"> Drop files here </div>
          <div id="cover_letter_chosen" class="chosen">
            <img alt="cover_letter chosen" src="https://boards.cdn.greenhouse.io/assets/file-296f4c2a42607d24e6901b7c58b0693d4178df7fe4edf1b50e9585efdfad7d39.png">&nbsp;&nbsp; <span id="cover_letter_filename"></span>
            <button name="button" type="button" class="unstyled-button remove" aria-label="Remove attachment"><img width="11" height="11" alt="Remove attachment"
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          </div>
          <div class="link-container">
            <button name="button" type="button" data-source="attach" class="unstyled-button link-button" aria-describedby="cover_letter-allowable-file-types">Attach</button>
            <a data-source="dropbox" href="#">Dropbox</a>
            <a data-source="google-drive" href="#">Google Drive</a>
            <button name="button" type="button" data-source="paste" class="unstyled-button link-button" aria-pressed="false">or enter manually</button>
          </div>
          <div data-messages="uploaders"></div>
          <div class="validation-anchor" id="validate_cover_letter" style="display: none"></div>
          <div id="cover_letter-allowable-file-types" class="file-types"> (File types: pdf, doc, docx, txt, rtf) </div>
          <div class="progress-bar">
            <div class="upload">
              <div class="progress">
                <div class="bar" style="width: 0%"></div>
              </div>
            </div>
            <a href="#" class="cancel">
      <img width="11" height="11" alt="Cancel" src="https://boards.cdn.greenhouse.io/assets/cancellation/x-00cb7c69bded92bc90f03e0028a3457a4905b1e28c8a7fe16b792086c4288c29.png">
    </a>
          </div>
          <textarea name="job_application[cover_letter_text]" id="cover_letter_text" class="paste" title="Enter manually"></textarea>
        </div>
      </fieldset>
    </div>
  </div>
  <hr>
  <div id="custom_fields">
    <div class="field">
      <label>LinkedIn Profile <br>
        <input type="hidden" name="job_application[answers_attributes][0][question_id]" id="job_application_answers_attributes_0_question_id" value="4117236006">
        <input type="hidden" name="job_application[answers_attributes][0][priority]" id="job_application_answers_attributes_0_priority" value="0">
        <input type="text" name="job_application[answers_attributes][0][text_value]" id="job_application_answers_attributes_0_text_value" aria-required="false" maxlength="255" autocomplete="custom-question-linkedin-profile">
      </label>
    </div>
    <div class="field">
      <label>Website <br>
        <input type="hidden" name="job_application[answers_attributes][1][question_id]" id="job_application_answers_attributes_1_question_id" value="4117237006">
        <input type="hidden" name="job_application[answers_attributes][1][priority]" id="job_application_answers_attributes_1_priority" value="1">
        <input type="text" name="job_application[answers_attributes][1][text_value]" id="job_application_answers_attributes_1_text_value" aria-required="false" maxlength="255" autocomplete="custom-question-website">
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    </div>
    <div class="field">
      <label>Are you at least 18 years old? (if no, you may be required to provide authorization to work)<span class="asterisk">&nbsp;*</span>
        <br>
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          <a href="javascript:void(0)" class="select2-choice" tabindex="-1">   <span class="select2-chosen" id="select2-chosen-1">--</span><abbr class="select2-search-choice-close"></abbr>   <span class="select2-arrow" role="presentation"><b role="presentation"></b></span></a><label
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          <div class="select2-drop select2-display-none">
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                class="select2-input" role="combobox" aria-expanded="true" aria-autocomplete="list" aria-owns="select2-results-1" id="s2id_autogen1_search" placeholder=""> </div>
            <ul class="select2-results" role="listbox" id="select2-results-1"> </ul>
          </div>
        </div><select name="job_application[answers_attributes][2][boolean_value]" id="job_application_answers_attributes_2_boolean_value" aria-required="true" tabindex="-1" title="" style="display: none;">
          <option value="">--</option>
          <option value="1">Yes</option>
          <option value="0">No</option>
        </select>
      </label>
    </div>
    <div class="field">
      <label>Are you legally authorized to work in the U.S.?<span class="asterisk">&nbsp;*</span>
        <br>
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        <input type="hidden" name="job_application[answers_attributes][3][priority]" id="job_application_answers_attributes_3_priority" value="3">
        <div class="select2-container" id="s2id_job_application_answers_attributes_3_boolean_value" style="width: 385px;">
          <a href="javascript:void(0)" class="select2-choice" tabindex="-1">   <span class="select2-chosen" id="select2-chosen-2">--</span><abbr class="select2-search-choice-close"></abbr>   <span class="select2-arrow" role="presentation"><b role="presentation"></b></span></a><label
            for="s2id_autogen2" class="select2-offscreen"></label><input class="select2-focusser select2-offscreen" type="text" aria-haspopup="true" role="button" aria-labelledby="select2-chosen-2" id="s2id_autogen2">
          <div class="select2-drop select2-display-none">
            <div class="select2-search select2-search-hidden select2-offscreen"> <label for="s2id_autogen2_search" class="select2-offscreen"></label> <input type="text" autocomplete="off" autocorrect="off" autocapitalize="off" spellcheck="false"
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            <ul class="select2-results" role="listbox" id="select2-results-2"> </ul>
          </div>
        </div><select name="job_application[answers_attributes][3][boolean_value]" id="job_application_answers_attributes_3_boolean_value" aria-required="true" tabindex="-1" title="" style="display: none;">
          <option value="">--</option>
          <option value="1">Yes</option>
          <option value="0">No</option>
        </select>
      </label>
    </div>
    <div class="field">
      <label>Do you have any relatives employed by this organization?<span class="asterisk">&nbsp;*</span>
        <br>
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        <div class="select2-container" id="s2id_job_application_answers_attributes_4_boolean_value" style="width: 385px;">
          <a href="javascript:void(0)" class="select2-choice" tabindex="-1">   <span class="select2-chosen" id="select2-chosen-3">--</span><abbr class="select2-search-choice-close"></abbr>   <span class="select2-arrow" role="presentation"><b role="presentation"></b></span></a><label
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          <div class="select2-drop select2-display-none">
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                class="select2-input" role="combobox" aria-expanded="true" aria-autocomplete="list" aria-owns="select2-results-3" id="s2id_autogen3_search" placeholder=""> </div>
            <ul class="select2-results" role="listbox" id="select2-results-3"> </ul>
          </div>
        </div><select name="job_application[answers_attributes][4][boolean_value]" id="job_application_answers_attributes_4_boolean_value" aria-required="true" tabindex="-1" title="" style="display: none;">
          <option value="">--</option>
          <option value="1">Yes</option>
          <option value="0">No</option>
        </select>
      </label>
    </div>
    <div class="field">
      <label>Do you now, or will you in the future, require immigration sponsorship for work authorization (e.g., H-1B)? (if hired, verification will be required consistent with federal law.)<span class="asterisk">&nbsp;*</span>
        <br>
        <input type="hidden" name="job_application[answers_attributes][5][question_id]" id="job_application_answers_attributes_5_question_id" value="4117241006">
        <input type="hidden" name="job_application[answers_attributes][5][priority]" id="job_application_answers_attributes_5_priority" value="5">
        <div class="select2-container" id="s2id_job_application_answers_attributes_5_boolean_value" style="width: 385px;">
          <a href="javascript:void(0)" class="select2-choice" tabindex="-1">   <span class="select2-chosen" id="select2-chosen-4">--</span><abbr class="select2-search-choice-close"></abbr>   <span class="select2-arrow" role="presentation"><b role="presentation"></b></span></a><label
            for="s2id_autogen4" class="select2-offscreen"></label><input class="select2-focusser select2-offscreen" type="text" aria-haspopup="true" role="button" aria-labelledby="select2-chosen-4" id="s2id_autogen4">
          <div class="select2-drop select2-display-none">
            <div class="select2-search select2-search-hidden select2-offscreen"> <label for="s2id_autogen4_search" class="select2-offscreen"></label> <input type="text" autocomplete="off" autocorrect="off" autocapitalize="off" spellcheck="false"
                class="select2-input" role="combobox" aria-expanded="true" aria-autocomplete="list" aria-owns="select2-results-4" id="s2id_autogen4_search" placeholder=""> </div>
            <ul class="select2-results" role="listbox" id="select2-results-4"> </ul>
          </div>
        </div><select name="job_application[answers_attributes][5][boolean_value]" id="job_application_answers_attributes_5_boolean_value" aria-required="true" tabindex="-1" title="" style="display: none;">
          <option value="">--</option>
          <option value="1">Yes</option>
          <option value="0">No</option>
        </select>
      </label>
    </div>
    <div class="field">
      <label>Have you worked for this Company before?<span class="asterisk">&nbsp;*</span>
        <br>
        <input type="hidden" name="job_application[answers_attributes][6][question_id]" id="job_application_answers_attributes_6_question_id" value="4117242006">
        <input type="hidden" name="job_application[answers_attributes][6][priority]" id="job_application_answers_attributes_6_priority" value="6">
        <div class="select2-container" id="s2id_job_application_answers_attributes_6_boolean_value" style="width: 385px;">
          <a href="javascript:void(0)" class="select2-choice" tabindex="-1">   <span class="select2-chosen" id="select2-chosen-5">--</span><abbr class="select2-search-choice-close"></abbr>   <span class="select2-arrow" role="presentation"><b role="presentation"></b></span></a><label
            for="s2id_autogen5" class="select2-offscreen"></label><input class="select2-focusser select2-offscreen" type="text" aria-haspopup="true" role="button" aria-labelledby="select2-chosen-5" id="s2id_autogen5">
          <div class="select2-drop select2-display-none">
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            <ul class="select2-results" role="listbox" id="select2-results-5"> </ul>
          </div>
        </div><select name="job_application[answers_attributes][6][boolean_value]" id="job_application_answers_attributes_6_boolean_value" aria-required="true" tabindex="-1" title="" style="display: none;">
          <option value="">--</option>
          <option value="1">Yes</option>
          <option value="0">No</option>
        </select>
      </label>
    </div>
    <div class="field">
      <label>How did you hear about us?<span class="asterisk">&nbsp;*</span>
        <br>
        <input type="hidden" name="job_application[answers_attributes][7][question_id]" id="job_application_answers_attributes_7_question_id" value="4117243006">
        <input type="hidden" name="job_application[answers_attributes][7][priority]" id="job_application_answers_attributes_7_priority" value="7">
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      </label>
    </div>
    <div class="field">
      <label>I have read and acknowledged our COVID-19 vaccination policy.<span class="asterisk">&nbsp;*</span>
        <br>
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        <input type="hidden" name="job_application[answers_attributes][8][priority]" id="job_application_answers_attributes_8_priority" value="8">
        <div class="select2-container" id="s2id_job_application_answers_attributes_8_boolean_value" style="width: 385px;">
          <a href="javascript:void(0)" class="select2-choice" tabindex="-1">   <span class="select2-chosen" id="select2-chosen-6">--</span><abbr class="select2-search-choice-close"></abbr>   <span class="select2-arrow" role="presentation"><b role="presentation"></b></span></a><label
            for="s2id_autogen6" class="select2-offscreen"></label><input class="select2-focusser select2-offscreen" type="text" aria-haspopup="true" role="button" aria-labelledby="select2-chosen-6" id="s2id_autogen6">
          <div class="select2-drop select2-display-none">
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                class="select2-input" role="combobox" aria-expanded="true" aria-autocomplete="list" aria-owns="select2-results-6" id="s2id_autogen6_search" placeholder=""> </div>
            <ul class="select2-results" role="listbox" id="select2-results-6"> </ul>
          </div>
        </div><select name="job_application[answers_attributes][8][boolean_value]" id="job_application_answers_attributes_8_boolean_value" aria-required="true" tabindex="-1" title="" style="display: none;">
          <option value="">--</option>
          <option value="1">Yes</option>
          <option value="0">No</option>
        </select>
      </label>
    </div>
    <div class="field">
      <label>Address<span class="asterisk">&nbsp;*</span>
        <br>
        <input type="hidden" name="job_application[answers_attributes][9][question_id]" id="job_application_answers_attributes_9_question_id" value="4173931006">
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      </label>
    </div>
  </div>
  <hr>
  <div id="eeoc_fields">
    <h3 id="eeoc_title">Voluntary Self-Identification</h3>
    <p> For government reporting purposes, we ask candidates to respond to the below self-identification survey. Completion of the form is entirely <strong>voluntary</strong>. Whatever your decision, it will not be considered in the hiring process or
      thereafter. Any information that you do provide will be recorded and maintained in a confidential file. </p>
    <p> As set forth in Strive Health’s Equal Employment Opportunity policy, we do not discriminate on the basis of any protected group status under any applicable law. </p>
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Text Content

Apply Now


PRIMARY CARE PHYSICIAN

at Strive Health (View all jobs)
Mobile, AL

Strive Health

Strive Health is built for purpose- to transform a broken kidney care system. We
are fundamentally changing the lives of kidney disease patients through early
identification and engagement, comprehensive coordinated care, and home-first
dialysis. Strive’s model is driven by a high-touch care team that integrates
with local providers and spans the entire care journey from CKD through
ESRD, leveraging comparative and predictive data and analytics to identify
patients at risk. Strive Health’s interventions significantly reduce the rate of
emergent dialysis crash, cut inpatient utilization, and significantly improve
patient outcomes and experience. Come join our journey as we create THE
destination for top talent in the Healthcare community and set a new standard
for how kidney care should be done.

 

Strive Care Partners Overview 

Strive Care Partners (SCP) is a dedicated business unit within Strive Health
that partners with nephrologists to share and succeed in global risk contracts
with payors. SCP will benefit patients with chronic kidney disease (CKD) and end
stage kidney disease (ESKD) through a comprehensive, patient-centered approach
that enhances lives and local communities. SCP develops local market Managed
Service Organizations (MSOs) that aggregate networks of nephrologists and
provide them with the tools necessary to be successful in managing risk on their
patients. Specifically, SCP delivers primary care services, specialized clinical
programs, data integration and analytics, care teams, and administrative support
services – all embedded within the nephrologist’s practice. SCP contracts with
local market payors on the nephrologists’ behalf to take global risk on their
CKD and ESRD patients and provides nephrologists with meaningful short-term and
long-term financial incentives, including participation in shared savings and
equity-based programs. 

 

Primary Care Physician (PCP)

As part of Strive’s interdisciplinary clinical care team, the PCP will
utilize their advanced education, skills, and judgment to deliver advanced
primary care for CKD and ESRD patients. The incumbent will work closely with the
medical director to play a critical role in both care delivery and ongoing
practice innovation.  The PCP will be responsible for managing patient care by
working with the Strive interdisciplinary team of social workers, care
coordinators, pharmacists, dietitians, and physicians to provide best in class
patient care. The Strive PCP will be an advocate, navigator, trusted clinician,
and safety net for the patient while delivering exceptional clinical care,
building empathy and trust with patients, and delivering a world class patient
experience. 

 

Early career clinicians are encouraged to apply!

 

Essential Functions

 * Independently provides care for patients with acute and chronic illnesses
   encountered in the ESRD and CKD patient population.  Accountable for patient
   outcomes and KPIs for a panel of CKD and ESRD patients. 
 * Conduct telehealth, home, and office visits  as needed by the patient panel.
 * Takes full accountability for patient care and outcomes and will
   appropriately seek consultation from specialists when needed, though will
   still stay involved in, and be responsible for, the detailed care of the
   patient.
 * Obtains patient history, performs appropriate physical exam, orders and
   interprets diagnostic tests and lab values to identify and assess patient’s
   health care needs.   
 * On an ongoing basis, monitors and documents patient condition, response to
   the care plan and significant incidents.  
 * Formulates a plan and prognosis based on patient condition.   
 * Alongside with other members of the interdisciplinary team, will assure that
   a patient’s need for immediate and/or emergent care is handled promptly and
   appropriately.   
 * Willingness to drive prevention at every opportunity to slow progression,
   decrease exacerbations, and minimize complications, while keeping in mind
   what the patient wants for their life.   
 * Accountable across the continuum of disease process, healthcare systems, and
   patient’s lives. 
 * Assesses the longitudinal needs of patients and individualizes them in the
   patient’s plan of care.  
 * Collaborates well with all levels of the clinical team and is able to align
   and influence the care needs of a patient. 
 * Serves as a liaison with dialysis facilities and specialists, providing care
   plan updates to help streamline the transitions in care. 
 * Remains up-to-date and current on advances and trends in renal care
   treatment, guidelines, policies and procedures. 
 * Follows evidence-based medicine and incorporates best practices into patient
   care. 
 * Meet in person with internal and/or external stakeholders to facilitate team
   and business priorities/opportunities. 
 * Serve patients in person and in multiple care settings
   (e.g., patient home, clinics) in addition to virtual visits and willing to be
   on call   

Minimum Qualifications

 * Doctorate in Medicine
 * Must be Board Certified in Family medicine or Internal medicine
 * Completion of Medical School
 * Completion of appropriate specialist training, internship, residency,
   fellowship
 * Current, unrestricted license in State where practicing
 * Valid DEA
 * Valid CDS if applicable to state
 * Minimum of three (3) years' experience as a Primary Care Physician 
 * Current Basic Life Support (BLS) certification required 
 * Must have valid state driver license and be able to drive a car
 * Must meet company’s automobile liability insurance standards and provide
   proof of coverage
 * Must be able to independently travel to assigned locations.
 * Must be able to see patients autonomously.
 * Must have technical resources to be able to successfully complete telehealth
   visits
 * Business travel
 * Internet Connectivity - Min Speeds: 3.8Mbps/3.0Mbps (up/down): Latency <60 ms

Preferred Qualifications

 * Demonstrated proficiency in clinical assessment, diagnosis, planning,
   implementation, documentation, and evaluation of complex chronic patients 
 * Excellent communicator, team builder, and results oriented 
 * Demonstrated knowledge and understanding of data and managing to clinical,
   financial, and patient satisfaction outcomes 
 * Excels at developing and fostering strong patient and family relationships
   that center on engagement, trust, honesty, empathy, follow-through and doing
   what’s best for the patient  
 * Experienced in Value-Based Care and supportive of the Nurse Practitioner
   role. 
 * Preferred experience in internal medicine, nephrology, cardiology, acute
   care, or ICU care

Physical/Environmental Demands 

 * Ability to reach overhead and side to side
 * Lifting overheard and carrying of 10lbs routinely, 20 lbs sporadically 
 * Ability to sit, stand and kneel as needed to perform physical assessment
 * Ability to grasp and hold medical instruments as needed to perform physical
   assessment
 * Ability to navigate stairs and a variety of patients dwelling conditions and
   configurations

Annual Salary Range: $196,700.00-$295,100.00

 

Strive Health offers competitive compensation and benefits.  An annual
performance bonus, determined by company and individual performance, is
available for many roles and aligned to Strive Health guidelines.

 

COVID Policy: As a healthcare organization, the safety of our Strivers,
partners, patients, and communities is critical to our work and aligned to our
first core value, Care For Others First. All new Strivers must be fully
vaccinated for COVID–19 or will be required to request and obtain an approved
medical or religious exemption prior to joining Strive, and otherwise comply
with COVID-19 policies.

 

Beware of Scams: Please ensure your application is being submitted through a
Strive Health sponsored site only. Our emails will come from @strivehealth.com
email address. You will NEVER be asked to purchase your own employment
equipment. You will also NEVER be asked to submit personal information except
through Greenhouse or Rippling in connection with our application process. If
you experience fraudulent activity, please contact local law enforcement or your
state attorney general.

 

Strive Health is an equal opportunity employer and drug free workplace. At this
time Strive Health is unable to provide and work visa sponsorship. All qualified
applicants will receive consideration for employment without regard to race,
color, religion, sex, national origin, disability status, protected veteran
status, or any other characteristic protected by law. Please apply even if you
feel you do not meet all qualifications. If you require reasonable accommodation
in completing this application, interviewing, completing any pre-employment
testing, or otherwise participating in the employee selection process, please
direct your inquiries to talentacquisition@strivehealth.com

 

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VOLUNTARY SELF-IDENTIFICATION

For government reporting purposes, we ask candidates to respond to the below
self-identification survey. Completion of the form is entirely voluntary.
Whatever your decision, it will not be considered in the hiring process or
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As set forth in Strive Health’s Equal Employment Opportunity policy, we do not
discriminate on the basis of any protected group status under any applicable
law.

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Classification of protected categories is as follows:

A "disabled veteran" is one of the following: a veteran of the U.S. military,
ground, naval or air service who is entitled to compensation (or who but for the
receipt of military retired pay would be entitled to compensation) under laws
administered by the Secretary of Veterans Affairs; or a person who was
discharged or released from active duty because of a service-connected
disability.

A "recently separated veteran" means any veteran during the three-year period
beginning on the date of such veteran's discharge or release from active duty in
the U.S. military, ground, naval, or air service.

An "active duty wartime or campaign badge veteran" means a veteran who served on
active duty in the U.S. military, ground, naval or air service during a war, or
in a campaign or expedition for which a campaign badge has been authorized under
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An "Armed forces service medal veteran" means a veteran who, while serving on
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a United States military operation for which an Armed Forces service medal was
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Why are you being asked to complete this form?

We are a federal contractor or subcontractor required by law to provide equal
employment opportunity to qualified people with disabilities. We are also
required to measure our progress toward having at least 7% of our workforce be
individuals with disabilities. To do this, we must ask applicants and employees
if they have a disability or have ever had a disability. Because a person may
become disabled at any time, we ask all of our employees to update their
information at least every five years.

Identifying yourself as an individual with a disability is voluntary, and we
hope that you will choose to do so. Your answer will be maintained
confidentially and not be seen by selecting officials or anyone else involved in
making personnel decisions. Completing the form will not negatively impact you
in any way, regardless of whether you have self-identified in the past. For more
information about this form or the equal employment obligations of federal
contractors under Section 503 of the Rehabilitation Act, visit the U.S.
Department of Labor’s Office of Federal Contract Compliance Programs (OFCCP)
website at www.dol.gov/ofccp.

How do you know if you have a disability?

You are considered to have a disability if you have a physical or mental
impairment or medical condition that substantially limits a major life activity,
or if you have a history or record of such an impairment or medical condition.

Disabilities include, but are not limited to:

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PUBLIC BURDEN STATEMENT: According to the Paperwork Reduction Act of 1995 no
persons are required to respond to a collection of information unless such
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