Presbyterian Healthcare Services

Presbyterian Healthcare Services

5 open positions available

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Presbyterian Healthcare Services

IT GRC Compliance & Audit Program Manager - Remote Eligible

Presbyterian Healthcare ServicesAnywhereFull-time
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Compensation$95K - 149K a year

Oversee and coordinate IT audit activities, support compliance with security standards, and collaborate on risk management programs. | Requires 3+ years in governance, risk management, or IT audit, with experience in healthcare IT and security frameworks, and relevant certifications. | Location Address: 9521 San Mateo NE Albuquerque, NM 87113-2237 Compensation Pay Range: Minimum Offer $95,388.80 Maximum Offer $149,364.80 Now Hiring: IT GRC Compliance & Audit Program Manager - Remote Eligible Summary: Build your Career. Make a Difference. Presbyterian is hiring a skilled GRC Compliance & Audit Specialist. The ITGRC Compliance and Audit Specialist of Information Technology Governance, Risk, and Compliance ITGRC will be a subject matter expert experienced in regulatory requirements, security framework standards and industry best practices. Type of Opportunity: Full time Job Exempt: Yes Job is based: Reverend Hugh Cooper Administrative Center Work Shift: Days (United States of America) Responsibilities: The ITGRC Compliance and Audit Professional is responsible for the oversight and coordination of all IT audit activities both internal and external. The role works closely with Compliance, Internal Audit and other departments in the coordination of planning, responding, and tracking assessment and audit activities related to both Information Security and Information Technology. In addition, this role will support the operationalization of the GRC management functions to ensure compliance with established security controls, industry frameworks, regulatory and legal requirements, organizational policies, and standards. Compliance and Audit Specialist will collaborate with the CISO on the risk management program, including risk assessments, risk analysis, internal and external audits, vendor security risk program and risk register management. Other key activities included in the ITGRC Compliance and Audit Professional will include reviewing existing security policies, assessing that procedures are implemented in accordance with security policies and standards, and that security metrics are being measured. The position does not have any direct reports. • Responsible for identifying, tracking, and communicating federal, state, local and other pertinent regulatory requirements and regulatory changes impacting both the delivery system and the plan. adapting industry trends for enterprise strategic, financial and IT solutions to senior executive leaders. • Supports the implementation PHS information governance, risk, and compliance processes. • Manage the assessment and audit roadmap to support the internal and external assessments and audits required for both the delivery system and the plan. • Provides oversight for IT policies, procedures and standards. Participates in the development and maintenance of policies, procedures, measures, and mechanisms to deliver GRC, and meet customer requirements. • Communicates internal and external assessment and audit findings to the CISO and IT Leadership and supports and monitors ITGRC roadmap objectives in the development of effective course of action; and implementation of recommendations. • Maintains relationships with Legal Privacy, Internal Audit, Quality Regulatory, and Finance. Preferred Qualifications: • CISA (Certified Information Systems Auditor) • CRISC (Certified in Risk and Information Systems Control) • CISM (Certified Information Security Manager) • CISSP (Certified Information Systems Security Professional) Hybrid: In Office expected for individuals within 60 Miles of Albuquerque every Tues, Wed, Thurs Remote: Open to remote applicants in the United States, except for the following states: California, Illinois, North Dakota, New York, Ohio, Washington and Wyoming Qualifications: • A Bachelors degree in Information Security, Computer Science, Information Management Systems, or related field required; An advanced degree is strongly preferred. • 5 years of experience in a combination of governance, risk management, information security and technology jobs. • 3+ years of experience in a risk management and/or IT audit support role. • Five plus years of experience in a large over 2,000 end users Healthcare IT Enterprise preferred. • Experience working within an information security function using ISO 27000, NIST CSF, or NIST 800-53, HIPAA, or HITRUST Common Security Framework. • Experience supporting SSAE 16 or SOC 2 • Experience using ARCHER Professional Information Security related certification such as Certified Information Security Auditor CISA, Certified Information Security Manager CISM, or Certified Risk & Information Security Controls CRISC preferred or willing to obtain within the first year of employment. All benefits-eligible Presbyterian employees receive a comprehensive benefits package that includes medical, dental, vision, short-term and long-term disability, group term life insurance and other optional voluntary benefits. Wellness Presbyterian's Employee Wellness rewards program is designed to provide you with engaging opportunities to enhance your health and activate your well-being. Earn gift cards and more by taking an active role in our personal well-being by participating in wellness activities like wellness challenges, webinar, preventive screening and more. Why work at Presbyterian? As an organization, we are committed to improving the health of our communities. From hosting growers' markets to partnering with local communities, Presbyterian is taking active steps to improve the health of New Mexicans. About Presbyterian Healthcare Services Presbyterian exists to improve the health of patients, members, and the communities we serve. We are locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, we are the state's largest private employer with nearly 14,000 employees - including more than 1600 providers and nearly 4,700 nurses. Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans. AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses. We're Determined to Support New Mexico's Well-Being | Presbyterian Healthcare Services

Regulatory requirements
Risk management
Policy development
Verified Source
Posted 10 days ago
PH

Manager – Informatics (Healthcare Delivery System) - Remote Eligible

Presbyterian Healthcare ServicesAnywhereFull-time
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Compensation$112K - 176K a year

Manage and develop healthcare analytics projects, advise leadership on data-driven decisions, and oversee reporting and performance improvement initiatives. | Extensive experience in healthcare analytics, project management, and team leadership, with proficiency in BI tools and healthcare systems like Epic. | Location Address: 9521 San Mateo NE , Albuquerque, New Mexico 87113-2237, United States of America Compensation Pay Range: Minimum Offer $: 112299.2 Maximum Offer for this position is up to $: 175864 Now hiring a Manager-Informatics-ABQ Summary: Build your Career. Make a Difference. Presbyterian is hiring a skilled Manager – Informatics to coordinate reporting/analytical talents pipeline & manage projects in concert with other work stream Directors within the Analytics Organization (AO). Advise leaders & operators on the prioritization of projects and business implications of reporting/analytics to the organization. Manage and develop reporting/analytical approaches to identify, measure and evaluate health-related solutions and services. Prescribe a set performance standards and utilize them to guide, train and mentor reporting/analytical staff to conduct opportunity analyses, program evaluation work and reporting/analytics execution. Type of Opportunity: Full time Job Exempt: Yes Job is based : Reverend Hugh Cooper Administrative Center Work Shift: Days (United States of America) Responsibilities: The skills highlighted for this position are: Health system knowledge with emphasis on clinic and provider operations, including workflow and performance improvement reporting and analys Supervisory, team lead and/or management experience in Data and Analytics space leading clinic based reporting and analytical projects Master’s degree Experience with delivery system clinical operations management systems such as Epic (Hyperspace, Reporting Workbench, Clarity, Caboodle and Slicer Dicer) Experience with analytical tools (SQL, SAS, Tableau, Mede Analytics, PIVOT etc.) Proven experience in successful communications at all levels organizational levels (clinic operator to COO and CFO). This includes providing actionable recommendations to the business to inform data-driven decision making Strategic thinker with a track record in developing and executing plans Types of Projects you will work on: Support projects surrounding access to care, digital experience, telehealth and referrals Manage effective stakeholder engagement strategy to ensure portfolio alignment to value-focused requests and initiatives Partner with business to create effective, timely and accurate KPIs that demonstrate process improvement opportunities in business Work as a liaison between Data & Analytics, business stakeholders and IT to increase meaningful analytical and reporting insights and opportunities Inform business decisions, offer insight, and communicate possible risks to the business Hybrid: In office expected for individuals within 60 Miles of Albuquerque every Tues, Wed, Thurs Remote: Open to remote applicants in the United States, except for the following states: California, Illinois, North Dakota, New York, Ohio, Washington and Wyoming. The person in this position will be required to make on-site visits to the facility periodically for meetings and team collaboration. Qualifications: Bachelors degree in a business, healthcare or quantitative field. Masters degree highly preferred. Eight or more years of related business intelligence, analytics and reporting work experience. Three or more years of management experience directly managing/supervising cross functional team(s) or other relevant leadership experience. Experience managing complex projects with diverse teams and developing data driven and outcome based initiatives to improve business decision making and operational efficiencies. Deep healthcare data (e.g., profiling), statistical analysis experience, and demonstrated understanding of health care and delivery system processes. Knowledge of program evaluation, predictive modeling, data mining, and clinical best practices preferred. Must have requisite content knowledge related to program outcomes evaluation, BI tools (e.g., Business objects), data visualizations tools (e.g., Tableau), statistical software such as SAS and Modeling techniques, as well as general health service research and outcomes reporting/analytics. All benefits-eligible Presbyterian employees receive a comprehensive benefits package that includes medical, dental, vision, short-term and long-term disability, group term life insurance and other optional voluntary benefits. Wellness Presbyterian's Employee Wellness rewards program is designed to provide you with engaging opportunities to enhance your health and activate your well-being. Earn gift cards and more by taking an active role in our personal well-being by participating in wellness activities like wellness challenges, webinar, preventive screening and more. Why work at Presbyterian? As an organization, we are committed to improving the health of our communities. From hosting growers' markets to partnering with local communities, Presbyterian is taking active steps to improve the health of New Mexicans. About Presbyterian Healthcare Services Presbyterian exists to improve the health of patients, members, and the communities we serve. We are locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, we are the state's largest private employer with nearly 14,000 employees - including more than 1600 providers and nearly 4,700 nurses. Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans. AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses. We're Determined to Support New Mexico's Well-Being | Presbyterian Healthcare Services Here, we’re committed to a different way to make a difference. Presbyterian's story is really the story of the remarkable people who have chosen to work here. Starting with Reverend Cooper who began our journey in 1908, the hard work of thousands of physicians, nurses, employees, board members, and volunteers brought Presbyterian from a tiny tuberculosis sanatorium to a statewide healthcare system, serving more than one in three New Mexicans. We are part of New Mexico's history and committed to its future. That is why we will continue to work just as hard and care just as deeply to serve New Mexico for years to come. Connect with the Presbyterian Recruiting Team! FIRST, we want to make sure you’re in the right place. To provide you with the most accurate job recommendations and updates, please choose the appropriate Career Portal: For Physicians, Midlevel Providers and Advanced Practice Professionals, connect with us here: Provider Career Site For Nursing Professionals (LPN & RN), connect with us here: Nursing Career Site For All Other Career Types, please continue the sign up process on this page

Data analysis
SQL
Project management
Direct Apply
Posted 26 days ago
Presbyterian Healthcare Services

Case Manager-Inpatient

Presbyterian Healthcare ServicesAnywhereFull-time
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Compensation$62K - 95K a year

Coordinate patient care, perform utilization management reviews, and collaborate with healthcare teams to ensure quality outcomes. | Requires RN license, 5+ years clinical nursing experience, and knowledge of healthcare systems; certifications in case management are preferred. | Location Address: Remote Office , Santa Fe, New Mexico 87501, United States of America Compensation Pay Range: Minimum Offer $: 62400 Maximum Offer for this position is up to $: 95305.6 Summary: Build your Career. Make a Difference. Presbyterian is hiring a skilled Case Manager to join our team. How you grow, learn and thrive matters here. • Educational and career development options, including tuition and certification reimbursement, scholarship opportunities • Staff Safety (a wearable badge that allows nurses to quickly and discreetly call for help when safety is a concern) • Differentials for night/weekend shifts, higher education, certifications and various lead roles (for eligible positions) • Malpractice liability insurance • Loan forgiveness through the  New Mexico Higher Education Department  • EPIC electronic charting system Type of Opportunity: Full time FTE: 1 Job Exempt: Yes Work Shift: Days (United States of America) Responsibilities: Applies Case Management principals in coordinating patient care across the continuum using assessment, care planning, implementation, coordination, monitoring and evaluation for cost effective and quality outcomes in a primarily inpatient setting, including complex discharge planning. Performs Utilization Management clinical review to ensure that services rendered to members meet clinical criteria and are delivered in the appropriate setting. Utilizes clinical skills and knowledge to coordinate, document and communicate all aspects of the utilization/benefit management program. Performs care review both prospectively and retrospectively. Prospective review includes pre-service and concurrent services and procedures. Validates and interprets medical documentation using evidence-based criteria sets. Consults with PHP medical directors and refers for medical director decision on cases not meeting clinical criteria. Identifies members with complex conditions requiring one on one case management and/or disease management services and refers appropriately to the Presbyterian Integrated Care Management program. Performs occasional on-call assignments. Some key responsibilities include: • Receives, reviews, verifies and processes requests for approval of pre-service and concurrent services including verification of eligibility and availability of benefits. • Identifies and advocates for members in caseload, referring to appropriate inpatient, outpatient and community resources including care coordination • Conducts an in-depth assessment which includes, psychosocial, physical, medical, environmental and financial parameters. Collaborates with Healthcare team to proactively develop, implement and document treatment and discharge plan with appropriate resources to address social, physical, mental, emotional, spiritual and supportive needs. • Collaboratively formulates, implements, coordinates, monitors, and evaluates strategies with the healthcare team to address care management issues for specific patients and disease processes • Applies utilization review criteria to assess and document the appropriateness of admission, continued stay, level of care, and readiness for discharge; refers cases that do not meet criteria to designated Physician Advisor. Promotes the appropriate use of clinical and financial resources in order to improve quality of care and patient/member satisfaction. • Advises manager/supervisor of possible trends in inappropriate utilization (under and/or over), and other quality of care issues. • Communicates effectively with providers, PHP medical directors, PHP departments as evaluated by supervisory audits • Educates providers and other PHS/PHP departments on health management strategies and care coordination services • Meets departmental and/or regulatory turnaround times for prior authorizations and concurrent reviews while maintaining productivity and quality standards. • Performs other functions as required. Qualifications: • Bachelors degree in Nursing, Business, or Health related field preferred. RN license required. • Five years of experience in clinical nursing. • Requires a minimum of two years of recent pertinent experience in clinical Skilled Nursing, Inpatient Rehabilitation, Long Term Acute Hospital clinical nursing and utilization review or case management within the last 10 years. • National certification in Case Management, Gerontological Nursing or Rehabilitation Nursing preferred within 3 years of hire. • Computer knowledge to include Windows, Word, Excel, and database systems. • Ability to analyze trends based on decision support systems. • Knowledge in referral coordination to community & private/public resources. • Good organizational and time management skills. Ability to articulate orally and in writing an understanding of complex issues and action plans, while best representing the organization professionally. Ability to work cooperatively with other employees and departments. • Efficient and comfortable with computer electronic data entry and documentation. • Ability to succinctly document using correct spelling and grammar. We're all about well-being, starting with yours. Presbyterian employees have access to a fun, engaging and unique wellness program, including free on-site and community-based gyms, nutrition coaching and classes, mindfulness and meditation resources, wellness challenges and more. Learn more about our employee benefits. About Presbyterian Healthcare Services Presbyterian exists to improve the health of patients, members, and the communities we serve. We are locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, we are the state's largest private employer with nearly 14,000 employees - including more than 1600 providers and nearly 4,700 nurses. Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans. AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses. Compensation Disclaimer The compensation range for this role takes into account a wide range of factors, including but not limited to experience and training, internal equity, and other business and organizational needs. We're Determined to Support New Mexico's Well-Being | Presbyterian Healthcare Services

Care coordination
Utilization review
Patient assessment
Verified Source
Posted 26 days ago
Presbyterian Healthcare Services

Workday HCM Analyst - Remote

Presbyterian Healthcare ServicesAnywhereFull-time
View Job
Compensation$104K - 127K a year

Consult on and facilitate delivery of HR software lifecycle through Workday HCM configuration, business consulting, and stakeholder partnership. | Bachelor's degree in Information Systems or Business, 4+ years supporting HR technology, 2+ years hands-on Workday HCM configuration, strong communication, and analytical skills. | Overview: Presbyterian is seeking a Remote Workday HCM Analyst Uses analytical, technical and problem-solving skills to consult on and facilitate the delivery of the HR software development life cycle through analysis, design, development, testing and implementation. Partners with organizational stakeholders to facilitate the exchange of HR information through various channels. This role requires hands-on experience with Workday HCM configuration and business consulting, with emphasis on Core HR, Compensation, Recruiting, Reporting, and/or Talent modules. This role also needs experience in business consulting to provide best practice solutions & advice to the HCM clients in designing and implementing modules within Workday. • This is a Full Time position - Exempt: Yes • Remote: Open to remote applicants in the United States, except for the following states: California, Illinois, North Dakota, New York, Ohio, Washington and Wyoming • Work hours: Days Ideal Candidate: A highly skilled and collaborative Workday HCM Analyst. Bachelors Degree in an Information Systems field or Business. Minimum four years work experience supporting HR technology. Minimum two years of hands-on Workday HCM configuration experience, including, Compensation, Recruiting, Reporting, and Talent modules Qualifications: • Bachelors Degree in an Information Systems field or Business. • Minimum four years work experience supporting HR technology required. • Four years development/system configuration experience. • Minimum two years of hands-on Workday HCM configuration experience, including Compensation, Recruiting, Reporting, and Talent modules. • Experience gathering and documenting Workday business requirements and providing high level consulting support. • Proficiency in MS Office Suite required with advanced proficiency in Excel. Experience with MS Access helpful. • Requires analytical problem-solving skills as well as the ability to work effectively in a team environment. • Must demonstrate strong written and verbal communication skills, presentation skills and good organizational skills. • Strong discretion in dealing with highly confidential and sensitive information. • Previous experience with Infor/Lawson and iCIMS preferred. • Knowledge of HR database/reporting systems required. Understanding of Relational • Database Management System including concepts and data relationships preferred. Responsibilities: • Provide consulting support to HR stakeholders on Workday functionality and optimization. • Be a critical partner to the HR stakeholders in effectively designing business processes that are using best practice functionality and pushing teams to streamline their processes into Workday designed solutions where possible. • Advise on possibilities, risks, challenges & limitations of business process design to ensure customers are able to clearly envision the outcome of their solution during the design phase. • Evaluate and transform data from source systems to include such actions as extractions, parsing, joining, standardizing, augmenting, cleansing, consolidating and filtering to create desired outputs that can be leveraged downstream. • Support partnership with PHS Analytics organization by participating in defining and validating business requirements, identifying and translating data dictionaries, and approving/granting access to raw data required to implement solutions. • Support HR Information Systems by staying abreast of system updates and enhancements. Proactively evaluates and recommends adoption of changes as they meet organizational needs. • Recommend, counsel and instruct HR functional areas on process improvement and implement systems capabilities. Monitor organization system and information needs and make recommendation on process or system changes when appropriate. • Leverages development tools to design and configure the HRIS applications that affect the user experience and enhance the functionality of the existing application. This includes, but is not limited to menus, pages, lists, reports, embedded analytics cubes, various user interface objects and actions associated with the HRIS application. • Configure and support Workday HCM modules including Core HR, Compensation, Recruiting, Reporting, and Talent. • Gather and document Workday business requirements and translate them into config • Contribute to the development of Functional Design Documents, Business Requirement Documents, Interface Designs, test scenarios/plans, GUI and Screen Design. • Work closely with HR management, Subject Matter Experts, and IT Engineers to recommend, justify and prioritize new enhancements or application feature/functions to improve business process outcomes. • Prioritizes and delivers on multiple in-flight projects at the same time across multiple departments. Benefits: About Presbyterian Healthcare Services Presbyterian offers a comprehensive benefits package to eligible employees, including medical, dental, vision, disability coverage, life insurance, and optional voluntary benefits. The Employee Wellness Rewards Program encourages staff to engage in health-enhancing activities - like challenges, webinars, and screenings - with opportunities to earn gift to earn gift cards and other incentives. As a mission-driven organization, Presbyterian is deeply committed to improving community health across New Mexico through initiatives like growers' markets and local partnerships. Founded in 1908, Presbyterian is a locally owned, not-for-profit healthcare system with nine hospitals, a statewide health plan, and a growing multi-specialty medical group. With nearly 14,000 employees, it is the largest private employer in the state, serving over 580,000 health plan members through Medicare Advantage, Medicaid, and Commercial plans. AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses. Maximum Offer for this position is up to: USD $61.19/Hr. Compensation Disclaimer: The compensation range for this role takes into account a wide range of factors, including but not limited to experience and training, internal equity, and other business and organizational needs.

Workday HCM configuration
Core HR
Compensation
Recruiting
Reporting
Talent modules
Business consulting
MS Office Suite
Excel
Verified Source
Posted 5 months ago
Presbyterian Healthcare Services

Senior Workday Application System Analyst

Presbyterian Healthcare ServicesAnywhereFull-time
View Job
Compensation$104K - 119K a year

Analyze, design, develop, test, and support Workday software components and liaise between application teams and users. | Bachelor's degree or equivalent experience with 4+ years IT/business experience and advanced skills in Workday system analysis and software development. | Overview: Presbyterian is seeking a skilled Workday Senior Application System Analyst. This collaborative role formulates and defines system scope and objectives based on user needs. Devises or modifies procedures to solve complex problems considering computer equipment capacity and limitations, operating time, and form of desired results. Prepares detailed specifications from which programs will be written. Analyzes and revises existing system logic difficulties and documentation as necessary. Competent to work at the highest technical level of all phases of applications systems analysis activities. • This is a Full Time position - Exempt: Yes • Remote: Open to remote applicants in the United States, except for the following states: California, Illinois, North Dakota, New York, Ohio, Washington and Wyoming • Work hours: Days Ideal Candidate: A highly skilled and collaborative Workday Senior Application System Analyst with deep expertise in system analysis, problem-solving, and technical design—capable of defining scope, optimizing procedures, preparing detailed specifications, and resolving complex logic issues across all phases of application systems at the highest technical level. Qualifications: • Bachelor s degree in related technical/business area plus 4 years of IT or business experience. 6 years of additional experience can be substituted in lieu of degree Responsibilities: • Provides advanced support for definition/refinement of business requirements and for quality assurance/acceptance testing efforts • Designs, develops, tests and debugs software components of moderate to high complexity • Provides implementation, production and upgrade support for software components of moderate to high complexity • May act as supporting liaison between the application team and the user community, responsible for facilitating communications, coordinating system enhancements, and providing production support. • Works with user community to define business requirements in sufficient detail and define business use cases that systems configuration, development/enhancement, and/or Operations activities can be pursued. • Manages the development of user and technical documentation according to department standards. Benefits: About Presbyterian Healthcare Services Presbyterian offers a comprehensive benefits package to eligible employees, including medical, dental, vision, disability coverage, life insurance, and optional voluntary benefits. The Employee Wellness Rewards Program encourages staff to engage in health-enhancing activities - like challenges, webinars, and screenings - with opportunities to earn gift to earn gift cards and other incentives. As a mission-driven organization, Presbyterian is deeply committed to improving community health across New Mexico through initiatives like growers' markets and local partnerships. Founded in 1908, Presbyterian is a locally owned, not-for-profit healthcare system with nine hospitals, a statewide health plan, and a growing multi-specialty medical group. With nearly 14,000 employees, it is the largest private employer in the state, serving over 580,000 health plan members through Medicare Advantage, Medicaid, and Commercial plans. AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses. Maximum Offer for this position is up to: USD $56.92/Hr. Compensation Disclaimer: The compensation range for this role takes into account a wide range of factors, including but not limited to experience and training, internal equity, and other business and organizational needs.

Workday
System Analysis
Software Development
Business Requirements Definition
Quality Assurance
Technical Documentation
Verified Source
Posted 5 months ago

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