| LCA CASE NUMBER | I-200-22136-175445 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-05-16 |
| DECISION DATE | 2022-05-23 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Vice President, Pharmacy Benefit Manager (PBM) Services |
| SOC CODE | 11-9111.00 |
| SOC TITLE | Medical and Health Services Managers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-05-23 |
| END DATE | 2024-05-22 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Beth Israel Deaconess Medical Center, Inc. |
| EMPLOYER ADDRESS1 | 330 Brookline Avenue |
| EMPLOYER CITY | Boston |
| EMPLOYER STATE | MA |
| EMPLOYER POSTAL CODE | 02215 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16176677000 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Hesford DosSantos |
| EMPLOYER POC FIRST NAME | Deborah |
| EMPLOYER POC JOB TITLE | Vice President, Legal Affairs and Deputy General Counsel |
| EMPLOYER POC ADDRESS1 | 41 Mall Road |
| EMPLOYER POC CITY | Burlington |
| EMPLOYER POC STATE | MA |
| EMPLOYER POC POSTAL CODE | 01813 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17817447544 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Hilbern |
| AGENT ATTORNEY FIRST NAME | Dyann |
| AGENT ATTORNEY MIDDLE NAME | DelVecchio |
| AGENT ATTORNEY ADDRESS1 | 2 Seaport Lane - Seaport East |
| AGENT ATTORNEY ADDRESS2 | Suite 300 |
| AGENT ATTORNEY CITY | Boston |
| AGENT ATTORNEY STATE | MA |
| AGENT ATTORNEY POSTAL CODE | 02210 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16179464911 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Seyfarth Shaw LLP |
| STATE OF HIGHEST COURT | MA |
| NAME OF HIGHEST STATE COURT | Supreme Judicial Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 20 University Road |
| WORKSITE ADDRESS2 | Suite 700 |
| LCA CASE WORKLOC1 CITY | Cambridge |
| WORKSITE COUNTY | CAMBRIDGE CITY |
| LCA CASE WORKLOC1 STATE | MA |
| WORKSITE POSTAL CODE | 02138 |
| LCA CASE WAGE RATE FROM | 275000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 174034 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Martel |
| PREPARER FIRST NAME | Jamie |
| PREPARER MIDDLE INITIAL | E |
| PREPARER BUSINESS NAME | Seyfarth Shaw LLC |
| PREPARER EMAIL | [email protected] |
