Systems, a pharmacy benefit management company, named Dr. Louis C. Tripoli vice president and medical director. Tripoli served in the Navy and was senior medical officer for the personnel command.

The Grand Del Mar resort and spa named Heather Ann Dieter and Josh Hourdequin directors of leisure sales. Dieter previously was assistant director of sales at The Beverly Hilton hotel. Hourdequin previously was a sales manager with The Ivy in San Diego.

Laurie Jerome was named vice president for organizational and talent development for AMN Healthcare Services, a staffing company.

Jeffrey A. Lake, a litigation and government-relations attorney, has been named to lead the opening of the San Diego office of Theodora Oringher Miller & Richman. The firm has offices in Los Angeles and Orange County.

SkillStorm, a staffing and outsourcing company, promoted Ethan Gillespie to associate vice president of West Coast operations. Gillespie is based at the company's San Diego office.

The Loftin Firm announced the addition of attorney Ariel Bedell. Bedell previously worked at Luce Forward in San Diego.

Jack in the Box Inc. promoted Charles Watson to senior vice president and chief development officer and Michael Bamrick to vice president of franchising. Watson previously was vice president and chief development officer. Bamrick, who has worked for Jack in the Box for 30 years, previously was division vice president of franchise operations.

Halozyme Therapeutics added Douglas B. Muchmore as vice president for endocrinology clinical development. Muchmore previously worked at Eli Lilly and Co.

Joshua Haims was named vice president of Networkcar, which provides wireless fleet management services.

Tyler McBride has joined ParkerWhite Inc., a branding communications company, as an account executive.

Patrick Allan Bryant was named general manager of Roppongi Restaurant and Sushi Bar in La Jolla. Anthony Pascale was named executive sushi chef.