• RN Utilization Management - System Care Management…

    Guthrie (Sayre, PA)
    …reporting and education purposes. + Collaborate with nursing, physicians, admissions, fiscal, legal , compliance, coding , and billing staff to answer clinical ... plans and related UM requirements preferred. Experience with CPT/ICD coding , medical record or chart auditing, and experience in...inquiries related to UM within a professional manner. + Document and escalate UM quality and clinical care risks… more
    Guthrie (11/11/25)
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  • Health Informatics Analyst

    Prime Therapeutics (Harrisburg, PA)
    …and long-term organizational growth. **Responsibilities** + Analyze, mine, and document complex healthcare claims and authorizations data sets to identify ... drug pricing and claims processing + Familiarity with drug coding systems (NDC) and medical coding (ICD,...unique to their job, and comply with all applicable legal , regulatory, and contractual requirements and internal policies and… more
    Prime Therapeutics (11/12/25)
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  • Technical Engineer (Starburst)

    Highmark Health (Pittsburgh, PA)
    …for one or many of the following tasks: analyzing, designing, coding , testing andimplementingtechnical solutions, as well as providing general production monitoring ... issues or technical difficulties to leadership on a regular basis. + Document technical processes and procedures, and participate in technical reviews and knowledge… more
    Highmark Health (10/30/25)
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  • Senior Technical Engineer (Middleware)

    Highmark Health (Harrisburg, PA)
    …for one or many of the following tasks: analyzing, designing, coding , testing andimplementingtechnical solutions, as well as providing general production monitoring ... isses or technical difficulties to leadership on a regular basis. + Document technical processes and procedures, and participate in technical reviews and knowledge… more
    Highmark Health (09/10/25)
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  • IOS Developer

    CGI Technologies and Solutions, Inc. (Pittsburgh, PA)
    …applications with the centralized authentication application. 6. Create Software Architecture Document , High Level and Low-Level Design document , Nonfunctional ... Data, Core Animation, etc. 5. Experience with XCode for coding , debugging, and deploying iOS apps. 6. Experience with...or action, including an investigation conducted by the employer, or (c) consistent with CGI's legal duty to furnish… more
    CGI Technologies and Solutions, Inc. (09/04/25)
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  • Claims Advisor, Environmental | Professional…

    Sedgwick (Philadelphia, PA)
    …and provides report of investigation pertaining to new events, claims and legal actions. + Analyzes applicable complex liability insurance coverage and policies + ... structured settlement proposals as necessary to maximize settlement. + Coordinates legal defense by assigning attorney, coordinating support for investigation, and… more
    Sedgwick (10/07/25)
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  • Advanced Practice Provider Specialty, Hospitalist

    Highmark Health (Jefferson Hills, PA)
    …practice. (5%) + Appropriate understanding and timely documentation to support medical coding and billing. (5%) + Provide instructions and guidance regarding medical ... to attending physician of record. (5%) + Perform hospital rounds and document appropriate patient progress notes; accurately transcribe and execute specific orders… more
    Highmark Health (11/13/25)
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  • Full-Stack .NET Developer Lead III

    Robert Half Technology (Allentown, PA)
    …peers. Assertive leadership Agile scrum experience. Ability to take a requirement document work through any ambiguity and follow through to implementation Strong ... Unit and Integration Testing Understanding of SOLID design principles secure coding practices Requirements Preferred Skills: Experience with Twilio / Twilio Flex… more
    Robert Half Technology (11/12/25)
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  • Director of Cybersecurity Operations

    ASM Global (West Conshohocken, PA)
    …team will monitor and improve Legends' operations & cybersecurity footprint, help maintain legal , regulatory & GRC requirements, and be supported by ITS&C in your ... M365/Azure, Darktrace & others. Deep experience with scripting and coding languages such as PowerShell, Python, KQL, PHP &...due to reasonable accommodation or other reasons. Also, this document in no way states or implies that these… more
    ASM Global (11/08/25)
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  • Advanced Practice Provider, Express Care

    Highmark Health (Erie, PA)
    …practice. (5%) + Appropriate understanding and timely documentation to support medical coding and billing. (5%) + Provide instructions and guidance regarding medical ... to attending physician of record. (5%) + Perform hospital rounds and document appropriate patient progress notes; accurately transcribe and execute specific orders… more
    Highmark Health (11/07/25)
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