225 coder jobs found

Company : Highmark Inc. Job Description : JOB SUMMARY This job plans, develops, and maintains operational processes and reporting related to group/provider facility and professional reimbursement configurations and other operational processes. Acts as the primary liaison between provider contracting, provider reimbursement, and claims experience. Collaborates with the pricing team to troubleshoot reimbursement issues and works with the Reimbursement Policy and Compliance team team to develop and maintain effective reimbursement quality programs and reporting. ESSENTIAL RESPONSIBILITIES Perform management responsibilities to include, but are not limited to: involved in hiring and termination decisions, coaching and development, rewards and recognition, performance management and staff productivity.Plan, organize, staff, direct and control the day-to-day operations of the department; develop and implement policies and programs as necessary; may have...

Job Description This position is based in Nashville, TN and includes a relocation package. We are not open to remote or other locations at this time. The Oracle Cloud Infrastructure (OCI) team can provide you the opportunity to build and operate a suite of massive scale, integrated cloud services in a broadly distributed, multi-tenant cloud environment. OCI is committed to providing the best in cloud products that meet the needs of our customers who are tackling some of the world's biggest challenges. We offer unique opportunities for smart, hands-on engineers with the expertise and passion to solve difficult problems in distributed highly available services and virtualized infrastructure using the latest technologies and AI tools. At every level, our engineers have significant technical and business impact designing and building innovative new systems to power our customer's business critical applications. What is OCI Developer and Operations platform? The OCI...

Company : Highmark Inc. Job Description : JOB SUMMARY The incumbent is responsible for developing and maintaining an anti-fraud program which includes development and delivery of training and filing of Fraud Plans and Reports. The incumbent is responsible for conducting investigations of organizational or functional activities related to alleged fraud, waste and abuse perpetrated by providers, members, facilities, pharmacies, groups and/or employees of the organizations and Subsidiaries. The incumbent is responsible for interviews which might include providers and members and may be conducted onsite or offsite. The incumbent is also responsible for the field investigative work necessary to complete a review of a special project, potential fraud, waste and abuse case, conducting the initial investigations and coordinating the recovery/savings of money related to fraud, waste and abuse. Must be able to testify in a court of law, prepare cases for referral to various...

Company : Highmark Inc. Job Description : JOB SUMMARY The job is responsible for developing and maintaining an anti-fraud program which includes development and delivery of training and filing of Fraud Plans and Reports. The incumbent is responsible for conducting investigations of organizational or functional activities related to alleged fraud, waste and abuse perpetrated by providers, members, facilities, pharmacies, groups and/or employees of the organizations and Subsidiaries. The incumbent is responsible for interviews which might include providers and members and may be conducted onsite or offsite. This incumbent is also responsible for the field investigative work necessary to complete a review of a special project, potential fraud, waste and abuse case, conducting the initial investigations and coordinating the recovery/ savings of money related to fraud, waste and abuse. The incumbent must be able to testify in a court of law, prepare cases for referral to...

Why UKG At UKG, the work you do matters. The code you ship, the decisions you make, and the care you show a customer all add up to real impact. Today, tens of millions of workers start and end their days with our workforce operating platform. Helping people get paid, grow in their careers, and shape the future of their industries. That's what we do. We never stop learning. We never stop challenging the norm. We push for better, and we celebrate the wins along the way. Here, you'll get flexibility that's real, benefits you can count on, and a team that succeeds together. Because at UKG, your work matters-and so do you. About the Team The Senior Director, Core Programs - GTM Enablement defines and leads some of UKG's most critical enablement programs, including onboarding, product enablement, partner enablement, and coaching. This role is accountable for ensuring customer-facing teams ramp faster, deliver value consistently, and perform at a high level across the GTM...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: This job provides strategic leadership and tactical direction working collaboratively with stakeholders from the organization's clinical, financial, and information technology functions. This role is responsible for the development, implementation, and optimization of a business intelligence strategy and plan focused on Business Intelligence, Data Warehouse, and Reporting technologies. Additionally, this role works closely with stakeholders at all levels to identify and prioritize ongoing technology and process improvements. These initiatives will be delivered on current and emerging business intelligence platforms. ESSENTIAL RESPONSIBILITIES: Lead and Develop a High-Performing BI Team: Recruit, mentor, and lead a high-performing team of BI professionals, fostering deep expertise in healthcare data analytics, reporting, and data warehousing concepts, and promoting continuous learning...

Job Description The Catapult team is a SecDevOps Team focused specifically on building and supporting enterprise solutions for migration of data between Sovereign Realms. Our team leverages Oracle Cloud Infrastructure (OCI) best practices to develop scalable, secure, and reliable solutions. Sov Realms have unique challenges which require unique solutions to provide a seamless customer interaction between commercial and other realms. This is where our team thrives, providing the connective tissues and purpose-built solutions. We are seeking a Software Development Engineer (SDE) to join our team within the Oracle Government Defense Intelligence (GDI) division. Who We Are At Oracle Government Defense Intelligence (GDI), we build and operate secure cloud capabilities for mission-critical government workloads. We move with urgency, operate at cloud scale, and maintain a high bar for security and reliability. Our engineers design and run critical systems that support government...

Company : enGen Job Description : JOB SUMMARY **CANDIDATE MUST BE US Citizen (due to contractual/access requirements) ** As a Senior Data Engineer, you will design and operate real-time and analytical data pipelines that power enterprise reporting and decision-making, including security and operational telemetry data. You will be responsible for ingesting, modeling, and optimizing high-volume streaming and batch data in Azure Data Explorer (ADX), enabling fast, reliable analytics at scale. This role blends deep data engineering with analytics enablement. You will structure and transform data using modern cloud and streaming technologies ( Kafka, Cribl, Azure Data Factory), applying medallion architecture principles to ensure data quality, performance, and governance across the full data lifecycle. A core responsibility is translating engineered data into business-ready insights by developing curated datasets, analytics, and Power BI (and Tableau) dashboards...

Bilfinger is an international industrial services provider with a vision to be the No. 1 for its customers in enhancing efficiency and sustainability within the process industry. Bilfinger's comprehensive portfolio spans the entire value chain, from consulting & engineering to prefabrication & installation, access & insulation, and services that improve the asset performance of industrial plants. The company operates in three geography-based segments: Western Europe, Central Europe, and International, with primary activities in Europe, North America, and the Middle East. Its process industry customers come from markets such as chemicals & petrochemicals, energy, oil & gas, and pharma & biopharma. With about 31,000 employees, Bilfinger upholds the highest standards of safety and quality, generating revenue of 5.4 billion in the financial year 2025. To achieve its goals, Bilfinger has identified two strategic levers: Operational Excellence to continuously...

Company : enGen Job Description : JOB SUMMARY **CANDIDATE MUST BE US Citizen (due to contractual/access requirements) ** This role provides Information Security and Risk Management services for the organization with a primary focus on establishing, maturing, and operationalizing the enterprise Vulnerability Management program. The position partners closely with application, infrastructure, cloud, and security teams to identify, prioritize, and reduce technology risk across the environment. The Manager is responsible for developing and scaling vulnerability management capabilities, including governance, detection strategies, prioritization frameworks, remediation workflows, metrics, and executive reporting. This role leads and mentors security staff while working with stakeholders to embed vulnerability management into engineering, IT operations, and change processes. The position actively contributes to Information Security and Risk Management (ISRM)...

Red River's Inside Sales Account Manager (ISAM) is a sales focused, commission-eligible role that is responsible for contributing to the company's sales goals along with providing top-level customer service. The Inside Sales team works as the primary point of contact for Red River's Account Executives and customers for all pre/post sale inquiries. The primary objectives of the Inside Sales position are to proactively drive sales opportunities while maintaining support for their Account Team(s) with a focus on 100% customer satisfaction. Primary Position Tasks: Manage a dedicated customer account list Direct pairing and support for an internal Account Executive Use insights from RADAR to support sales operations and decision-making Apply strategic thinking and pricing judgment at the account level to support sales execution and customer growth Apply sales-related business application, procedures, and protocols Proactively engaged in focused...

Company : Highmark Health Job Description : JOB SUMMARY Work Location Policy: This role offers a hybrid work model. Candidates residing within 50 miles of a Highmark office will be required to work on-site Tuesday through Thursday. All other candidates will work remotely. This job serves as the delivery leader responsible for defining, owning, and delivering mid-size engagements designed to meet/exceed key performance metrics (e.g., admin cost reduction, process improvement, automation, medical cost/value improvement, and enhanced customer/provider experience) for specific clients within the organization. The incumbent manages 1-2 simultaneous client engagements, some individual, some with a team of clients, consultants, and other colleagues from the division. The incumbent demonstrates solid foundational knowledge of consulting principles and the delivery of practical outcomes and is adept at driving clear hypotheses, breakthrough analyses and actionable...

Company : Highmark Inc. Job Description : GENERAL OVERVIEW: The Appeals Analyst reviews inquiries to determine if they meet the definition of a grievance/appeal; documents, investigates, refers and coordinates grievances and appeals; initiates a case file for each grievance and appeal; ensures compliance with organizational and regulatory requirements for member or provider issues; independently coordinates the resolution with internal/external parties as required; and documents and summarizes to all parties involved in the case the investigation results. ESSENTIAL RESPONSIBILITIES: Review inquiries to determine if they meet definition of appeal/grievance. Request and review all related relevant documentation and assemble case file. Coordinate resolution results and relay investigative results with all involved parties. Participate in workgroup meetings to address trends in appeals and grievances and to work on process improvement initiatives with...

Your Future Evolves Here Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones. Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business. Join Evolent for the mission. Stay for the culture. What You'll Be Doing: Senior Director, MSSP ACO Strategy & Performance Analytics (Arlington, VA) Telecommuting Permissible. (multiple positions). Lead an analytics, reporting and data science team...

Job Description The Catapult team is a SecDevOps Team focused specifically on building and supporting enterprise solutions for migration of data between Sovereign Realms. Our team leverages Oracle Cloud Infrastructure (OCI) best practices to develop scalable, secure, and reliable solutions. Sov Realms have unique challenges which require unique solutions to provide a seamless customer interaction between commercial and other realms. This is where our team thrives, providing the connective tissues and purpose-built solutions. We are seeking a Software Development Engineer (SDE) to join our team within the Oracle Government Defense Intelligence (GDI) division. Who We Are At Oracle Government Defense Intelligence (GDI), we build and operate secure cloud capabilities for mission-critical government workloads. We move with urgency, operate at cloud scale, and maintain a high bar for security and reliability. Our engineers design and run critical systems that support government...

Hourly Pooled - UW Extension Summer Internship Join Our Campus Community! Thank you for your interest in joining the University of Wyoming. Our community thrives on the contributions of talented and driven individuals who share in our mission, vision, and values. If your expertise and experience align with the goals of our institution, we would be thrilled to hear from you. We encourage you to apply and become a valued member of our vibrant campus community today! At the University of Wyoming , we are committed to creating a supportive and enriching workplace. JOB TITLE: University of Wyoming Extension Summer Internship JOB PURPOSE: University of Wyoming Extension is offering part-time summer internship opportunities for individuals interested in working with Extension programs across the state. ESSENTIAL DUTIES AND RESPONSIBILITIES: Support and promote UW Extension projects and events through event...

Hourly Pooled - 4-H State Office Summer Worker, UW Extension Join Our Campus Community! Thank you for your interest in joining the University of Wyoming. Our community thrives on the contributions of talented and driven individuals who share in our mission, vision, and values. If your expertise and experience align with the goals of our institution, we would be thrilled to hear from you. We encourage you to apply and become a valued member of our vibrant campus community today! At the University of Wyoming , we are committed to creating a supportive and enriching workplace. JOB TITLE: 4-H State Office Summer Worker JOB PURPOSE: These positions are needed to support and promote UW Extension statewide projects and events by assisting with planning, coordination, communications, and administrative support within the State Office. These positions are scheduled to be for 11 weeks only. POSITION DETAILS: Pay:...

Business Manager - Engineering & Physical Sciences Deans Office Join Our Campus Community! Thank you for your interest in joining the University of Wyoming. Our community thrives on the contributions of talented and driven individuals who share in our mission, vision, and values. If your expertise and experience align with the goals of our institution, we would be thrilled to hear from you. We encourage you to apply and become a valued member of our vibrant campus community today! Why Choose Us? At the University of Wyoming, we value our employees and invest in their success. Our comprehensive benefits package is designed to support your health, financial security, and work-life balance. Benefits include: Generous Retirement Contributions : The State contributes 14.94% of your gross salary, and you contribute 3.68%, totaling 18.62% toward your retirement plan. Exceptional Health & Prescription Coverage : Enjoy...

Hourly Pooled - Makerspace Outreach Specialist, Engineering & Physical Sciences Deans Office Join Our Campus Community! Thank you for your interest in joining the University of Wyoming. Our community thrives on the contributions of talented and driven individuals who share in our mission, vision, and values. If your expertise and experience align with the goals of our institution, we would be thrilled to hear from you. We encourage you to apply and become a valued member of our vibrant campus community today! At the University of Wyoming , we are committed to creating a supportive and enriching workplace. JOB TITLE: Makerspace Outreach Specialist JOB PURPOSE: Under the direction of the Makerspace Coordinator, the Makerspace Outreach Specialist (MOS) will support summer programming and daily operations within the Innovation Wyrkshop. This position will play a key role in developing and delivering hands-on...

Core Solutions Group, LLC is seeking a qualified Catholic Religious Education (RE) Coordinator to support the Catholic Chapel program at F.E. Warren Air Force Base. This role is responsible for planning, coordinating, and executing a comprehensive religious education program for youth and adults in accordance with Archdiocese for the Military Services (AMS) and Air Force Chaplain Corps requirements. This position plays a key role in supporting military families by delivering a structured, faith-based program that includes sacramental preparation, volunteer coordination, and community engagement. Position Title: Catholic Religious Education (RE) Coordinator Location: F. E. Warren Air Force Base Chapel, Cheyenne, WY Type: Contract / Part-Time (Approximately 25 hours per week) Key Responsibilities Manage and coordinate the Catholic Religious Education (RE) program for youth and adults. Plan and conduct religious education classes, sacramental preparation, and special...

At T-Mobile, we invest in YOU! Our Total Rewards Package ensures that employees get the same big love we give our customers. All team members receive a competitive base salary and compensation package - this is Total Rewards. Employees enjoy multiple wealth-building opportunities through our annual stock grant, employee stock purchase plan, 401(k), and access to free, year-round money coaches. That's how we're UNSTOPPABLE for our employees! Job Overview This role supports retail operations by engaging customers and facilitating their technology and service needs in a fast-paced environment. It involves building product knowledge, demonstrating technology solutions, and assisting customers throughout their shopping journey. The role requires developing skills in customer interaction, digital tool usage, and service plan recommendations. Success is measured by customer satisfaction, proficiency in product knowledge, and effective use of digital resources. The work enhances customer...

Company : enGen Job Description : JOB SUMMARY This job is an integral member of an agile software engineer team responsible for building complex scalable software applications across all digital channels to serve our customers. The position will be responsible for taking an enterprise-wide, architectural view of the solutions and the technical execution of products using the technical stack that best meets the needs of the platform. The position, and team, will be involved in every aspect as part of the software application build process from idea generation, business analysis, technical design and software development using the latest technologies and design patterns. ESSENTIAL RESPONSIBILITIES The job is responsible for designing and creating engineering specifications for software applications and programs. Responsible for designing & writing code that adheres to coding standards. Perform code reviews. Responsible for idea generation,...

Company : enGen Job Description : JOB SUMMARY This job is an integral member of an agile software engineer team responsible for building complex scalable software applications across all digital channels to serve our customers. The position will be responsible for taking an enterprise-wide, architectural view of the solutions and the technical execution of products using the technical stack that best meets the needs of the platform. The position, and team, will be involved in every aspect as part of the software application build process from idea generation, business analysis, technical design and software development using the latest technologies and design patterns. ESSENTIAL RESPONSIBILITIES The job is responsible for designing and creating engineering specifications for software applications and programs. Responsible for designing & writing code that adheres to coding standards. Perform code reviews. Responsible for idea generation,...

Bring more to life. Are you ready to accelerate your potential and make a real difference within life sciences, diagnostics and biotechnology? At Radiometer, one of Danaher's 15+ operating companies, our work saves lives-and we're all united by a shared commitment to innovate for tangible impact. You'll thrive in a culture of belonging where you and your unique viewpoint matter. And by harnessing Danaher's system of continuous improvement, you help turn ideas into impact - innovating at the speed of life. At Radiometer, life comes first. Our vision is to improve global healthcare with reliable, fast, and easy patient diagnoses. As a global leader and pioneer in acute care diagnostics for over 70 years, we streamline diagnostic workflows, empowering healthcare professionals to focus on what truly matters-caring for critically ill patients. Here, you'll find a place to grow and make a real impact with your unique perspective, driving us forward in improving patient...