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Twin Tier Jobs (NOW HIRING)

Provider Solutions & Development

Urologist

Sayre, PA · On-site

$500K - $575K/yr

Experience in Endourology is a plus Where You'll Work Guthrie Robert Packer Hospital is an award-winning, 254-bed tertiary care referral center serving patients across the Twin Tier region of New ...

Guthrie Medical Group

Urologist

Sayre, PA

$500K - $575K/yr

Experience in Endourology is a plus Where You'll Work Guthrie Robert Packer Hospital is an award-winning, 254-bed tertiary care referral center serving patients across the Twin Tier region of New ...

Guthrie Medical Group

Urologist

Sayre, PA · On-site

$500K - $575K/yr

Experience in Endourology is a plus Where You'll Work Guthrie Robert Packer Hospital is an award-winning, 254-bed tertiary care referral center serving patients across the Twin Tier region of New ...

Provider Solutions & Development

Urologist

Sayre, PA

$500K - $575K/yr

Experience in Endourology is a plus Where You'll Work Guthrie Robert Packer Hospital is an award-winning, 254-bed tertiary care referral center serving patients across the Twin Tier region of New ...

Guthrie Medical Group

Obstetrician-Gynecologist

Cortland, NY · On-site

$350K - $400K/yr

H-1B visa sponsorship available Work Environment Our facility, an award-winning 254-bed tertiary care referral center, serves patients throughout the Twin Tier region of New York and Pennsylvania. We ...

Guthrie Medical Group

Gastroenterologist

Corning, NY · On-site

Where You'll Work Guthrie Robert Packer Hospital is an award-winning, 254-bed tertiary care referral center serving patients across the Twin Tier region of New York and Pennsylvania. Along with ...

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Twin Tier information

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$13

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How much do twin tier jobs pay per hour?

As of Sep 2, 2026, the average hourly pay for twin tier in the United States is $23.54, according to ZipRecruiter salary data. Most workers in this role earn between $18.75 and $24.52 per hour, depending on experience, location, and employer.

What is a Twin Tier?

Twin Tier jobs refer to employment opportunities located within the Twin Tiers region, which encompasses the Northern Tier of Pennsylvania and the Southern Tier of New York. This area includes cities such as Elmira, Binghamton, and Corning. Jobs in the Twin Tiers can span various industries, including healthcare, education, manufacturing, and retail. The region is known for its strong community focus and offers both entry-level and professional career opportunities. Many employers in the area value local ties and experience in regional industries.

What are the key skills and qualifications needed to thrive as a Twin Tier, and why are they important?

I'm sorry, but 'Twin Tier' is not a recognized real-world professional occupation, so I cannot provide relevant skills and qualifications for this job title.

What are some common challenges faced by professionals working in the Twin Tier region, and how can they be addressed?

Professionals in the Twin Tier region, which spans parts of New York and Pennsylvania, may encounter challenges such as limited local job opportunities in certain industries and the need to collaborate across state lines. To address these, networking with local organizations and participating in regional industry groups can provide valuable connections. Additionally, being open to remote work or cross-border projects can expand employment prospects and career growth. Staying informed about regional economic development initiatives can also lead to new opportunities.

What is the difference between Twin Tier vs Network Technician?

AspectTwin TierNetwork Technician
Required CertificationsCompTIA A+, Network+CompTIA A+, Network+
Work EnvironmentData centers, enterprise ITOffice, client sites, data centers
Industry UsageIT support, infrastructureNetwork setup, troubleshooting
Common Search IntentIT support roles, infrastructureNetwork troubleshooting, installation

Both Twin Tier and Network Technician roles involve IT support and networking skills, often requiring similar certifications like CompTIA A+ and Network+. Twin Tier typically refers to roles in data centers or enterprise environments focusing on tiered support levels, while Network Technicians focus on installing, maintaining, and troubleshooting network systems. Understanding these distinctions helps job seekers target the right roles based on their skills and career goals.

What cities are hiring for Twin Tier jobs?

Cities with the most Twin Tier job openings:

What job categories do people searching Twin Tier jobs look for?

The top searched job categories for Twin Tier jobs are:

Twin Tier jobs near you
Infographic showing various Twin Tier job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 12% Part Time, and 6% Contract. Highlights an 92% Physical, 2% Hybrid, and 6% Remote job distribution, with an average salary of $48,959 per year, or $23.5 per hour.

Ophthalmologist

Provider Solutions & Development

Sayre, PA

Other

Medical, Dental, Vision

Re-posted 17 days ago

Job description

Guthrie Medical Group is seeking a full-time, board-certified/board-eligible Ophthalmologist to join a high-volume clinic serving the beautiful community of Sayre, Pennsylvania. This is a well-established group consisting of 10 other Ophthalmologists covering a wide range of specialties including retina, glaucoma, oculoplastic, cornea, ocular pathology, pediatric cataract and general specialties. The clinic is attached to Robert Packer Hospital, and as such you will have access to a strong referral base, a dedicated support team, state-of-the-art operating rooms and all diagnostics lab services. Join Guthrie and be part of an exceptional team of healthcare professionals changing lives throughout the region.


  • Full-time position with Monday to Friday schedule
  • Mix of inpatient and outpatient care
  • Strong support and referral network in place
  • Compensation is between $380,000 and $420,000 per year
  • Sign-on bonus is available
  • $15,000 in relocation assistance is available
  • $3,400 annually for conference registration certifications membership fees for specialty-specific medical societies
  • Full benefits including medical, dental, vision and disability insurance
  • Physician mentoring and leadership training opportunities available
  • Competitive RVU model with strong internal referral network
  • Malpractice insurance including tail coverage
  • New graduates are welcome to apply

Where You’ll Work


Guthrie Robert Packer Hospital is an award-winning, 254-bed tertiary care referral center serving patients across the Twin Tier region of New York and Pennsylvania. Along with providing a full range of diagnostic, medical and surgical services across multiple specialties, it features a Regional Level I Trauma Center, a Cancer Center, a Cardiac and Vascular Center, is accredited by the Pennsylvania Trauma Systems Foundation, and is served by Guthrie Air, a regional aeromedical helicopter program.


Where You’ll Live


Sayre, Pennsylvania is a picturesque, vibrant community that perfectly blends tranquility and modern amenities. Sayre's tree-lined streets and welcoming parks provide an ideal setting for families, while the thriving local arts scene, including the acclaimed Sayre Theater, adds cultural richness. With top-notch schools and a low crime rate, Sayre creates an idyllic haven for those seeking a balanced and fulfilling life.


Who You’ll Work For


Guthrie is a not-for-profit, integrated healthcare system providing full-spectrum care to patients across Pennsylvania and New York. As one of the longest established group practices in the country, Guthrie has more than 365 primary and specialty care physicians and 300 advanced practice practitioners, and sees more than 1.5 million patients annually. With an emphasis on quality care, Guthrie works with its communities to help people attain optimal, life-long health and well-being.


Equal Opportunity Employer including disability/veteran


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