Director of Clinical & Cost Containment, Employee Benefits Hub International InsuranceDirector of Clinical & Cost Containment, Employee BenefitsAtlanta, GeorgiaAs the self-funded benefits market grows increasingly complex — driven by specialty drug spend, catastrophic claim frequency, and heightened employer demand for transparency — SBR's distribution model requires dedicated clinical leadership to: Evaluate and validate cost containment vendor solutions (Rx carve-outs, case management, utilization review, reference-based pricing, direct contracting) presented to clients. This role bridges clinical expertise and consultative sales support — working directly with broker/consultant partners, TPAs, stop-loss carriers, and employer plan sponsors to identify high-cost claim drivers, optimize vendor program selection, and develop clinical frameworks that reduce plan cost and improve member outcomes.
Director Of Clinical & Cost Containment, Employee Benefits Hub InternationalDirector Of Clinical & Cost Containment, Employee BenefitsAtlanta, GA$130,000–$150,000 / yearAs the self-funded benefits market grows increasingly complex - driven by specialty drug spend, catastrophic claim frequency, and heightened employer demand for transparency- SBR's distribution model requires dedicated clinical leadership to: Evaluate and validate cost containment vendor solutions (Rx carve-outs, case management, utilization review, reference-based pricing, direct contracting) presented to clients. This role bridges clinical expertise and consultative sales support - working directly with broker/consultant partners, TPAs, stop-loss carriers, and employer plan sponsors to identify high-cost claim drivers, optimize vendor program selection, and develop clinical frameworks that reduce plan cost and improve member outcomes.
Senior Legal Counsel, Ceded Reinsurance Markel CorporationSenior Legal Counsel, Ceded ReinsuranceAlpharetta, GAThis includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law. Primary responsibility for managing contracts associated with the Insurance Linked Securities (ILS) market in order to provide end‑to‑end legal support for Markel Bermuda Limited's fronting and ILS activities, including structuring, drafting, negotiating, and closing quota share and related agreements; overseeing trust and collateral frameworks; managing industry loss warranty (ILW) arrangements; advising on specialty products; and coordinating Bermuda regulatory engagements and board governance.
Account Engineer Munchener Ruckversicherungs-Gesellschaft Aktiengesellschaft (Munich Re)Account EngineerAtlanta, GAIn this role, you will be part of HSB's team of experts in heavy industry, who evaluate businesses in steel, aluminum, renewable power generation, traditional power generation, mining, pulp & paper, sugar, manufacturing, glass, and similar industries. Write evaluations of insured accounts and potential new customers for HSB and Munich Re underwriters, by evaluating available information on multiple sites which make up the account.
DRG Clinical Validation Lead Elevance HealthDRG Clinical Validation LeadAtlanta, GA$89,520–$161,136 / yearPreferred Skills, Capabilities and Experiences: One or more of the following certifications are preferred: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Clinical Documentation Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or CIC. How you will make an impact: Conducts pre-certification, retrospective, out of network and appropriateness of treatment setting reviews to ensure compliance with applicable criteria, medical policy, and member eligibility, benefits, and contracts.
Diagnosis Related Group Clinical Validation Auditor-Rn (Cdi, Ms-Drg, Ap-Drg And Apr-Drg) Elevance HealthDiagnosis Related Group Clinical Validation Auditor-Rn (Cdi, Ms-Drg, Ap-Drg And Apr-Drg)Atlanta, GA$86,560–$155,808 / yearPreferred Skills, Capabilities and Experiences: One or more of the following certifications are preferred: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Clinical Documentation Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or CIC. Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of 5 years of experience working with ICD-9/10CM, MS-DRG, AP-DRG and APR-DRG; or any combination of education and experience, which would provide an equivalent background.
Account Engineer Hartford Steam Boiler Inspection and Insurance CompanyAccount EngineerAtlanta, GARemoteIn this role, you will be part of HSB’s team of experts in heavy industry, who evaluate businesses in steel, aluminum, renewable power generation, traditional power generation, mining, pulp & paper, sugar, manufacturing, glass, and similar industries. + Write evaluations of insured accounts and potential new customers for HSB and Munich Re underwriters, by evaluating available information on multiple sites which make up the account.
Risk Operations Supervisor - GA - On Site Vensure Employer ServicesRisk Operations Supervisor - GA - On SiteDuluth, GAVensure Employer Solutions is the largest privately held organization in the HR technology and service sector, providing a comprehensive portfolio of solutions, including HR/HCM technology, managed services, and global business process outsourcing (BPO). Other Benefits : Life insurance, short term disability, long term disability, employee assistance program (EAP), flexible spending account (FSA), health savings account (HSA), Identity theft protection, critical illness, accident, cancer, hospital protection, legal and pet insurance.
Leak Detection Technician American Leak Detection of Greater AtlantaLeak Detection TechnicianXx, Georgia$20–$22 / hourFounded over 40 years ago, and teaming with our great people, American Leak Detection has become the world leader in the accurate, non-destructive detection of hidden water, sewer, gas and swimming pool leaks. Our millions of satisfied customers include residential homeowners and industry professionals like plumbers, building contractors, insurance adjusters, apartment managers, drain cleaners, restoration specialists, Homeowners Associations, and municipalities.
Associate Attorney Healthcare Law Abacus Service CorporationAssociate Attorney Healthcare LawAtlanta, GAWe serve a diverse array of clients across the healthcare industry including DME suppliers, physician groups, healthcare facilities, autism therapy providers, telehealth companies, healthcare technology startups, MSOs, and lab and device businesses with a strong focus on regulatory compliance, transactional work, and payer-provider strategy. Experience with mergers and acquisitions, minority investments, growth equity investments, recapitalizations, joint ventures, strategic investments, roll-up transactions, acquisition financing, exit transactions, and transaction structuring.
DRG Clinical Validation Lead Elevance Health IncDRG Clinical Validation LeadAtlanta, GA$89,520–$161,136 / yearPreferred Skills, Capabilities and Experiences: One or more of the following certifications are preferred: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Clinical Documentation Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or CIC. How you will make an impact: Conducts pre-certification, retrospective, out of network and appropriateness of treatment setting reviews to ensure compliance with applicable criteria, medical policy, and member eligibility, benefits, and contracts.
Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG) Elevance Health IncDiagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG)Atlanta, GA$86,560–$155,808 / yearPreferred Skills, Capabilities and Experiences: One or more of the following certifications are preferred: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Clinical Documentation Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or CIC. Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of 5 years of experience working with ICD-9/10CM, MS-DRG, AP-DRG and APR-DRG; or any combination of education and experience, which would provide an equivalent background.
Remote Registered Dietitian or CNS - Flexible Hours, Work from Anywhere Berry StreetRemote Registered Dietitian or CNS - Flexible Hours, Work from AnywhereAtlanta, GARemoteBerry Street empowers independent dietitians to accept insurance and grow thriving private practices by providing comprehensive credentialing, scheduling, referral, and technical support, as well as access to a vibrant, collaborative clinician community. Dietitians working with Berry Street are committed to these pillars of high-quality care: Evidence-based: We provide quality care based on the latest clinical research.
Director, Employee Relations Akumin IncDirector, Employee RelationsAtlanta, GARemote$160,000–$185,000 / yearAkumin is a leading provider of outpatient radiology and oncology services, partnering with top hospitals and health systems nationwide to deliver advanced diagnostic imaging and exceptional patient care close to home. Advisory Partner: Act as a trusted advisor and escalation point for senior HR leaders, executive leadership, and legal counsel on high-stakes, complex employee relations matters.
Medical Director - Otolaryngology (Ent) - Remote From Anywhere UnitedHealth Group Inc.Medical Director - Otolaryngology (Ent) - Remote From AnywhereAtlanta, GARemote$248,500–$373,000 / yearThe Medical Director's activities primarily focus on the application of clinical knowledge in various utilization management activities with a focus on pre-service benefit and coverage determination or medical necessity (according to the benefit package), and on communication regarding this process with both network and non-network physicians, as well as other Enterprise Clinical Services. The Medical Director collaborates with Enterprise Clinical Services leadership and staff to establish, implement, support, and maintain clinical and operational processes related to benefit coverage determinations, quality improvement and cost effectiveness of service for members.
Medical Director - Otolaryngology (ENT) - Remote from anywhere UnitedHealth Group IncMedical Director - Otolaryngology (ENT) - Remote from anywhereAtlanta, GARemote$248,500–$373,000 / yearThe fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount. The Medical Director"s activities primarily focus on the application of clinical knowledge in various utilization management activities with a focus on pre-service benefit and coverage determination or medical necessity (according to the benefit package), and on communication regarding this process with both network and non-network physicians, as well as other Enterprise Clinical Services.
NewMedical Director - Vascular Surgery - Remote UnitedHealth Group Inc.Medical Director - Vascular Surgery - RemoteAtlanta, GARemote$248,500–$373,000 / yearThe Medical Director's activities primarily focus on the application of clinical knowledge in various utilization management activities with a focus on pre-service benefit and coverage determination or medical necessity (according to the benefit package), and on communication regarding this process with both network and non-network physicians, as well as other Enterprise Clinical Services. The Medical Director collaborates with Enterprise Clinical Services leadership and staff to establish, implement, support, and maintain clinical and operational processes related to benefit coverage determinations, quality improvement and cost effectiveness of service for members.
NewTOSCA Data Integrity (DI) Engineer / Architect CirrusLabsTOSCA Data Integrity (DI) Engineer / ArchitectAlpharetta, GAWe are seeking an experienced TOSCA Data Integrity (DI) Engineer / Architect to design and implement automated data comparison and validation solutions for large-scale enterprise databases (3M+ records). The role involves Oracle and SQL Server data extraction, JSON transformation, complex SQL-based comparison logic, and enterprise data reconciliation using Tricentis Tosca DI.
Assistant Maintenance Manager Cushman & WakefieldAssistant Maintenance ManagerAtlanta, Georgia$102,000–$120,000 / yearIn addition to a comprehensive benefits package, Cushman and Wakefield provide eligible employees with competitive pay, which may vary depending on eligibility factors such as geographic location, date of hire, total hours worked, job type, business line, and applicability of collective bargaining agreements. Cushman & Wakefield also provides eligible employees with an opportunity to enroll in a variety of benefit programs, generally including health, vision, and dental insurance, flexible spending accounts, health savings accounts, retirement savings plans, life, and disability insurance programs, and paid and unpaid time away from work.
Commercial & Healthcare Regulatory Counsel Alto IncCommercial & Healthcare Regulatory CounselGARemote$135,000–$185,000 / yearPhysical requirements for this role include the ability to work at a computer terminal with monitor, keyboard and mouse for extended periods of time, stoop, bend, and reach for equipment and supplies, make frequent repetitive motions required to operate a computer that include the wrists, hands and fingers, and lift, carry, push, pull, and move light objects up to 20 pounds. Issue-spot and provide practical guidance on applicable laws and regulations, such as the Anti-Kickback Statute (AKS), Stark Law, False Claims Act, FDA/DEA requirements relevant to pharmacy and telehealth operations, state pharmacy/professional licensing, PBM contracting/network participation, and HIPAA/HITECH.
NewEnvironmental Health & Safety Site Manager - Fayetteville, GA MEI Rigging & Crating, LLCEnvironmental Health & Safety Site Manager - Fayetteville, GAConyers, GAFollow On-The-Job-Injury (OJI) protocol to include full injury claims management processes from initial and on-going communications with Workers Comp carrier, injured employee, occupational medicine facility and treatment specialist i.e. physical therapy, thru to closure of claim. Work collectively with Incident Review Board (IRB) and Site management to manage all incidents and accident cases thru investigations and root cause analysis, including working directly with Occupational Health clinics and Insurance carriers.
NewEnvironmental Health & Safety Site Manager - Cartersville, GA MEI Rigging & Crating, LLCEnvironmental Health & Safety Site Manager - Cartersville, GACartersville, GAFollow On-The-Job-Injury (OJI) protocol to include full injury claims management processes from initial and on-going communications with Workers Comp carrier, injured employee, occupational medicine facility and treatment specialist i.e. physical therapy, thru to closure of claim. Work collectively with Incident Review Board (IRB) and Site management to manage all incidents and accident cases thru investigations and root cause analysis, including working directly with Occupational Health clinics and Insurance carriers.
Risk Operations Supervisor - GA - On Site Vensure Employer Services IncRisk Operations Supervisor - GA - On SiteDuluth, GAVensure Employer Solutions is the largest privately held organization in the HR technology and service sector, providing a comprehensive portfolio of solutions, including HR/HCM technology, managed services, and global business process outsourcing (BPO). Other Benefits: Life insurance, short term disability, long term disability, employee assistance program (EAP), flexible spending account (FSA), health savings account (HSA), Identity theft protection, critical illness, accident, cancer, hospital protection, legal and pet insurance.
Director, Portfolio Management Lead Markel Group IncDirector, Portfolio Management LeadAlpharetta, GA$158,720–$218,240 / yearThis includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law. We envision a dynamic, underwriter-centered function that treats underwriters and regional leaders as its core customers-identifying trends early, delivering actionable insights built on reliable data, and embedding actuarial and predictive models into daily workflows.
NewDirector/Sr. Director, Operations & Underwriting Markel Group IncDirector/Sr. Director, Operations & UnderwritingAlpharetta, GA$162,800–$223,850 / yearThis includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law. The Director/ Senior Director, Underwriting Operations & Strategy is responsible for leading underwriting operational excellence, advancing technology and automation initiatives, and partnering with Product Line Leaders (PLLs) and regional leadership to support profitable portfolio management and underwriting execution.
Analyst Senior, TPO Operations Fidelity National Information Services IncAnalyst Senior, TPO OperationsAtlanta, GASupports leave administration activities by partnering with employees, managers, Human Resources, payroll, and vendors to facilitate timely and accurate leave management. About the role: In partnership with a Leave Management vendor, supports the administration of employee leaves in accordance with company policies and applicable federal, state, and local regulations.
Multi-Specialty Profee and/or Facility Medical Coder Sutherland Global Services IncMulti-Specialty Profee and/or Facility Medical CoderAtlanta, GALeveraging our advanced products and platforms, we drive digital transformation at scale, optimize critical business operations, reinvent experiences, and pioneer new solutions, all provided through a seamless "as-a-service" model. This will include assigning/sequencing billing codes in compliance with third party payor requirements and obtaining clarification when presented with conflicting or non-specific documentation, when necessary.
Medical Coder Well Street Urgent CareMedical CoderNewnan, GAExperience in using one or more Practice Management Systems/Billing Software Energy, enthusiasm and the ability to work under pressure in a high volume, fast paced, unstructured start-up environment. In addition to the above requirements, WellStreet is looking for team members with the following qualities: • A positive attitude toward patients, families, and coworkers.
Customer Care Representative I Elevance HealthCustomer Care Representative IAtlanta, GeorgiaDevelops and maintains positive customer relations and coordinates with various functions within the company to ensure customer requests and questions are handled appropriately and in a timel Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.