Browse Jobs
Browse fresh roles from company career pages, then filter by keyword, location, salary, skills, remote scope, and more. Each listing links back to the employer-controlled apply path when available.
Browse fresh roles from company career pages, then filter by keyword, location, salary, skills, remote scope, and more. Each listing links back to the employer-controlled apply path when available.
Brighton Health Plan Solutions, LLC
About the Role Brighton Health Plan Solutions is seeking a High Dollar Specialist to review high dollar claims for appropriate and accurate billing, pricing and adjudication. This individual will play a key in the Quality Department and interact with many internal and external s
Brighton Health Plan Solutions, LLC
About The Role BHPS provides Utilization Management services to its clients. The Utilization Management Nurse performs medical necessity and benefit review requests in accordance with national standards, contractual requirements, and a member’s benefit coverage while working remo
Brighton Health Plan Solutions, LLC
About The Role The Casualty Bill Review Specialist is responsible for ensuring accurate, compliant, and efficient medical bill review within the New York workers’ compensation and casualty environment. This role serves as a subject matter expert (SME) in New York and other state
Brighton Health Plan Solutions, LLC
About The Role The Contribution Accounting & Enrollment Leader is responsible for the strategic direction, operational oversight, and performance of the Contribution Accounting & Enrollment function within a multi-employer health and welfare fund administration environment. This
Brighton Health Plan Solutions, LLC
About The Role BHPS is seeking a Contract Manager responsible for the contracting and maintenance of the relationship with network health systems in their assigned territory or specialty. This also includes the recruitment, and management of the provider network inclusive of hos
Brighton Health Plan Solutions, LLC
About The Role The Medical Director will be responsible in providing support to our commercial and worker’s compensation self-funded clients seeking cost effective resolution of their member’s claims. Your interest and help leading and developing our team and maturing the program
Brighton Health Plan Solutions, LLC
About The Role The Senior Data Analyst, Clinical Programs will be an analytically driven team player, responsible for understanding business needs and objectives, eliciting requirements from stakeholders, and analyzing data and processes to identify opportunities for improvement.
Brighton Health Plan Solutions, LLC
About The Role Brighton Health Plan Solutions is seeking an experienced Account Executive with deep expertise in commercial, self-insured employer benefit plans with 1000+ subscribers, PPO network strategies, and Third-Party Administration (TPA) organizations. This role is primar