Jobs

Full Time Jobs at Brighton Health Plan Solution

 (1 - 7 of 7)

  1. Appeals Manager

    Management & Exec · Brighton Health Plan Solutions · Westbury, NY
    About The Role The Appeals Manager is responsible managing Appeal Supervisors and identifying opportunities for enhancements and changes to workflows to increase effectiveness and productivity of the team. Provides on-going feedback to the team a...
    Tools
    2 days ago on The Resumator

  2. Utilization Management Nurse, Prior Authorization

    Healthcare · Brighton Health Plan Solutions · Chapel Hill, NC
    About The Role BHPS provides Utilization Management services to its clients. The Utilization Management Nurse - Prior Authorization performs medical necessity reviews on prior authorization requests in accordance with national standards, contract...
    Tools
    1 week ago on The Resumator

  3. Director, Applications Support

    Management & Exec · Brighton Health Plan Solutions · Westbury, NY
    About The Role The Director of Applications Support has responsibility for strategic development and execution of a quality program for system configuration and changes. The role is responsible for establishing a quality dashboard and implement t...
    Tools
    1 week ago on The Resumator

  4. Utilization Review Nurse, Quality & Appeals

    Healthcare · Brighton Health Plan Solutions · Chapel Hill, NC
    About The Role BHPS provides Utilization Management services to its clients. The Utilization Review Appeals Nurse performs daily appeal reviews and clinical quality oversite. This position reports to the Clinical Program Manager. This job descri...
    Tools
    1 week ago on The Resumator

  5. Utilization Management Nurse, Concurrent Review

    Healthcare · Brighton Health Plan Solutions · Chapel Hill, NC
    About The Role BHPS provides Utilization Management services to its clients. The Utilization Management Nurse performs daily medical necessity reviews. This position reports to the Director, Clinical Programs. This job description is not designed...
    Tools
    1 week ago on The Resumator

  6. Senior Actuarial Analyst

    Jobs · Brighton Health Plan Solutions · United States
    About The Role The Senior Actuarial Analyst – Network will be an enthusiastic team player, providing actuarial and analytical support to Network Management and Contracting. This role will be deeply involved in the analytical processes that drive ...
    Tools
    2 weeks ago on The Resumator

  7. Senior Enterprise Business Analyst

    Jobs · Brighton Health Plan Solutions · New York, NY
    About the Role We are seeking a passionate, results-oriented Senior Enterprise Business Analyst who can collaborate effectively with internal and external stakeholders to analyze, define and manage requirements to launch new product & services....
    Tools
    Over 4 weeks ago on The Resumator

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