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Enrollment and Eligibility Specialist
Jobs · Brighton Health Plan Solutions · New York, NYAbout the Role Brighton Health Plan Solutions (BHPS) is seeking an experienced Specialist for our Enrollment and Eligibility/ Employer Services Department. We are a hybrid unit, a balance of a contact center and processing department. The Enrol...1 week ago on The ResumatorTools -
Intake Coordinator
Jobs · Brighton Health Plan Solutions · New York, NYAbout the Role Brighton Health Plans Solution is looking for an Intake Coordinator with prior experience in a similar role with good multitasking and communication skills. You will be utilizing your knowledge of medical terminology, medical spe...1 week ago on The ResumatorTools -
Workers Compensation Nurse Case Manager
Healthcare · Brighton Health Plan Solutions · New York, NYAbout The Role Brighton Health Plan Solutions (BHPS) provides Utilization Review/Medical and Case Management services for Group Health and Workers’ Compensation and other Casualty clients. The Workers’ Compensation Nurse Case Reviewer collabora...1 week ago on The ResumatorTools -
Casualty Support Coordinator
Jobs · Brighton Health Plan Solutions · New York, NYAbout The Role Casualty Support Coordinators facilitate care management and utilization review by performing data collection & data entry, and effectively communicating with Nurse Case Reviewers/Managers, providers, employers and claimants in r...1 week ago on The ResumatorTools -
Account Supervisor
Management & Exec · Brighton Health Plan Solutions · Westbury, NYAbout the Role The Account Supervisor is responsible for building and maintaining positive working relationships with our new and existing clients to ensure customer satisfaction and promote customer retention. This position requires the candidat...1 week ago on The ResumatorTools -
Customer Service Representative
Customer Service · Brighton Health Plan Solutions · New York, NYAbout The Role The Customer Service Representative assists members, physicians, hospitals, revenue agencies and other healthcare providers with member benefits, eligibility, claims inquiry, claim reconsiderations and appeals. The Customer Servi...4 weeks ago on The ResumatorTools -
Clinical Coordinator - Case Management
Healthcare · Brighton Health Plan Solutions · New York, NYAbout The Role BHPS provides Case Management/Utilization Review services to its clients. The Clinical Coordinator facilitates case Management by performing intake and data collection, entry and clinical screening assessments. The Case Management...4 weeks ago on The ResumatorTools -
Social Worker, Population Health
Social Services · Brighton Health Plan Solutions · New York, NYAbout The Role At Brighton Health Plan Solutions (BHPS), we’re creating something new and different in health care, and we’d love for you to be part of it. Based in New York City, BHPS is a rapidly growing, entrepreneurial health care enablement ...4 weeks ago on The ResumatorTools -
Project Manager, Compliance
Management & Exec · Brighton Health Plan Solutions · Westbury, NYAbout The Role Brighton Health Plan Solutions, LLC is a wholly owned subsidiary of a highly regulated health insurance company (“Parent”). The Project Manager - Compliance oversees and coordinates a wide range of compliance and policy requirement...Over 4 weeks ago on The ResumatorTools -
Director, Applications Support - Healthcare
Healthcare · Brighton Health Plan Solutions · Westbury, NYAbout The Role The Director of Applications Support - HealthCare has responsibility for managing and developing teams to build and enhance the capabilities of Claims, Credentialing and Third Party Integration application in a TPA and/or Payor en...Over 4 weeks ago on The ResumatorTools -
Senior Enterprise Business Analyst
Jobs · Brighton Health Plan Solutions · New York, NYAbout 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....Over 4 weeks ago on The ResumatorTools