Company · 6 open roles
Careers at Brighton Health Plan Solutions, LLC
Brighton Health Plan Solutions, LLC has 6 active roles on ResuMinder right now, with 50% remote-friendly. Score your CV instantly and use the ResuMinder extension to apply in seconds — no manual form-filling.
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6 positions at Brighton Health Plan Solutions, LLC
High Dollar Review Specialist
Brighton Health Plan Solutions, LLC·Chapel Hill, North Carolina, United States
High Dollar Review Specialist at Brighton Health Plan Solutions, LLC. Location: Chapel Hill, North Carolina, United States. Role: reviewing claims, analyzing drg, developing reports Requirements: 3+ years coding and claims review experience; facility and physician billing knowled…
Utilization Management Nurse
Brighton Health Plan Solutions, LLC·Chapel Hill, North Carolina, United States
Utilization Management Nurse at Brighton Health Plan Solutions, LLC. Location: Chapel Hill, North Carolina, United States. Role: performing reviews, communicating determinations, triaging cases Requirements: Active RN licensure required, 2+ years UM team experience in managed car…
Enrollment and Eligibility Specialist
Brighton Health Plan Solutions, LLC·Chapel Hill, North Carolina, United States
Enrollment and Eligibility Specialist at Brighton Health Plan Solutions, LLC. Location: Chapel Hill, North Carolina, United States. Role: creating profiles, reconciling data, supporting clients Requirements: 2+ years office experience; ability to process PHI and financial informa…
Casualty Bill Review Specialist
Brighton Health Plan Solutions, LLC·Chapel Hill, North Carolina, United States
Casualty Bill Review Specialist at Brighton Health Plan Solutions, LLC. Location: Chapel Hill, North Carolina, United States. Role: reviewing bills, configuring rules, training staff Requirements: 5+ years of New York MTGs expertise, knowledge of NY WCB regulations, fee schedules…
Senior Director, Case Management & Outcomes Performance
Brighton Health Plan Solutions, LLC·Chapel Hill, North Carolina, United States
Senior Director, Case Management & Outcomes Performance at Brighton Health Plan Solutions, LLC. Location: Chapel Hill, North Carolina, United States. Role: leading programs, ensuring compliance, improving outcomes Requirements: Senior clinical leader to design and lead case manag…
Medical Director
Brighton Health Plan Solutions, LLC·Westbury, New York, United States
Medical Director at Brighton Health Plan Solutions, LLC. Location: Westbury, New York, United States. Role: creating policy, reviewing cases, advising staff Requirements: Board-certified physician with 3+ years managed care/utilization management experience, current unrestricted …