Brighton Health Plan Solutions, LLC

Open 72d RemoteNorth AmericaSenior

2 weeks ago

Senior Data Analyst, Clinical Programs

Analytics Data Science Financial Modeling Power BI Predictive Analytics +4 skills

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…

Open 16d North AmericaPart-time

3 weeks ago

Customer Service Specialist- Onsite P/T

About The Role Brighton Health Plan Solutions seek a detail-oriented and empathetic North Carolina-based Customer Service Specialist to join our team. In this part-time role, you will provide in-person support to our…

Salesforce

Open 30d HybridNorth America

Programmer Analyst

AI EDI Microsoft Access Prototyping SDLC +2 skills

Build and maintain healthcare claims processing systems, including provider rate builds and benefit configurations, using SQL and AI-assisted coding tools.

41K – 48K $

Account Executive -Workers Compensation

Open 33d North America

Account Executive Analytics Salesforce

About The Role Brighton Health Plan Solutions is seeking an experienced Account Executive with deep expertise in medical payments for workers’ compensation and automobile insurance claims, PPO network strategies, and…

Customer Service Representative

Open 33d North America

About 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…

Hipaa

Customer Service Representative/ Bilingual (Spanish)

Open 33d North America

About The Role The Customer Service Representative, Bilingual, assists members, physicians, hospitals, revenue agencies and other healthcare providers with member benefits, eligibility, claims inquiry, claim…

Hipaa

Open 38d RemoteNorth America

Supervisor, Customer Service

About The Role BHPS is seeking an experienced Customer Service Supervisor to manage the company’s service operations for members and providers and high traffic call center. The Supervisor directly manages the daily…

Hipaa

Open 44d RemoteNorth AmericaSenior

2 months ago

Senior Manager, Medical and Clinical Claim Policy and Integration

Automation Version Control

About The Role The Senior Manager of Medical and Clinical Claim Policy and Configuration is a senior level decision maker responsible for the content and management of Medical and Claim Policies. Also provides…

Open 72d RemoteNorth AmericaC-level

2 months ago

Vice President, Contribution Accounting & Enrollment Eligibility

Automation Process Improvement

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…

Open 65d HybridNorth AmericaContract

2 months ago

Contract Manager

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…

SQL