• Customer Service Representative

    Brighton Health Plan Solutions, LLC (Melville, NY)
    health outcomes for members, too. MagnaCare is a division of Brighton Health Plan Solutions, LLC. *We are an Equal Opportunity Employer Annual Salary: ... scams from individuals, organizations, and internet sites claiming to represent Brighton Health Plan Solutions in recruitment activities in return for disclosing… more
    Brighton Health Plan Solutions, LLC (08/20/25)
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  • Workers Compensation Nurse Case Manager

    Brighton Health Plan Solutions, LLC (Westbury, NY)
    About The Role Brighton Health Plan Solutions (BHPS) provides Utilization Review/Medical and Case Management services for Group Health and Workers' ... provision of necessary medical services, and the evaluation of coverage under the Plan . The Nurse Case Manager reports to the Casualty Department Manager. Primary… more
    Brighton Health Plan Solutions, LLC (08/27/25)
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  • Logistic Analyst (Remote) - MA Health

    Molina Healthcare (NY)
    …improve forecasts and plans (workload) + Maintains headcount/FTE requirements for each plan and works closely with leadership to ensure staffing is adequate to ... support compliance regulations + Identifies gaps in coverage, and proposes new shifts or realignments along with hiring plans and predicts work volume + Maintains attrition capacity modeling and management of PTO planning and all HR-related activities +… more
    Molina Healthcare (08/10/25)
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  • Behavioral Health Case Manager

    Independent Health (Buffalo, NY)
    … clinical and/or care coordination setting required. + Experience in a health plan /managed care setting, case management and/or quality improvement activities ... culture that fosters growth, innovation and collaboration. **Overview** The Behavioral Health Case Manager is primarily responsible for managing behavioral health more
    Independent Health (08/29/25)
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  • Population Health Coordinator

    Rochester Regional Health (Rochester, NY)
    …as a resource to all internal and external customers + Maintains knowledge of all health plan benefits and payor requirements, + Call patients as designated by ... JOB TITLE: Population Health Coordinator DEPARTMENT: Population Health LOCATION:...communicated to clinical staff when there is variance from plan of care + Coordinates other medical office assistants… more
    Rochester Regional Health (08/16/25)
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  • Customer Service Representative, Casualty

    Brighton Health Plan Solutions, LLC (Westbury, NY)
    …is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities and activities may change, or new ones may be assigned at any ... time with or without notice. Primary Responsibilities + Handle inbound calls from members, medical providers, and others. + Listen to and address customer needs and concerns empathetically. + Answer questions about, network participation + Ensure first contact… more
    Brighton Health Plan Solutions, LLC (08/27/25)
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  • Director of Communications

    Brighton Health Plan Solutions, LLC (NY)
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    Brighton Health Plan Solutions, LLC (08/21/25)
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  • TPA Manager Retirement Plan Services

    NBT Bank (NY)
    …Comprehensive Medical Coverage : Includes employer contributions to HSA for High Deductible Health Plan participants. + Dental and Vision Coverage : Ensuring ... + Medical Coverage : Includes employer contributions to HSA for High Deductible Health Plan participants. + Generous Parental Leave : Six weeks of paid leave at… more
    NBT Bank (09/02/25)
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  • Director, Financial Planning & Analysis (CFO)…

    Humana (Albany, NY)
    …individual in this role coordinates day-to-day financial operations directly with the health plan Chief Executive Officer (CEO). **Location:** Remote WFH (with ... part of our caring community and help us put health first** The Director, Financial Planning & Analysis analyzes...and oversight of financial operations for Humana's Michigan HIDE Plan with a focus on Medicaid and state partnership,… more
    Humana (08/26/25)
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  • Care Manager II - Health Home

    Monroe Plan for Medical Care (Cortland, NY)
    …access and quality of healthcare for underserved populations.For over 50 years, Monroe Plan for Medical Care, a not-for-profit health care services organization, ... of individuals and families who are recipients of government sponsored health insurance. Monroe Plan is the largest Care Management Agency, servicing 28 counties… more
    Monroe Plan for Medical Care (08/19/25)
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