• Remote Health Plan Customer Service…

    TEKsystems (Orlando, FL)
    …successful mastery of systems and ability to meet performance standards. Skills Medicare, Insurance, Health plan , Call center Remote but MUST live in one of ... within Annual Enrollment call center environment * Must Have previous Health Plan /Payor Experience * Accountability - Takes responsibility for own work *… more
    TEKsystems (10/14/25)
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  • VP of Clinical Operations

    Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
    About The Role Brighton Health Plan Solutions, a full-service health plan administrator is looking for a full-time dynamic clinical leader who will ... a plus. *General knowledge of HIPAA Confidentiality Laws About At Brighton Health Plan Solutions, LLC, our people are committed to the improvement of how… more
    Brighton Health Plan Solutions, LLC (10/08/25)
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  • Account Executive

    Brighton Health Plan Solutions, LLC (Raleigh, NC)
    About The Role Brighton Health Plan Solutions is seeking an experienced Account Executive with deep expertise in PPO networks, self-insured benefit plans, and ... client success, or a related field, with required experience in a health plan , healthcare, or TPA environment. + Proven track record in client retention… more
    Brighton Health Plan Solutions, LLC (08/08/25)
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  • Program Manager - Product & Portfolio Delivery

    Brighton Health Plan Solutions, LLC (New York, NY)
    …large complex project/program with Internal and external teams preferred. About At Brighton Health Plan Solutions, LLC, our people are committed to the ... your authentic self to work with all your unique abilities. Brighton Health Plan Solutions partners with self-insured employers, Taft-Hartley Trusts, health more
    Brighton Health Plan Solutions, LLC (07/24/25)
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  • Director, Health Plan Analytics…

    Two95 International Inc. (Atlanta, GA)
    Job Title: Director, Health Plan Analytics Job type : Remote Work Type : 6+ Months Contract with extension Rate : $Market /Hour Requirements Position Summary: As ... in the planning of report distribution and process/application implementation from a health plan operational analytics perspective * Provide business knowledge,… more
    Two95 International Inc. (09/08/25)
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  • Senior Quality Analyst

    Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
    About The Role Brighton Health Plan Solutions is seeking a Senior Quality Analyst, who will oversee contract and benefit configuration to ensure accurate claims ... team player, adaptable to new or changing circumstances. About At Brighton Health Plan Solutions, LLC, our people are committed to the improvement of how… more
    Brighton Health Plan Solutions, LLC (10/04/25)
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  • Senior Director, Enterprise Portfolio Management…

    LA Care Health Plan (Los Angeles, CA)
    …$171,925.00 (Min.) - $232,100.00 (Mid.) - $292,274.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by the state of ... low-income Los Angeles County residents. We are the nation's largest publicly operated health plan . Serving more than 2 million members, we make sure our members… more
    LA Care Health Plan (10/03/25)
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  • Technical Applications Manager II

    LA Care Health Plan (Los Angeles, CA)
    …$121,056.00 (Min.) - $160,400.00 (Mid.) - $199,742.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by the state of ... low-income Los Angeles County residents. We are the nation's largest publicly operated health plan . Serving more than 2 million members, we make sure our members… more
    LA Care Health Plan (09/16/25)
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  • Clinical Coordinator, Case Management

    Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
    About The Role Brighton Health Plan Solutions (BHPS) provides Case Management / Medical Management services to its clients. Clinical Coordinator facilitates case ... independently, and complete tasks as identified and/or assigned. About At Brighton Health Plan Solutions, LLC, our people are committed to the improvement of how… more
    Brighton Health Plan Solutions, LLC (08/13/25)
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  • Account Supervisor

    Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
    About The Role Brighton Health Plan Solutions is seeking an Account Supervisor is responsible for building and maintaining strong relationships with both new and ... of the healthcare industry and claims processing (preferred). About At Brighton Health Plan Solutions, LLC, our people are committed to the improvement of how… more
    Brighton Health Plan Solutions, LLC (08/08/25)
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