• Program Manager - Product & Portfolio Delivery

    Brighton Health Plan Solutions, LLC (New York, NY)
    …inquiries. + Works closely with clients, cross-functional teams, and stakeholders to plan and develop project scope, resources, and timelines. + Manages project ... complex project/program with Internal and external teams preferred. About At Brighton Health Plan Solutions, LLC, our people are committed to the improvement of how… more
    Brighton Health Plan Solutions, LLC (07/24/25)
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  • Claims Service Representative

    Centers Plan for Healthy Living (Staten Island, NY)
    Centers Plan for Healthy Living's goal is to create the ultimate healthcare experience that provides our members, their families, healthcare decision makers, and ... suppliers) regarding claim decision and payments across all Centers Plan for Healthy Living (CPHL) product offerings. + Thoroughly...+ 2 years of college preferred About us: Centers Plan for Healthy Living (CPHL), is a Managed Care… more
    Centers Plan for Healthy Living (10/14/25)
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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 healthcare… 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)
    …(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 California to ... 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 get… more
    LA Care Health Plan (10/03/25)
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  • UM Coordinator

    Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
    …from patient/patient representative, physician, or hospital; verify member eligibility, plan participation and provider participation status. + Create cases within ... third party payor processes and procedures strongly desired. About At Brighton Health Plan Solutions, LLC, our people are committed to the improvement of how… more
    Brighton Health Plan Solutions, LLC (09/18/25)
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  • Technical Applications Manager II

    LA Care Health Plan (Los Angeles, CA)
    …(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 California to ... residents. We are the nation's largest publicly operated health plan . Serving more than 2 million members, we make...Additionally, this person needs to develop a Solutions Delivery plan for meeting current and anticipated Domain needs; this… more
    LA Care Health Plan (09/16/25)
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  • Claims Examiner

    Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
    About The Role Brighton Health Plan Solutions (BHPS) is seeking an experienced Healthcare Claims Examiner skilled in the interpretation of Hospital and Ancillary ... school education is a plus. About At Brighton Health Plan Solutions, LLC, our people are committed to the...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 (09/11/25)
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  • Registered Nurse (RN) Manager, Appeals…

    LA Care Health Plan (Los Angeles, CA)
    …live in California or be willing to relocate Established in 1997, LA Care Health Plan is an independent public agency created by the state of California to provide ... 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 get… more
    LA Care Health Plan (09/09/25)
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  • Customer Solution Center Service Representative I

    LA Care Health Plan (Los Angeles, CA)
    …Salary Range: (Min.) - $10.00 (Mid.) - (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by the state of California to provide ... residents. We are the nation's largest publicly operated health plan . Serving more than 2 million members, we make...connecting with internal units or external parties such as Plan Partners, Primary Care Physician (PCP) offices, pharmacists, etc.… more
    LA Care Health Plan (08/17/25)
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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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