Brighton Health Plan Solutions (BHPS) is a healthcare enablement company transforming access and delivery of care through innovative, customizable solutions. With decades of experience in health plan design and management, BHPS leverages proprietary provider networks and cutting-edge technology to activate patients, enhance quality of care, and reduce costs for self-funded plans, health systems, and TPAs.
Open Positions
Account Executive
5+ years of experience in account management, client success, or a related field, with a proven track record in client retention and relationship management
Utilization Management Nurse
Current LPN licensure, 2+ years UM experience, and proficiency in Microsoft Office
Senior Accountant
Bachelor’s degree in accounting or finance, 3-5 years of accounting experience, and excellent communication skills
Medical Director
Board certification, 3 years' experience in managed care, and current clinical license required
Vice President, Enrollment and Eligibility
10+ years in health insurance industry, 5+ year’s management experience, Bachelor’s Degree in Business or Health Insurance Related Field
Clinical Appeal Nurse
Active RN or LPN license, 5+ years of clinical experience, and 5+ years of experience in Clinical Appeals and Grievances
Senior Director, Case Management & Outcomes Performance
Bachelor's degree in Nursing, Social Work, or a related clinical field, Master's degree in a related field, 8-10+ years of progressive healthcare leadership experience
Senior Data Analyst, Clinical Programs
5-7 years of experience in healthcare analytics, proficiency in SQL and MS Excel, and advanced data analysis skills