MagnaCare Jobs

MagnaCare

MELVILLE, NY | 251 followers

MagnaCare Overview

WEBSITE magnacare.com
HEADQUARTERS MELVILLE, NY
SIZE 200 - 500
FOUNDED 1990
REVENUE $10M - $50M
Related Companies
About MagnaCare

For 30 years, MagnaCare, a division of Brighton Health Plan Solutions, has helped organizations in New York, New Jersey, and Connecticut take control of their health care costs and give their members access to high value care. As a medium-sized, local administrative services organization (ASO), we make it a point to treat each customer with our one-of-a-kind personal touch. MagnaCares wide range of products and services meet the needs of Taft-Hartley Funds, employers and other self-insured plan sponsors, TPAs, carriers, and workers compensation and no-fault payors. Through our deep discounts, ...innovative health care solutions, and uncommon flexibility, we help our customers control health care costs, improve health, and achieve exceptional value for their organizations and their members. More
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Customer Service Representative at MagnaCare

Melville, NY | Full Time
$46k-58k (estimate)
1 Day Ago
About The Role. MagnaCare is seeking Customer Service Representatives to assist members, physicians, hospitals, and other healthcare providers with member benefits, eligibility, claims inquiry, claim reconsiderations and appeals. This job description 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. Prima...

Utilization Management Nurse, Prior Authorization at MagnaCare

Chapel Hill, NC | Full Time
$142k-181k (estimate)
3 Days Ago
About The Role. BHPS provides Utilization Management services to its clients. The Utilization Management Nurse - Prior Authorization performs medical necessity reviews on prior authorization requests in accordance with national standards, contractual requirements, and a member’s benefit coverage while working remotely. This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities and ac...

Utilization Review Nurse, Quality & Appeals at MagnaCare

Chapel Hill, NC | Full Time
$75k-94k (estimate)
3 Days Ago
About The Role. BHPS provides Utilization Management services to its clients. The Utilization Review Appeals Nurse performs daily appeal reviews and clinical quality oversite. This position reports to the Clinical Program Manager. This job description 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. Prima...

Utilization Management Nurse, Concurrent Review at MagnaCare

Chapel Hill, NC | Full Time
$152k-191k (estimate)
3 Days Ago
About The Role. BHPS provides Utilization Management services to its clients. The Utilization Management Nurse performs daily medical necessity reviews. This position reports to the Director, Clinical Programs. This job description 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....

Social Worker, Population Health at MagnaCare

New York, NY | Full Time
$92k-111k (estimate)
3 Days Ago
About The Role. At Brighton Health Plan Solutions (BHPS), we’re creating something new and different in health care, and we’d love for you to be part of it. Based in New York City, BHPS is a rapidly growing, entrepreneurial health care enablement company bringing tangible innovation to the health care delivery system. Our team is committed to transforming how health care is accessed and delivered. We believe that cost, quality, and population hea...

Customer Service Representative at MagnaCare

New York, NY | Full Time
$45k-57k (estimate)
3 Days Ago
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 appeals. The Customer Service Representatives must be able to work in various shifts Monday to Friday between the hours of 9AM – 7PM EST with the ability to adjust shifts with notice based on business needs. This job description is ...

Appeals Manager at MagnaCare

Westbury, NY | Full Time
$98k-124k (estimate)
3 Days Ago
About The Role. The Appeals Manager is responsible managing Appeal Supervisors and identifying opportunities for enhancements and changes to workflows to increase effectiveness and productivity of the team. Provides on-going feedback to the team and identifies areas for improvement and growth. Must be able to make independent decisions, prioritize workload effectively and collaborate with other internal departments to assist in meeting our corpor...

Project Manager, Compliance at MagnaCare

Westbury, NY | Full Time
$96k-122k (estimate)
3 Days Ago
About The Role. Brighton Health Plan Solutions, LLC is a wholly owned subsidiary of a highly regulated health insurance company (“Parent”). The Project Manager - Compliance oversees and coordinates a wide range of compliance and policy requirements applicable to both the Parent and Brighton. The Project Manager - Compliance will work with compliance, legal and business units of both Brighton and the Parent to ensure conformance with critical comp...

Director, Applications Support at MagnaCare

Westbury, NY | Full Time
$203k-253k (estimate)
3 Days Ago
About The Role. The Director of Applications Support has responsibility for strategic development and execution of a quality program for system configuration and changes. The role is responsible for establishing a quality dashboard and implement the changes needed to improve quality metrics. This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities and activities may change, or new ...

Claims Supervisor at MagnaCare

Westbury, NY | Full Time
$99k-123k (estimate)
1 Month Ago
The Claims Supervisor is responsible for providing coaching, mentoring, and training a staff of Claims Examiners while promoting quality and superior customer service. The Claims Supervisor is accountable for identifying opportunities for enhancements and changes to workflows to increase effectiveness and productivity of the team. Provides on-going feedback to the team and identifies areas for improvement and growth. Must be able to make independ...

Care Coordinator at MagnaCare

Westbury, NY | Full Time
$75k-94k (estimate)
1 Month Ago
About The Role. REMOTE. Support Coordinators handle care management, data entry, and communication with various stakeholders in workers' compensation cases. They provide education and issue resolution for MagnaCare network providers and customers, collaborating to resolve disputes. They also maintain knowledge of policies, working with various departments to address provider issues, reporting to the Casualty Support manager. The successful candid...
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