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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
BROOKFIELD ASSOCiates Health Management Company of America (HMCA.com) BROOKFIELD ASSOCIATES INC
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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Behavioral Health Utilization Management Nurse at MagnaCare

Chapel Hill, NC | Full Time
$73k-89k (estimate)
1 Month Ago
About The Role. BHPS provides Utilization Management services to its clients. The Utilization Management Nurse performs medical necessity and benefit review requests in accordance with national standards, contractual requirements, and a member’s benefit coverage while working remotely. Primary Responsibilities. Performs behavioral health clinical utilization reviews using evidenced based guidelines, policies and nationally recognized clinical cri...

Behavioral Health Utilization Management Nurse at MagnaCare

Chapel Hill, NC | Full Time
$73k-89k (estimate)
1 Month Ago
About The Role. BHPS provides Utilization Management services to its clients. The Utilization Management Nurse performs medical necessity and benefit review requests in accordance with national standards, contractual requirements, and a member’s benefit coverage while working remotely. Primary Responsibilities. Performs behavioral health clinical utilization reviews using evidenced based guidelines, policies and nationally recognized clinical cri...

Clinical Coordinator - Case Management at MagnaCare

Chapel Hill, NC | Full Time
$73k-86k (estimate)
1 Month Ago
About The Role. Brighton Health Plan Solutions (BHPS) provides Case Management / Medical Management services to its clients. Clinical Coordinator facilitates case management by performing intake and clinical data collection & entry, clinical intake screening assessment, and effectively communicating with Nurse Case Managers. The Clinical Coordinator reports to the Manager, Case management. Primary Responsibilities. Answer and handle phone calls w...

Nurse Case Manager, Case Management at MagnaCare

Chapel Hill, NC | Full Time
$93k-117k (estimate)
1 Month Ago
About The Role. Brighton Health Plan Solutions (BHPS) provides Case Management services to its clients. Cases are maintained by the Nurse Case manager. The Nurse Case Manager reports to the Manager of Case Management. Responsible for developing and managing the case management program and providing case management services to members. This position is also responsible for assuring appropriate systems are in place to collect and report program act...

Contribution Accounting Analyst, Grade 7 at MagnaCare

Las Vegas, NV | Full Time
$67k-82k (estimate)
1 Month Ago
About The Role. The Contribution Analyst is responsible for reviewing, validating, and reconciling employer-reported contribution hours, wages, and demographic data across multiple benefit plans. This role ensures the accuracy of employer submissions, identifies discrepancies, and collaborates with employers, internal teams, and system partners to resolve reporting issues. The Contribution Analyst supports eligibility determinations, contribution...

Quality Analyst at MagnaCare

Westbury, NY | Full Time
$93k-111k (estimate)
1 Month Ago
About The Role. We are seeking a detail-oriented and proactive QA Analyst to support quality assurance efforts across Brighton Health Plan Solutions’ core portfolios—Claims, Provider, and Enrollment. In this role, you will contribute to both functional testing and automation activities, helping strengthen QA processes. You will play a key part in ensuring high-quality software delivery by validating business requirements, improving test practices...

Enrollment & Employer Services II at MagnaCare

Las Vegas, NV | Full Time
$43k-52k (estimate)
1 Month Ago
About The Role. The Enrollment & Employer Services II role is a member-facing, bilingual position responsible for resolving more complex eligibility and employer reporting issues. As a Level II role, it handles escalated tasks, supports employer training, and manages the day-to-day functions of enrollment and eligibility processing. This includes ensuring that participants are accurately enrolled in the correct health plans, supporting the Eligib...

Medical Utilization Management Nurse at MagnaCare

Chapel Hill, NC | Full Time
$77k-94k (estimate)
1 Month Ago
About The Role. BHPS provides Utilization Management services to its clients. The Utilization Management Nurse performs medical necessity and benefit review requests in accordance with national standards, contractual requirements, and a member’s benefit coverage while working remotely. Primary Responsibilities. Performs clinical utilization reviews using evidenced based guidelines, policies and nationally recognized clinical criteria and internal...

Manager of Communications at MagnaCare

York, NY | Full Time
$128k-165k (estimate)
1 Month Ago
About The Role. This role will play a critical role in strengthening brand visibility, enhancing client engagement, and supporting organizational growth through strategic, high-impact communications. This role will be responsible for developing and distributing client communications, overseeing social media strategy and content creation, supporting public relations initiatives, and ensuring all materials meet rigorous brand and regulatory standar...

Accounting Clerk at MagnaCare

Westbury, NY | Full Time
$49k-60k (estimate)
2 Months Ago
About The Role. BHPS has a great opportunity for an accounting clerk to join the Finance Team. They will be responsible for day-to-day claims payments and refunds processes. This role is on site, at the Westbury, NY location. Job Responsibilities. Record deposits daily and create cash accounts receivable records in claims billing software, ensuring that transactions are processed with 100% accuracy. Process client refund checks using claims billi...

Quality Control Auditor at MagnaCare

Chapel Hill, NC | Full Time
$36k-43k (estimate)
2 Months Ago
About The Role. The Quality Control Auditor, objectively, systematically, and continuously assesses, assures monitors, evaluates, and improves the quality of processes and services provided based on BHPS’s commitment to client satisfaction and continuous improvement. Primary Responsibilities. Performing routine and complex audits for all operational staff including but not limited to enrollments & maintenance, claims adjudication & adjustments, m...

Account Supervisor at MagnaCare

Chapel Hill, NC | Full Time
$91k-129k (estimate)
3 Months Ago
About The Role. Brighton Health Plan Solutions is seeking an Account Supervisor is responsible for building and maintaining strong relationships with both new and existing clients, ensuring customer satisfaction and long-term retention. This role requires a detail-oriented professional who communicates with clarity, accuracy, and professionalism across all interactions. Primary Responsibilities. Provide accurate, independent responses to all clie...
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