Senior Director, Case Management & Outcomes Performance

About The Role
Brighton Health Plan Solutions (BHPS) is a Third Party Administrator (TPA) serving 400,000+ commercial members across employer-sponsored self-insured plans and proprietary network products, including MagnaCare. The Senior Director, Case Management & Outcomes Performance is a senior clinical and operational leader responsible for the strategic direction, design, and performance of BHPS’s case management, disease management, and population health programs.
This role ensures the delivery of high-quality, member-centered, cost-effective care while aligning case management strategy, clinical outcomes, and utilization excellence across BHPS’s book of business, client segments, and clinical operations. Reporting to the VP, Clinical Operations, the Senior Director acts as a key internal liaison between Clinical Operations and BHPS’s market-facing teams—partnering closely with clinical, operational, quality, finance, network, sales, and growth leaders to drive measurable im...