# Brighton Health Plan Solutions

> Brighton Health Plan Solutions is a national third-party administrator serving self-funded employers, labor funds, health systems and other administrators. It combines claims and benefits administration, MagnaCare provider networks, direct provider contracting, medical management and its configurable Create technology platform. Its work includes administering Northwell employee benefits and selected Blue Cross NC employer plans.

- **Founded:** 2016
- **Headquarters:** New York, United States
- **Founders:** Jim Cusumano (Co-founder (listed by Crunchbase); Chief Executive Officer)
- **Products:** Third-party administration, Create Technology, MagnaCare networks and administration, Direct contracting, Medical management
- **Notable:** Selected to administer Northwell employee health benefits in 2021., 2025 USA Today Top Workplace for a third consecutive year., Named to City & State New York’s 2025 Top Workplaces.

## Products & services

- **Third-party administration** — Claims processing, health plan administration, enrollment, eligibility and member and provider services for self-funded clients.
- **Create Technology** — Configurable, white-labeled benefits technology with enrollment, administration, member portals, mobile access, claims information and provider searches. An expanded platform was announced in 2020.
- **MagnaCare networks and administration** — Provider network and benefits administration services with a longstanding labor and Taft-Hartley customer base. MagnaCare originated in 1990.
- **Direct contracting** — Builds employer-provider arrangements, fills network gaps and administers health plans, including health system employee plans.
- **Medical management** — Utilization review, case management, care coordination and related clinical cost-management services.
- **Concierge customer service** — Helps members locate participating providers, schedule appointments, confirm benefits and understand explanations of benefits.
- **Casualty solutions** — Provider-network and administrative solutions for workers’ compensation and no-fault auto claims through MagnaCare.
- **Labor fund and retirement administration** — Trust fund, contribution accounting, eligibility and retirement-related administrative services through MagnaCare.

## Achievements

- Selected to administer Northwell employee health benefits in 2021.
- 2025 USA Today Top Workplace for a third consecutive year.
- Named to City & State New York’s 2025 Top Workplaces.
- Company reported serving more than 1 million members nationally in April 2025.
- Create technology and network administration combine with direct-contracting capabilities in one service portfolio.

## Latest updates

- **2026-01** — WakeMed’s 2026 medical plan transition took effect following its September 2025 announcement naming Brighton as administrator.
- **2025-10** — Featured in City & State New York’s Top Workplaces list, with a reported workforce of 634.
- **2025-04** — Announced a third consecutive USA Today Top Workplace award.
- **2024-08** — Released direct-provider-arrangement survey findings from 150 benefits leaders.

## Links

- Website: https://brightonhps.com/
- LinkedIn: https://www.linkedin.com/company/brighton-health-plans-solutions
- YouTube: https://www.youtube.com/channel/UCw4cJLmQNYKy8jqysbvo5zQ

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Profile page: https://yespress.io/brighton-health-plan-solutions
Published by YesPress — https://yespress.io
Last updated: 2026-10-23