Janice Carado

Janice Carado is a seasoned professional in healthcare management, currently serving as the Manager of Appeals and Grievances at Brighton Health Plan Solutions since May 2023. Prior to this role, Janice held various positions at Capital Blue Cross from October 2002 to September 2022, culminating in the role of Director of Utilization Management, where key responsibilities included leading operational units in Prior Authorization, analyzing utilization trends, and establishing strategies for member outcomes. Janice's earlier roles encompassed management of Preauthorization units and ensuring compliance as a Senior Accreditation and Compliance Consultant. Educational achievements include ongoing studies for a Bachelor of Arts in Organizational Development and Leadership at Saint Joseph's University, an Associate's degree from HACC, and a Licensed Practical Nursing diploma from Schuylkill Training and Technology Center.