Mass General Brigham Health Plan
Six major aims for care
Mass General Brigham Health Plan believes that quality care should be:
- Safe: Care that is intended to help patients should not injure them.
- Effective: Services should be based on scientific knowledge and given to all who could benefit. Care should not be used when it will not be beneficial. Effective care should be precise: services should not be overused or underused.
- Patient-centered: Care should be respectful and responsive to individual patient preferences, needs, and values.
- Timely: Access to care should not take longer than necessary. Patients should not have to wait unless it will provide information or time to heal. Prompt attention benefits both the patient and the caregiver.
- Efficient: Effective care should minimize waste — and cost — of supplies, equipment, space, capital, ideas, time, and opportunities.
- Equitable: Everyone should have access to high quality care, regardless of their race, ethnicity, gender, or income.
Our mission and vision
Our vision is to help create a world in which all people live healthier lives. We strive to create a better health system by removing barriers, providing no-nonsense solutions, innovating through partnerships, and delivering compassionate experiences.About Mass General Brigham
From the hospital to home, our integrated health system offers high-quality care in every part of the health journey. For more information, please visit massgeneralbrigham.org.Search among Mass General Brigham Health Plan jobs
| Jobs: 1 - 10 of 16 |
Somerville, Massachusetts
Mass General Brigham Health Plan
The Sr. Business Analyst will play an important role in understanding cross-functional stakeholder needs, facilitating the negotiation of requirements amongst these stakeholders, identifying the current- and future-state business processes ...
23h
| Job Type | Full Time |
Manager, Customer Service, Medicare Advantage
Somerville, Massachusetts
Mass General Brigham Health Plan
The Manager of the Customer Service Center is responsible for managing the day to day activities of the Call Center. The Manager is responsible for ensuring compliance with all applicable performance standards and regulatory, contractual, a...
23h
| Job Type | Full Time |
Somerville, Massachusetts
Mass General Brigham Health Plan
This is a hybrid role that requires an onsite presence to the office as least 1x/quarter and will also require occasional visits to members' homes. The Supervisor works closely with the Clinical Manager to oversee the daily operations of Ca...
1d
| Job Type | Full Time |
Utlization Management Care Manager, RN
Somerville, Massachusetts
Mass General Brigham Health Plan
The Utilization Management Care Manager (UMCM) will utilize clinical knowledge to analyze, assess, and render approval decisions, to determine the need for physician review as well as complete determinations following physician review. Esse...
2d
| Job Type | Full Time |
DRG Claims Auditor, Recoveries
Somerville, Massachusetts
Mass General Brigham Health Plan
Perform DRG validation and quality audit on claims, providing coding expertise in the application of medical and reimbursement policies within the claim adjudication process through document review, interpretation of state and federal manda...
4d
| Job Type | Full Time |
Somerville, Massachusetts
Mass General Brigham Health Plan
Mass General Brigham Health Plan is an exciting place to be within the healthcare industry. As a member of Mass General Brigham, we are on the forefront of transformation with one of the world's leading integrated healthcare systems. Togeth...
8d
| Job Type | Full Time |
Somerville, Massachusetts
Mass General Brigham Health Plan
The role is responsible for investigating potential recoveries for Coordinaton of Benefits through phone calls, questionnaires, claims, provider inquiries, and other systems as required. This incumbent will also be responsible for the manag...
9d
| Job Type | Full Time |
Supervisor, Claims Resolution Commercial
Somerville, Massachusetts
Mass General Brigham Health Plan
Responsible for overseeing a team that assesses healthcare claims for accuracy, compliance, and eligibility, ensuring that claims are processed efficiently and in accordance with industry standards, regulatory requirements, and organization...
10d
| Job Type | Full Time |
Senior Risk Score Data Analyst
Somerville, Massachusetts
Mass General Brigham Health Plan
Mass General Brigham Health Plan is an exciting place to be within the healthcare industry. As a member of Mass General Brigham, we are on the forefront of transformation with one of the world's leading integrated healthcare systems. Togeth...
15d
| Job Type | Full Time |
Case Management Clinical Pharmacist
Somerville, Massachusetts
Mass General Brigham Health Plan
Mass General Brigham Health Plan is an exciting place to be within the healthcare industry. As a member of Mass General Brigham, we are on the forefront of transformation with one of the world's leading integrated healthcare systems. Togeth...
17d
| Job Type | Full Time |