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 |
Customer Service Professional, Remote
Somerville, Massachusetts
Mass General Brigham Health Plan
The Customer Service Professional (CSP) acts as the primary MGB Health Plan point of contact for our members, providers and other key stakeholders focusing on exceptional customer satisfaction and first call resolution. The CSP's interact w...
10h
| Job Type | Full Time |
Clinical Appeal and Grievance Nurse, part-time
Somerville, Massachusetts
Mass General Brigham Health Plan
The role is an integral part of our Appeals and Grievance review process and will ensure clinical/pharmacy appeal case reviews meet contractual, regulatory, and business goals. The position collaborates with members of the Appeal and Grieva...
16h
| Job Type | Part Time |
Somerville, Massachusetts
Mass General Brigham Health Plan
Responsible for leading the Field Sales team. The role will develop and execute near and long-term sales and lead generation strategies across various channels to ensure sales targets are met. This includes hiring, onboarding, and developin...
1d
| Job Type | Full Time |
Somerville, Massachusetts
Mass General Brigham Health Plan
Responsible for overseeing and improving clinical performance metrics and ensuring compliance with healthcare regulations and accreditation standards. Collaborates with clinical teams to develop strategies for improving patient care outcome...
1d
| Job Type | Full Time |
Benefits & Coding Administrator
Somerville, Massachusetts
Mass General Brigham Health Plan
This is a remote role that can be done from most US states. Reporting to the Manager, Benefits Administration, the Benefits & Coding Administrator II works with the Benefits Administration Team to support the accurate and effective implemen...
1d
| 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...
3d
| 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...
7d
| 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. The ...
8d
| 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...
9d
| 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...
14d
| Job Type | Full Time |