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 23 |
Somerville, Massachusetts
Mass General Brigham Health Plan
The Opportunity Mass General Brigham Health Plan seeks a Registered Nurse (RN) Clinical Care Manager to work as part of an interdisciplinary care team providing care management for health plan enrollees with complex medical, behavioral, and...
3h
| Job Type | Full Time |
Somerville, Massachusetts
Mass General Brigham Health Plan
The Senior Financial Analyst provides value-added analytic support to Provider Network Management (PNM) in meeting Mass General Brigham Health Plan's strategic objectives. S/he must have extensive experience working with Medicare and/or Dua...
15h
| Job Type | Full Time |
Risk Adjustment Coding Coordinator
Somerville, Massachusetts
Mass General Brigham Health Plan
The Risk Adjustment Coder works to improve the coding and quality aspects of risk adjustment processes. In partnership with key stakeholders, supports management of oversight of vendors and continuously works to improve people, processes, a...
22h
| Job Type | Full Time |
Somerville, Massachusetts
Mass General Brigham Health Plan
The Opportunity The Payment Policy Manager is vital to the team and responsible for developing, implementing, and managing payment policies and strategies by analyzing regulatory changes and reimbursement models to optimize revenue and ensu...
1d
| Job Type | Full Time |
Somerville, Massachusetts
Mass General Brigham Health Plan
An essential, non-clinical member of the care team that provides services for patients with substance use disorder (SUD). The overall goal is to engage with patients, utilize harm reduction techniques to address any stage of readiness, prov...
2d
| Job Type | Full Time |
RN Transitions of Care Coordinator
Somerville, Massachusetts
Mass General Brigham Health Plan
The Opportunity Mass General Brigham is hiring two Transitions of Care Coordinators to work as part of an interdisciplinary care team dedicated to supporting enrollees and their families in navigating the healthcare system through effective...
4d
| Job Type | Full Time |
Somerville, Massachusetts
Mass General Brigham Health Plan
The Opportunity The Sr Business Intelligence Developer Analytics Engineer will use Microsoft Business Intelligence tools, primarily Microsoft SSMS, SSAS, and SSIS to maintain BI data structures in support of operational, clinical, and finan...
5d
| Job Type | Full Time |
Medicare Appeals and Grievances Nurse
Somerville, Massachusetts
Mass General Brigham Health Plan
While a remote role, this team meets every quarter at the office at Assembly Row in Somerville and attendance is highly encouraged. This role would also require on-call coverage on the weekends/holidays (currently every other weekend). The ...
6d
| Job Type | Full Time |
Claims Review Specialist, DSNP
Somerville, Massachusetts
Mass General Brigham Health Plan
The D-SNP Claims Review Specialist processes Senior Care Options and One Care medical claims that do not auto-adjudicate through the claim system, adhering to Mass General Brigham Health Plan's current administrative policies, procedures, a...
8d
| Job Type | Full Time |
Utilization Management Care Manager
Somerville, Massachusetts
Mass General Brigham Health Plan
The 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 ideal candidate will have prior author...
8d
| Job Type | Full Time |