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 20 |
Senior Provider Network Account Executive
Somerville, Massachusetts
Mass General Brigham Health Plan
This is a hybrid role. It will require an onsite presence at the office in Assembly Row, Somerville, MA at least 1x/month (for team meetings, meetings with providers, and external forums). Responsible for managing relationships with MGB pro...
2d
| Job Type | Full Time |
Learning & Development Consultant (Trainer)
Somerville, Massachusetts
Mass General Brigham Health Plan
To design, develop, deliver, evaluate, and improve end-user training and documentation for all Mass General Brigham Health Plan staff. Will work closely with Documentation Coordinators to maintain a centralized SharePoint site for all docum...
2d
| 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...
3d
| Job Type | Full Time |
Clinical Business Intelligence Manager
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...
3d
| Job Type | Full Time |
Supervisor, Benefits Administration
Somerville, Massachusetts
Mass General Brigham Health Plan
Reporting to the Manager, Benefits Administration, the Benefits & Coding Supervisor acts as a subject matter expert working closely with the Manager of Benefits Administration overseeing different work and projects as the business need requ...
4d
| Job Type | Full Time |
Appeals & Grievances Coordinator
Somerville, Massachusetts
Mass General Brigham Health Plan
The incumbent will coordinate, process, and document all aspects of member appeals and grievances, as well as provider appeals across all of our product offerings (Commercial, Medicaid and Medicare). Responsible for documenting and owning t...
5d
| Job Type | Full Time |
Somerville, Massachusetts
Mass General Brigham Health Plan
Responsible for developing, implementing, and managing payment policies and strategies by analyzing regulatory changes and reimbursement models to optimize revenue and ensure compliance with federal, state, and payer-specific guidelines. Th...
5d
| Job Type | Full Time |
Medicare Compliance Program Manager
Somerville, Massachusetts
Mass General Brigham Health Plan
Responsible for leading and overseeing the development, implementation, and monitoring of the hospital's Medicare compliance program. This role involves ensuring adherence to regulatory requirements, mitigating risks, and fostering a cultur...
5d
| Job Type | Full Time |
Medicare and Duals Pharmacy 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...
6d
| Job Type | Full Time |
Somerville, Massachusetts
Mass General Brigham Health Plan
The Opportunity Customer Service Professional, Health Plan Remote The Customer Service Professional (CSP) acts as the primary point of contact for our members, providers and other key stakeholders focusing on exceptional customer satisfacti...
6d
| Job Type | Full Time |