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 17 |
Medicare Appeals and 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...
9h
| 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...
1d
| Job Type | Full Time |
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 |
Manager of Duals Coordinated Care
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...
9d
| Job Type | Full Time |
Somerville, Massachusetts
Mass General Brigham Health Plan
Summary Responsible for providing, designing, developing, testing, implementing and ongoing maintenance of new and existing software applications. This role also provides training and support to end users. Essential Functions -Reviews syste...
10d
| Job Type | Full Time |
Duals Customer Service Policy Manager
Somerville, Massachusetts
Mass General Brigham Health Plan
The Manager of Policy and Knowledge Management in the Duals Customer Service department is responsible for business analysis, leadership, and management of our knowledge management program, and Policy and Procedure (P&P) creation. The Manag...
11d
| Job Type | Full Time |
Bilingual DSNP Sales Representative
Somerville, Massachusetts
Mass General Brigham Health Plan
Responsible for promoting and selling D-SNP (Dual Special Needs Plans) to eligible beneficiaries within the organization and surrounding communities. This role involves building relationships and providing information about available health...
11d
| Job Type | Full Time |
Somerville, Massachusetts
Mass General Brigham Health Plan
The Manager, DSNP (Senior Care Options and One Care) Claims, will partner cross-functionally on the Senior Care Options and One Care implementation and testing activities. The Manager will be responsible for managing the day-to-day, monthly...
15d
| Job Type | Full Time |
Somerville, Massachusetts
Mass General Brigham Health Plan
Works as a liaison between vendors and the Dual Eligible line of business within the organization. Will manage all aspects of vendor activity, including but not limited to vendor compliance, engagement, oversight, and performance. Essential...
15d
| Job Type | Full Time |
Somerville, Massachusetts
Mass General Brigham Health Plan
Summary Responsible for designing, developing, and maintaining software applications for the company. This includes working with stakeholders to gather requirements, designing and coding solutions, and testing and debugging applications wit...
15d
| Job Type | Full Time |