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 12 |
Somerville, Massachusetts
Mass General Brigham Health Plan
Responsible to lead contract team in the interpretation and formulation of provider contracts, and supports team members in understanding policies, procedures, methods, operating practices, and performance standards. This role would work wi...
6h
| Job Type | Full Time |
Supervisor, Coordinated Care Duals
Somerville, Massachusetts
Mass General Brigham Health Plan
Reporting to the Manager, Coordinated Care Duals the Supervisor of Coordinated Care will lead the services for the Health Plan which provide individualized health improvement for members while achieving strategic and regulatory objectives f...
6h
| Job Type | Full Time |
Member Enrollment Representative I
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...
23h
| Job Type | Full Time |
Member Enrollment Representative I
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...
23h
| Job Type | Full Time |
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...
2d
| Job Type | Full Time |
Senior Vendor Compliance Program Manager
Somerville, Massachusetts
Mass General Brigham Health Plan
In collaboration with the Senior Director, Government programs, manage the vendor oversight programs for government payer programs (Medicare Advantage, Part D, Dual Special Needs Programs) and then state insurance programs. Set up the vendo...
5d
| 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...
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. Principal Duties and Responsibilities: *Ex...
10d
| 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...
15d
| Job Type | Full Time |
Utilization Management Supervisor, Medicare and Duals
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...
16d
| Job Type | Full Time |