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 18 |
Somerville, Massachusetts
Mass General Brigham Health Plan
The Operations Analyst II supports the Commercial, Medicare Advantage and DSNP Line of Business and reports into the Sales department. This position provides value-added analytic support to Sales leadership. S/he independently designs and p...
8h
| Job Type | Full Time |
Manager, DSNP (Senior Care Options and One Care) Claims
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...
8h
| Job Type | Full Time |
Somerville, Massachusetts
Mass General Brigham Health Plan
The Sr. Business Analyst will play an important role in understanding cross-functional stakeholder needs, facilitating the negotiation of requirements amongst these stakeholders, identifying the current- and future-state business processes ...
8h
| 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...
8h
| 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...
8h
| Job Type | Full Time |
Clinical 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 ...
8h
| Job Type | Full Time |
Senior Risk Score Data 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...
2d
| 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...
2d
| Job Type | Full Time |
Research and Policy Development Manager
Somerville, Massachusetts
Mass General Brigham Health Plan
Responsible for leading and overseeing research initiatives and developing policies that ensure regulatory compliance with intuitional and experimental codes at MGB Health Plan. Collaborates with various departments to identify policy needs...
2d
| Job Type | Part 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...
4d
| Job Type | Part Time |