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 16 |
Benefits & Coding Administrator
Somerville, Massachusetts
Mass General Brigham Health Plan
This is a remote role that can be done from most US states. Reporting to the Manager, Benefits Administration, the Benefits & Coding Administrator II works with the Benefits Administration Team to support the accurate and effective implemen...
14h
| Job Type | Full Time |
Somerville, Massachusetts
Mass General Brigham Health Plan
The role is responsible for investigating potential recoveries for Coordinaton of Benefits through phone calls, questionnaires, claims, provider inquiries, and other systems as required. This incumbent will also be responsible for the manag...
1d
| Job Type | Full Time |
Risk Adjustment Program 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...
1d
| Job Type | Full Time |
Manager Customer Service, Dual Eligible Programs
Somerville, Massachusetts
Mass General Brigham Health Plan
Responsible for overseeing and managing the customer service operations and staff which serve as a point of contact for patients, families, and other individuals seeking information, assistance, or support related to hospital services, appo...
2d
| Job Type | Full Time |
Senior Analyst Claims Operations
Somerville, Massachusetts
Mass General Brigham Health Plan
The Senior Operations Analyst is responsible for identifying project process changes and identifying & implementing process improvements in conjunction with the Claims Management Team. This includes all updates from key project teams, busin...
6d
| Job Type | Full Time |
Supervisor, Claims Resolution Medicaid
Somerville, Massachusetts
Mass General Brigham Health Plan
Responsible for overseeing a team that assesses healthcare claims for accuracy, compliance, and eligibility, ensuring that claims are processed efficiently and in accordance with industry standards, regulatory requirements, and organization...
6d
| 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...
7d
| Job Type | Full Time |
Somerville, Massachusetts
Mass General Brigham Health Plan
Serves as a member of the Coordinated Whole Health Care team at Mass General Brigham Health Plan, the Nurse Care Manager conducts telephonic care disease management for members with cardiac conditions. The Nurse Care Manager outreaches and ...
8d
| Job Type | Full Time |
Somerville, Massachusetts
Mass General Brigham Health Plan
Reporting to the Vice President of Government Programs, the Senior Director of Duals Sales is responsible for leading the sales growth strategy of Mass General Brigham Health Plan's Duals program. This will include evaluating and driving th...
10d
| 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...
13d
| Job Type | Full Time |