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 24 |
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...
15h
| Job Type | Full Time |
Risk Adjustment Coding Coordinator
Somerville, Massachusetts
Mass General Brigham Health Plan
The Risk Adjustment Coder works to improve the coding and quality aspects of risk adjustment processes. In partnership with key stakeholders, supports management of oversight of vendors and continuously works to improve people, processes, a...
21h
| Job Type | Full Time |
Somerville, Massachusetts
Mass General Brigham Health Plan
An essential, non-clinical member of the care team that provides services for patients with substance use disorder (SUD). The overall goal is to engage with patients, utilize harm reduction techniques to address any stage of readiness, prov...
1d
| Job Type | Full Time |
Somerville, Massachusetts
Mass General Brigham Health Plan
The Opportunity The Payment Policy Manager is vital to the team and responsible for developing, implementing, and managing payment policies and strategies by analyzing regulatory changes and reimbursement models to optimize revenue and ensu...
1d
| Job Type | Full Time |
Supervisor, Utilization Management
Somerville, Massachusetts
Mass General Brigham Health Plan
The supervisor will work closely with the Manager, Clinical, to oversee the daily operations of the utilization management staff. The supervisor will be responsible for the direct coaching, supervision, and evaluation of licensed clinical s...
5d
| Job Type | Full Time |
Somerville, Massachusetts
Mass General Brigham Health Plan
The Opportunity MGBHP is seeking an experienced EDI Developer who is responsible for the design, development and maintenance of EDI solutions for HIPAA EDI like 270/271, 276/277, 278, 820, 834, 835, 837 and 999 transactions. Must have a goo...
9d
| Job Type | Full Time |
Clinical Quality Program Manager
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...
10d
| Job Type | Full Time |
Somerville, Massachusetts
Mass General Brigham Health Plan
Mass General Brigham Health Plan is hiring for two Behavioral Health Specialists to work as part of an interdisciplinary care team providing expert recommendations for managing behavioral health conditions and providing specialized coordina...
10d
| Job Type | Full Time |
Medicare Supervisor Claims Reviewer
Somerville, Massachusetts
Mass General Brigham Health Plan
Responsible for overseeing a team of 4-5 employees that assesses Medicare claims for accuracy, compliance, and eligibility, ensuring that claims are processed efficiently and in accordance with industry standards, regulatory requirements, a...
12d
| Job Type | Full Time |
Medicare Utilization Management Nurse
Somerville, Massachusetts
Mass General Brigham Health Plan
The Medicare UM Case Manager, RN performs utilization management activities primarily for Medicare Advantage, including review of authorizations for home care, high tech radiology, outpatient, inpatient, and post-acute services. The Medicar...
12d
| Job Type | Full Time |