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 |
Health Equity Quality Specialist
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...
3h
| Job Type | Full Time |
Regulatory Affairs and Compliance Manager
Somerville, Massachusetts
Mass General Brigham Health Plan
Responsible for ensuring that the MGB Health Plan adheres to all relevant regulations and standards governing the commercial line of business. This role involves managing regulatory submissions, ensuring compliance with healthcare laws and ...
3h
| Job Type | Full Time |
Somerville, Massachusetts
Mass General Brigham Health Plan
The role is responsible for investigating potential recoveries for Coordination of Benefits through phone calls, questionnaires, claims, provider inquiries, and other systems as required. This incumbent will also be responsible for the mana...
5d
| Job Type | Full Time |
Senior Business Intelligence Developer
Somerville, Massachusetts
Mass General Brigham Health Plan
This role supports DSNP related work and indicatives. The Senior Business Intelligence Developer is vital to reporting. This teammate uses business Intelligence tools to effectively visualize operational, clinical, and financial data, and b...
6d
| Job Type | Full Time |
Affordability and Product Innovation Lead
Somerville, Massachusetts
Mass General Brigham Health Plan
Reporting to the Director of Strategy, Dual Eligible Programs, and working cross-functionally with Clinical leadership, this role is responsible for two key functions at the health plan. First, this role is responsible for leading MGB Healt...
7d
| Job Type | Full Time |
DSNP MassHealth Eligibility Representative
Somerville, Massachusetts
Mass General Brigham Health Plan
Responsible for outreaching to Dual Eligible prospects to assist them with the Medicaid Enrollment process from start to finish, as well as provide Medicare Enrollment guidance. This position is responsible for monitoring and optimizing pro...
10d
| Job Type | Full Time |
Medicare Advantage Claims Quality Control Reviewer
Somerville, Massachusetts
Mass General Brigham Health Plan
Responsible for monitoring Quality Control (QC) of Claims Operations and the reporting of all metrics related to such activities. Essential Functions - Responsible for end-to-end pre-pay review of claims adjudicated in QNXT to ensure comple...
11d
| Job Type | Full Time |
Dual Eligible Program Inside Sales Rep
Somerville, Massachusetts
Mass General Brigham Health Plan
Responsible for engaging prospective and existing customers through inbound and outbound communications, identifying their insurance needs, and recommending tailored solutions that align with our product offerings. Essential Functions -Cond...
14d
| Job Type | Full Time |
Somerville, Massachusetts
Mass General Brigham Health Plan
The EPIC EDI Developer should be an experienced developer with capability of working and leading the teams of small to medium sized projects from technical implementation side. The ideal candidate is capable of designing and developing EDI ...
18d
| Job Type | Full Time |
Senior Medicare Compliance Program Manager
Somerville, Massachusetts
Mass General Brigham Health Plan
Responsible for leading and overseeing the development, implementation, and monitoring of the MGB Health Plan's Medicare compliance program. This role involves ensuring adherence to regulatory requirements, mitigating risks, and fostering a...
18d
| Job Type | Full Time |