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
Responsible for overseeing and coordinating clinical coding audits within a healthcare organization. This position plays a vital role in ensuring the accuracy and compliance of medical coding practices to support proper reimbursement, data ...
2h
Job Type | Full Time |

Director, Medicare Advantage and DSNP Claims
Somerville, Massachusetts
Mass General Brigham Health Plan
The Director, Medicare and 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 Director will be responsible for overseeing the da...
8h
Job Type | Full Time |

Manager, DSNP Member Enrollment & Redetermination
Somerville, Massachusetts
Mass General Brigham Health Plan
The Manager, Member Enrollment and Redetermination for Senior Care Options and One Care, will partner cross-functionally on the enrollment and redetermination implementation and testing activities. The Manager will be responsible for managi...
8h
Job Type | Full Time |

Somerville, Massachusetts
Mass General Brigham Health Plan
Reporting to the Vice President, Dual Eligible Programs, the Director, Duals Strategy will be responsible for development and successful execution of Dual eligible program and product strategies to improve member outcomes, product growth, a...
8h
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...
1d
Job Type | Full Time |

Learning & Development Government Programs Consultant (Trainer)
Somerville, Massachusetts
Mass General Brigham Health Plan
The Learning & Development Government Programs Consultant is responsible for developing and delivering training programs to employees and contractors for all lines of business, Commercial, Medicaid, Medicare Advantage, and Dual Eligibles (s...
2d
Job Type | Full Time |

Somerville, Massachusetts
Mass General Brigham Health Plan
Summary Responsible for collecting, analyzing, and interpreting complex data sets to provide actionable insights and support data-driven decision-making. Essential Functions -Collect, clean, and transform large and complex data sets from va...
2d
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...
2d
Job Type | Full Time |

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...
3d
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...
4d
Job Type | Full Time |