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 17 |
Manager of Clinical Reporting and BI
Somerville, Massachusetts
Mass General Brigham Health Plan
Accountable for the overall clinical data information systems, design, development, and reporting of data for the enterprise's clinical operations and regulatory function, Manager of Clinical Reporting and BI will work closely with customer...
8h
| 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...
14h
| 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...
3d
| 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...
3d
| Job Type | Full Time |
Medicare Compliance Program Manager
Somerville, Massachusetts
Mass General Brigham Health Plan
Responsible for leading and overseeing the development, implementation, and monitoring of the hospital's Medicare compliance program. This role involves ensuring adherence to regulatory requirements, mitigating risks, and fostering a cultur...
5d
| 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...
11d
| 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...
11d
| 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...
11d
| Job Type | Full Time |
Sr Clinical Pharmacist, Medicare and Duals
Somerville, Massachusetts
Mass General Brigham Health Plan
Principal Duties and Responsibilities: * Develop Medicare and Dual-eligible Custom Formularies: o Perform comprehensive analysis of pharmacy data (including but not limited to claims, competitor comparisons, trend analysis and market data) ...
11d
| 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...
11d
| Job Type | Full Time |