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 25 |
Customer Service Team Lead, Medicare Advantage
Somerville, Massachusetts
Mass General Brigham Health Plan
Responsible for overseeing customer service representatives and ensuring the delivery of high-quality customer service by managing the team's performance, providing guidance and support, and fostering a positive customer experience. Essenti...
6h
| Job Type | Full Time |
Commercial Claims Operations Manager
Somerville, Massachusetts
Mass General Brigham Health Plan
The Claims Operations Manager is responsible for managing commercial claims operations to ensure efficient and accurate processing of claims. Oversees claims workflows, compliance, and team performance to support revenue cycle goals and opt...
12h
| Job Type | Full Time |
ACO Medicaid Claims Review 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...
1d
| Job Type | Full Time |
Supervisor, Medicaid Claims Reviewer
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...
1d
| Job Type | Full Time |
Quality Improvement Specialist
Somerville, Massachusetts
Mass General Brigham Health Plan
The Quality Project Management Specialist is responsible for coordinating and managing projects aimed at improving the quality of care, ensuring compliance with regulatory standards, and enhancing member satisfaction within the health plan....
2d
| Job Type | Full Time |
Somerville, Massachusetts
Mass General Brigham Health Plan
Responsible for evaluating and analyzing group insurance experience and community-rated fully and self-insured accounts. This role involves assessing the financial and operational aspects of group insurance proposals to determine coverage e...
2d
| Job Type | Full Time |
Customer Service Representative
Somerville, Massachusetts
Mass General Brigham Health Plan
The Opportunity The Customer Service Professional (CSP) acts as the primary point of contact for our members, providers and other key stakeholders focusing on exceptional customer satisfaction and first call resolution. The CSP's interact w...
3d
| Job Type | Full Time |
Director Medicare and Medicaid Risk Adjustment
Somerville, Massachusetts
Mass General Brigham Health Plan
Responsible for supporting programs through the end-to-end processes of data management and data submissions. This will be accomplished through designing, building and automating reporting analysis and modeling by utilizing a variety of sys...
4d
| Job Type | Full Time |
Somerville, Massachusetts
Mass General Brigham Health Plan
Supports the day-to-day activities of the Manager and Sales Representatives, as well as be responsible for leading initiatives and strategies related to Government Programs (DSNP Senior Care Options and One Care or Medicare Advantage) growt...
4d
| Job Type | Full Time |
Medicare Advantage and DSNP Claims Analyst
Somerville, Massachusetts
Mass General Brigham Health Plan
Responsible for extracting knowledge and insights from data in order to investigate business/operational problems through a range of data preparation, modeling, analysis, and/or visualization techniques. Essential Functions -Collects, monit...
4d
| Job Type | Full Time |