49 jobs found in Somerville

Site: Mass General Brigham Home Care, Inc.   Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.   Mass General Brigham’s Home Hospital program is transforming how acute-level care is delivered by bringing hospital-quality services directly into the home. We're offering a generous sign-on bonus of $3,000 to welcome you to our team. Recognizing and valuing exceptional talent, we're eager to discuss the exciting details of this bonus during our interview process.   Job Summary Under the direction of the Home Hospital Pharmacy Director, the Pharmacy...

Site: Mass General Brigham Incorporated   Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.     Job Summary Summary Responsible for improving experience with the EHR and associated clinical IT systems. Will be a leader and change agent, working closely with leaders and clinicians to understand their users' work flows and needs. Responsible for analyzing, developing, documenting, and tracking clinical content. Develop and oversee the completion of project plans and schedules, and track the progress of content development and build, including...

Site: Mass General Brigham Incorporated   Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.     Job Summary The Neurology Contact Center Supervisor is an essential leadership role responsible for managing a group of remote specialty schedulers to maintain a high standard of patient-centered care. This position requires an individual with effective communication, critical thinking, and organizational abilities who can work in a fast-paced setting and has experience in leadership roles. Key Requirements: • Leadership Experience: Proven ability...

Site: Mass General Brigham Health Plan Holding Company, Inc.   Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.   The Redetermination Coordinator helps members who have lost MassHealth coverage get essential documents to EOHHS to regain MassHealth coverage. The Coordinator will also help with annual MassHealth renewals. This Coordinator will also help with DSNP enrollment. The idea candidates has experience with QNXT and EAM software.   Job Summary Responsible for outreaching to members to assist them with the Medicaid Enrollment Redetermination...

Site: Mass General Brigham Health Plan Holding Company, Inc.   Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.     Job Summary The Duals Supervisor, Appeals and Grievances provides day-to-day supervision of a team of 4-6 appeals and grievance coordinators and is ultimately responsible for the work product of this team and the Duals line of business. The Supervisor oversees all aspects of the Appeal and Grievance processes in accordance with the Massachusetts Division of Insurance and Executive Office of Health and Human Services (EOHHS)...

Site: Mass General Brigham Incorporated   Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.     Job Summary Responsible for managing administrative tasks within the Human Resources department, including recruiting new employees, onboarding new hires, maintaining employee records, coordinating training programs, ensuring compliance with employment laws, and assisting with employee relations issues. Essential Functions -Posting job openings, screening candidates, scheduling interviews, conducting reference checks, and facilitating the onboarding...

Site: Mass General Brigham Health Plan Holding Company, Inc.   Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.   MGB Health Plan is hiring two RN Transitions of Care Coordinators! Team: Whole HealthCare Duals Mass General Brigham Health Plan Hybrid: Required to travel in the community Primarily serves enrollees in the One Care and Senior Care Options (SCO) programs. Onsite to assess member patient following member (MGB hospital and facility or nursing home) Working with interdisciplinary team and liaison with all facilities. Assists with...

Site: The General Hospital Corporation   Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.     Job Summary The Neurological Clinical Research Institute (NCRI) at the Massachusetts General Hospital (MGH) is a premier Academic Clinical Research Organization (CRO) managing clinical trials in neurological disorders. The NCRI employs physician clinical researchers, research nurses, project managers, data managers, SAS programmers, systems analysts, grants managers, and administrative assistants dedicated to planning and implementing clinical trials....

Site: Mass General Brigham Health Plan Holding Company, Inc.   Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.     Job Summary The Appeals and Grievance Coordinator will coordinate, process, and document all aspects of member appeals and grievances, as well as provider appeals across all our product offerings (Commercial, Medicaid and Medicare). This role will be responsible for documenting and guiding the life cycle of all member appeals and grievances and provider appeals. This includes, but is not limited to, maintaining tracking...

Site: Mass General Brigham Health Plan Holding Company, Inc.   Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.     Job Summary The incumbent will coordinate, process, and document all aspects of member appeals and grievances, as well as provider appeals across all of our product offerings (Commercial, Medicaid and Medicare). Responsible for documenting and owning the life cycle of all member appeals and grievances and provider appeals. This includes but is not limited to maintaining tracking information, working closely with internal and...

Site: Mass General Brigham Health Plan Holding Company, Inc.   Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.     Job Summary 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. Essential Functions -Lead and supervise a team of customer service representatives, providing direction, guidance, and support. -Handle escalated customer inquiries, complaints, or complex...

Site: The Spaulding Rehabilitation Hospital Corporation   Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.     Job Summary Oversee and perform all activities associated with the outpatient registration service and scheduling of outpatients including supporting all other front office staff. Coordinate the complete demographic and insurance intake, computerized registration, scheduling of patients and verifying the individual’s insurance coverage with a customer service-oriented approach. Orient patients to the center and coordinate additional...

Site: Mass General Brigham Health Plan Holding Company, Inc.   Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.     Job Summary 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. Together, we are providing our members with innovative solutions centered on their health needs to expand access to seamless and affordable care and coverage. Our work centers on creating...

Site: Mass General Brigham Incorporated   Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.   About Us Be a part of the world’s most powerful force in medicine, where every role is important in changing lives. Learn from others and be inspired. Work hard to solve for unknowns. Chase solutions. Be a part of something greater. At Mass General Brigham, we know it takes a range of talented professionals to advance our mission—from doctors, nurses, business professionals and tech experts, to dedicated researchers and systems analysts. We’re helping...

Site: Mass General Brigham Incorporated   Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.     Job Summary At Mass General Brigham Digital, we pride ourselves on our ability to create maximum strategic, clinical, and operational value from established and emergent technologies for our patients, care teams, researchers, and employees. Digital health will not only enhance the equity and efficiency of healthcare delivery but will also help make medicine more personalized and precise. We recognize that increasing value and continually improving...

Site: Mass General Brigham Health Plan Holding Company, Inc.   Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.   This role is supervising a team of roughly 5 Medicaid Claims Reviewers. The role is claims inventory management, identifying ACO claims adjudication errors, doing high-dollar reviews, noting claims denial trends, coaching/mentoring team members, and participating in the development of departmental desktop procedures. The ideal candidate has a strong background in Medicaid/ACO claims processing and is a Certified Coder who can understand...

Site: Mass General Brigham Medical Group, Inc.   Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.   Hybrid Schedule | Make a Lasting Impact About Us: The Mass General Brigham Medical Group is a system-led operating entity formed by Mass General Brigham to deliver high-quality, low-cost, innovative community-based ambulatory care. This work stems from Mass General Brigham’s unified system strategy to bring healthcare closer to patients while lowering total healthcare costs. The Medical Group provides a wide range of offerings, including primary care,...

Site: Mass General Brigham Health Plan Holding Company, Inc.   Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.     Job Summary 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. Together, we are providing our members with innovative solutions centered on their health needs to expand access to seamless and affordable care and coverage. Our work centers on creating...

Site: Mass General Brigham Incorporated   Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.     Job Summary Reporting to the Talent Acquisition Operations Manager, the Talent Operations Coordinator is responsible for owning the candidate experience throughout the pre-boarding process for both internal and external associates. The Talent Operations Coordinator will provide excellent candidate experience and be responsible the pre-boarding of all associates, including obtaining required forms, scheduling occupational health and I-9 appointments...

Site: The Brigham and Women's Hospital, Inc.   Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.     Job Summary Ariadne Labs is a joint center for health systems innovation at Brigham and Women’s Hospital and the Harvard T. H. Chan School of Public Health. Our goal is to drive scalable solutions for better care at critical moments in people’s lives everywhere. Better care means better health outcomes, lower costs, and more actual caring. Critical means solving health systems failures that have major impact, typically touching people by the...

Site: Mass General Brigham Health Plan Holding Company, Inc.   Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.     Job Summary 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, monitors and analyzes Medicare Advantage and D-SNP Claims reporting to ensure timeliness, accuracy and compliance internally to support decisions on day-to-day operations, strategic...

Site: Mass General Brigham Health Plan Holding Company, Inc.   Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.     Job Summary 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 systems. Essential Functions -Perform analysis and reporting activities relating to: risk score calculation, claims/encounters data submission, chart review programs, audits, and...

Site: Mass General Brigham Incorporated   Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.   Clinical Informaticist role is Full Time, within the Digital MGB Inpatient Informatics department.   Job Summary The Opportunity The Clinical Informaticist applies knowledge of clinical and/or revenue cycle workflows and health information technology to optimize electronic health record (EHR)-based health care delivery. Uses problem-solving and communication skills to collaborate with clinical leaders, clinical informatics leaders, and Digital/IS staff...

Site: Mass General Brigham Incorporated   Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.     Job Summary The Collection Representative is responsible for communicating with patients, insurance companies, and other parties to collect outstanding balances, resolve billing disputes, and ensure proper reimbursement for the hospital. Essential Functions: -Monitor and manage the accounts receivable of the hospital by reviewing and following up on outstanding balances. -Communicate with insurance companies, patients, and other relevant parties to...