Manager, Medicare Advantage Coordinated Care

Mass General Brigham Health Plan Holding Company, Inc.

Boston, MA, United States
Base: $99,465.60 - $141,804.00 annually; bonus/equ...
Hybrid
Massachusetts registered nurse (rn) license required
5-7 years care coordination experience
2-3 years supervisory leadership experience
The role provides leadership and oversight for care coordination and case management services within the Medicare Advantage line of business

Job Summary

  • The role provides leadership and oversight for care coordination and case management services within the Medicare Advantage line of business.
  • Employees benefit from competitive salaries, flexible work options, career growth opportunities, and a comprehensive benefits package.
  • The position requires collaborating with clinical leadership and physicians to resolve barriers to care and optimize patient flow across the continuum.

Matching Summary

The role provides leadership and oversight for care coordination and case management services within the Medicare Advantage line of business.

Salary

Base: $99,465.60 - $141,804.00 annually; Bonus/Equity: Not specified; Benefits: Comprehensive package with flexible work options included

Skills & Requirements

Must-have

  • Massachusetts Registered Nurse (RN) license required
  • 5-7 years care coordination experience
  • 2-3 years supervisory leadership experience
  • CMS and Joint Commission compliance knowledge
  • Discharge planning and transition of care expertise

Nice-to-have

  • Experience with utilization review processes
  • Background in value-based care models
  • Familiarity with population health strategies
  • Experience preparing for CMS audits
  • Managed care principles application

Key Requirements

  • Bachelor's Degree required; Master's preferred
  • Active Massachusetts RN license
  • Minimum 5-7 years healthcare experience
  • Minimum 2-3 years supervisory experience
  • Knowledge of EHR and case management systems

Work Rights

Not specified

Tailored Resume

Cover Letter