Medical and health services manager Jobs in Boston, MA

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 at 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 an exceptional member experience – a commitment that starts with our employees. Working with some of the most accomplished professionals in healthcare today, our employees have opportunities to learn and contribute expertise within a welcoming and supportive environment that embraces their unique and varied backgrounds, experiences, and skills.

We are pleased to offer competitive salaries and a benefits package with flexible work options, career growth opportunities, and much more.

Responsible for overseeing the delivery of behavioral health services, ensuring quality care and compliance with regulatory standards. Develops and implements strategies to enhance service offerings, manage operational efficiency, and support patient-centered care. Works closely with clinical teams, the BH vendor, and leadership to align behavioral health programs with MGB Health Plan's mission and goals.

Essential Functions
-Oversee behavioral health functions of MGB Health Plan, which includes oversight of the BH vendor and the provider network
-Provide leadership and direction for the behavioral health services department, ensuring high-quality patient care.
-Develop and implement policies, procedures, and programs that meet regulatory and accreditation standards.
-Manage departmental budgets, financial planning, and resource allocation to ensure cost-effective operations.
-Oversee recruitment, training, and performance management of behavioral health staff.
-Monitor and evaluate clinical outcomes, identifying areas for improvement and implementing changes as needed.
-Establish partnerships with community organizations and external agencies to enhance behavioral health services and patient access.
-Ensure compliance with state, federal, and local regulations, as well as hospital policies and accreditation requirements.

Qualifications

Education

• Master's Degree in Psychology, Counseling, Social Work, or other related field of study required

Licenses and Credentials

• Massachusetts Independent Clinical Social Worker (LICSW), Massachusetts Psychologist, Massachusetts Registered Nurse (RN), or Massachusetts Licensed Mental Health Counselor (LMHC) required

Experience

• At least 5-7 years of experience in a behavioral health setting required
• At least 3-5 years of experience in a management or leadership role required
• At least 3-5 years of experience working in a health plan setting required
• Vendor management and oversight experience preferred

Knowledge, Skills, and Abilities

• Strong understanding of behavioral health regulations and standards.
• Strong leadership and team management abilities.
• Excellent communication and interpersonal skills, with the ability to collaborate effectively across departments.
• Strategic thinking and problem-solving capabilities, particularly in behavioral health service delivery.
• Knowledge of healthcare regulations, accreditation standards, and compliance requirements for behavioral health services.
• Ability to manage budgets and financial resources effectively.

Additional Job Details (if applicable)

Working Conditions

• This is a hybrid role that requires an onsite presence at the office 1x/month

Remote Type

Hybrid

Work Location

399 Revolution Drive

Scheduled Weekly Hours

40

Employee Type

Regular

Work Shift

Day (United States of America)

Pay Range

$124,342.40 - $180,897.60/Annual

Grade

9At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package.

EEO Statement:

8925 Mass General Brigham Health Plan Holding Company, Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran’s Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at (857)-282-7642.

Mass General Brigham Competency Framework

At Mass General Brigham, our competency framework defines what effective leadership “looks like” by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.