New 
Utilization Management Transplant Coordinator
 Mass General Brigham (Enterprise Services) | |
 United States, Massachusetts, Somerville | |
| 335 Revolution Drive (Show on map) | |
 Apr 22, 2026 | |
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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. The role is an integral part of our clinical coordination team, providing support to providers, facilities, and members to ensure streamlined end-to-end transplant coordination. This position will be the single point of contact for facilities and providers for members who require transplant support, planning, utilization review, and follow-up. This role will track all members across lines of business identified for the transplant program. The position collaborates with members of the Utilization Management, Care Management, and medical director teams to support transplant-specific needs. Essential Functions -In conjunction with other team members, ensures that transplant coordination is holistic and managed from end to end. -Directly interact with providers and their staff to obtain additional clinical information, as well as with members or their advocates to understand the full extent of the need to plan transplant activities. -Review information and provide recommendations to the collaborative team based on analysis of the clinical material. -Tracks and monitors the status transplant eligible members to ensure comprehensive support and management. -Coordinates communication between patients, healthcare providers, and insurance companies regarding discharge needs. -Obtains appropriate authorizations and tracks each member individually to ensure accuracy in the file and to provide the full support required to coordinate transplant activities. -Participates in interdisciplinary meetings to discuss complex cases and recommend solutions. Education
Licenses and Credentials
Experience
Knowledge, Skills, and Abilities
Working Conditions
Mass General Brigham Incorporated is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. 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. | |