Mass General Brigham Health Plan Holding Company, Inc.
Hiring organization · Based in Somerville, MA
On the floor
What the day-to-day looks like
- Shifts hiring now
- Days 1
What stands out
Experienced nurses
You work full-time remote or partial home-office utilization management from Somerville, reviewing authorizations, medical necessity, Interqual criteria, and prior auth for IVF, surgeries, and high-tech radiology.
Experienced nurses
Posted pay for the Utilization Management Nurse, Escalation Support role spans $58,656–$142,448.80 per year, with another UM estimate around $72,000–$108,000.
Experienced nurses
In the escalation support seat you triage complex cases rather than only clearing routine prior-auth queues.
More about working here
Moving here
The health plan is based in Somerville with remote and partial home-office UM roles, so you are not locked to a hospital campus commute every day.
Experienced nurses
You chart and exchange clinical data in Epic tools the plan already uses, including Clinical Data Exchange, Compass Rose, and Tapestry.
As of 2026Source: talents.vaia.comExperienced nurses
The UM Escalation Support posting lists opportunities for advancement if you want a longer runway inside the plan.
As of 2026Source: simplyhired.comMoving here
You join a not-for-profit Mass General Brigham health-plan entity that supports patient care, research, teaching, and community service, with health insurance noted on UM postings.
Starting out and growing here
- Career development
Opportunities for advancement listed on UM Escalation Support posting
As of 2026Source: simplyhired.com
Pay and benefits
- Annual pay
Utilization Management Nurse, Escalation Support — Somerville MA; full-time remote; posted range $58,656.00–$142,448.80/year
- Annual pay
Utilization Management Nurse — Somerville; predicted/est. range $72,000–$108,000/year
As of 2026Source: talents.vaia.com
Working conditions
- Charting system
Epic
- Scheduling
Remote/partial home-office UM roles; occasional team meetings; on-call at least once per month starting ~6 months after hire
The city
Living in Somerville, MA
Somerville sits just north of Boston with a dense, creative energy rooted in its old industrial blocks. Davis Square and Union Square anchor the city's social life with independent venues, markets, and bars. It's a compact place where nurses find an easy community feel without straying far from Massachusetts' top medical networks.
Browse roles in Somerville
- State price level · Massachusetts
- 6% above the national average
- State index 105.8 (100 = national)
- Median gross rent
- $2,517/mo
- rent and tenant-paid utilities
- Median household income
- $132,572/yr
- all local households, not nurse pay
U.S. Bureau of Economic Analysis · 2024 Regional Price Parities · Census ACS 2024
Who they are
You are looking at utilization management nursing for Mass General Brigham Health Plan Holding Company in Somerville—not a floor assignment, but full-time remote or partial home-office work reviewing authorizations, medical necessity, Interqual criteria, and prior auth for cases like IVF, surgeries, and high-tech radiology.
- Hiring days
More about Mass General Brigham Health Plan Holding Company, Inc.
In the escalation support role you triage the complex cases that need a steadier clinical hand. Pay on the Escalation Support posting has been listed from $58,656 to $142,448.80 a year; another UM listing sat in a predicted band around $72,000–$108,000. You work in Epic (Clinical Data Exchange, Compass Rose, Tapestry), join occasional team meetings, and pick up on-call at least once a month starting about six months in. Health insurance is noted on the postings, and the employer is a not-for-profit plan supporting patient care, research, teaching, and community service. Advancement is mentioned on the Escalation Support posting if you want room to grow inside the plan. Somerville itself is dense and relatively young, with transit-linked neighborhoods and a typical half-hour commute pattern if you do need to be on site.
Not-for-profit health plan supporting patient care, research, teaching, and community service.
Working here
Culture and working life
What to consider
The good
- Remote or partial home-office UM roles based in Somerville
- Escalation work on complex authorizations, not only routine queues
- Posted Escalation Support range up to about $142,449/year
- Epic already in use across the health plan
- Advancement opportunities listed on the Escalation Support posting
- Health insurance benefit noted
The hard parts
- On-call at least once per month starting around six months after hire
- Occasional team meetings break up fully remote days
- Wide posted pay bands leave your exact offer unclear until you talk numbers
- Clinical Appeal and Grievance path was posted then closed to applications
What to weigh
On-call starts about six months after hire and lands at least once per month, on top of occasional team meetings.
The reality check
Before you decide
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A closer look at the units
Open counts come from the live roles below. Source links show where unit details were reported.
- Utilization ManagementDays 11 open
UM nurses review authorization requests, medical necessity, Interqual criteria, prior auth (IVF, surgeries, high-tech radiology); escalation support role triages complex cases.
Clinical Appeal and Grievance
Employer posted a Clinical Appeal and Grievance Nurse role (no longer accepting applications).
Source location unconfirmedSource: linkedin.com
Open roles
Roles from Mass General Brigham Health Plan Holding Company, Inc.
Refreshed throughout the day.
Utilization Management Nurse, Escalation Support
$48/hr
$59k–$142k/yr
Somerville, MA
- RN
- Day shift
- ADN accepted
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