Department Spotlight: Health Care Services

Health Care Services encompasses five areas of Tufts Health Plan—population health management, provider performance management, contracting, pharmacy and clinical operations, and medical cost innovation. By bringing together tools, technologies and knowledge from across all of these functions, and all three of the health plans types Tufts Health Plan offers (commercial, Medicaid and Medicare), Health Care Services can identify the most effective and cost-efficient ways to deliver care, structure provider relationships and improve outcomes for our members.

What’s it like working in Health Care Services at Tufts Health Plan?

• Collaborative: Collaboration is central to the mission of our department. Care managers, analysts, medical directors and others work closely together, sharing insights, brainstorming ideas and working through challenges. 
• Exciting: Health Care Services leverages advanced technologies and innovative thinking. Whether our team members are crafting agreements with providers, analyzing treatment data or working one on one with members to help them navigate their care, they’re part of something visionary. 
• Meaningful: The roles, backgrounds and skills of the many employees within Health Services are diverse, but we share a deep commitment to improving patient health and health care outcomes. We do our work knowing that we can make a measurable difference in people’s lives.

Words that describe our team members:

Compassionate. Innovative. Forward-looking. Team-oriented.