The hospital giant, one of the state's top employers, said it is “acting now” to close its $250 million budget gap over the next two years. The post Mass General Brigham’s second round of major layoffs begins this week appeared first on Boston.

The layoffs were slated to stem projected financial shortfalls and are occurring as part of an ongoing consolidation of the state's largest health care system.

MGB says its "strategic organizational redesign," which primarily involves cutting management and administrative positions, comes as the system grapples with a projected $250 million budget gap over the next two years.

Last month, the health system announced it would cut management and administrative positions to reduce redundancies and improve efficiency.

Doctors say they don't know who will run clinical departments and who will be axed, and many feel that the parent company is making decisions without consulting them or considering patients’ best interests.

An anticipated second wave of nonclinical layoffs has kicked off this week at nonprofit health system Mass General Brigham, a spokesperson for the organization confirmed Monday. | Following initial cuts last month,

The hospital group is in the process of cutting hundreds of jobs as it works to address a $250 million budget shortfall.

The company says the decision to lay people off is necessary to enhance efficiency, reduce costs and support frontline clinicians.

The second round of layoffs at Mass General Brigham to save the healthcare system more than $200 million will begin on Monday.