The hospital giant, one of the state's top employers, “is acting now” to close the $250 million budget gap over the next two years.

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.

Cooley Dickinson Hospital’s parent organization, Boston-based Mass General Brigham, announced a second round of layoffs Monday. The cutbacks are aimed at closing a $250 million budget gap within the next two years at Mass General Brigham,

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,

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

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.