22h ago

Director, Case Management and Health Plan Strategy

Remote

$150k-$175k / year

full-timelead Remotehealthcare

🛠 Tech Stack

💼 About This Role

You'll lead Sana's payer-side clinical strategy and case management function, ensuring coverage policies and utilization decisions translate into high-quality, low-friction care. You'll drive cost containment initiatives and evidence-based coverage guidelines, partnering across Operations, Underwriting, and Product. This role offers real ownership over how a modern health plan works for members.

🎯 What You'll Do

  • Champion payer-side clinical strategy and coverage policies.
  • Build and lead a clinician-led payer team for case management.
  • Drive cost containment initiatives and benefit design.
  • Evolve case management KPIs and build program reporting.

📋 Requirements

  • Valid license as NP, RN, PA, MD, or DO.
  • 8+ years experience in clinical care and payer-side work.

✨ Nice to Have

  • Master's in Healthcare Administration.
  • Startup or early-stage experience.
  • Experience with SQL and BI tools like Tableau or Mode.

🎁 Benefits & Perks

  • 📜 Full sponsorship for state licensure renewals and CEUs.
  • 🏠 Fully distributed remote company with no return-to-office.
  • 🏖️ Flexible vacation policy with culture of use.
  • 🏥 Medical, dental, vision insurance (100% company-paid).
  • 📈 Competitive stock options offered to all employees.
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