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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