Director, Case Management and Health Plan Strategy

Sana’s vision is simple yet bold: make healthcare easy. Sana is a health plan solution built for small and midsize businesses, designed around its integrated primary care service, Sana Care. The company aims to create an experience that feels easy for members to access high-quality, affordable care while employers and brokers have the tools they need to manage company benefits with confidence.

Requirements

• Champion Sana's payer-side clinical strategy
• Build and lead a small clinician-led payer team
• Drive strategy and implementation of cost containment initiatives
• Set and evolve evidence-based coverage guidelines
• Support the Operations team and our PBM partner to drive evidence-based programs
• Partner with Underwriting to assess clinical risk
• Work with Analytics to support medical economics, population health initiatives, and actionable insights
• Serve as a primary clinical voice in the design of Sana's internal payer tools
• Evolve case management KPIs and build program reporting structures

Benefits

• Full sponsorship for state licensure renewals and continuing education units (CEUs)
• Remote company with a fully distributed team
• Flexible vacation policy
• Medical, dental, and vision insurance with 100% company-paid employee coverage
• 401(k), FSA, and HSA plans
• Paid parental leave
• Short and long-term disability, as well as life insurance
• Competitive stock options are offered to all employees
• Transparent compensation & formal career development programs
• Paid one-month sabbatical after 5 years
• Stipends for setting up your home office and an ongoing learning budget