Director, Care Management

Sana Health Plan

Remote, US
Remote
Clinical leadership experience
Care management expertise
Utilization management knowledge
Sana Health Plan is seeking a remote Director of Care Management to enhance the healthcare experience for its members by leading case management and utilization management functions. The role demands a clinical leader with a strong advocacy for patients and a desire to innovate within a healthcare system that often feels complex

Job Summary

  • The role involves leading case management and utilization management functions to ensure high-quality, medically necessary care at an appropriate cost.
  • This clinical leader will bring a patient advocacy lens to the payer side, influencing coverage policies and network design.
  • The position requires close collaboration with Claims, Underwriting, Actuarial, Network Development, Finance, Revenue, and Product & Engineering teams.

Matching Summary

Match Score: 85

Sana Health Plan is seeking a remote Director of Care Management to enhance the healthcare experience for its members by leading case management and utilization management functions. The role demands a clinical leader with a strong advocacy for patients and a desire to innovate within a healthcare system that often feels complex.

Skills & Requirements

Must-have

  • Clinical leadership experience
  • Care management expertise
  • Utilization management knowledge
  • Cross-functional partnership skills

Nice-to-have

  • Patient advocacy lens
  • Innovative solution building
  • Passion for healthcare reform

Key Requirements

  • Clinical leader background
  • Experience in care delivery
  • Understanding of payer strategy

Work Rights

Not specified

Tailored Resume

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