Job Overview
Location
Indiana, USA
Job Type
Full-time
Category
Operations Manager
Date Posted
February 27, 2026
Full Job Description
📋 Description
- • Sana Benefits is on a mission to revolutionize the U.S. healthcare system by making it fundamentally easier for small businesses and their employees to access and navigate care. We recognize the pervasive complexity and frustration members experience daily when seeking healthcare services. Our core vision is to create a seamless, intuitive, and supportive experience, ensuring that accessing necessary care is as straightforward as possible, with a focus on minimizing friction and maximizing ease at every touchpoint.
- • As the Director, Case Management and Health Plan Strategy, you will play a pivotal role in shaping the future of our health plan's clinical operations and cost containment initiatives. This leadership position is designed for a seasoned clinical professional who possesses a deep, intrinsic understanding of patient care delivery and is eager to apply that knowledge to the strategic design and execution of a modern health plan. Your expertise will be instrumental in ensuring that the care our members receive is not only of the highest quality but also delivered with minimal friction and at an appropriate cost.
- • You will be the driving force behind our case management function, overseeing its strategic direction, operational efficiency, and impact on member outcomes. This includes developing and implementing best practices in case management to support members through complex care journeys, ensuring they receive timely, appropriate, and coordinated services.
- • A significant aspect of your role will involve leading our clinical cost containment strategies. This requires a nuanced understanding of healthcare economics, utilization management, and evidence-based medicine to identify opportunities for optimizing healthcare spending without compromising quality or access to care. You will analyze trends, develop innovative approaches, and collaborate with various teams to implement effective cost-saving measures.
- • This position offers a unique opportunity to leverage your patient advocacy lens from the provider side to influence payer strategy. You will directly impact how coverage policies, utilization decisions, case management protocols, and network design translate into tangible, positive outcomes for the individuals and families we serve. Your insights will be crucial in bridging the gap between clinical needs and strategic health plan operations.
- • You will serve as a key cross-functional leader, fostering strong collaborative relationships with critical departments including Claims, Underwriting and Actuarial, Network Development, Finance, Revenue, and Product & Engineering. Your ability to communicate effectively and align diverse teams around shared clinical and strategic goals will be paramount to success.
- • While this role is distinct from our direct care delivery teams, you will work in close partnership with our Chief Medical Officer and our virtual primary care team. This collaboration is essential to ensure that our payer strategy and our care delivery models remain tightly integrated and mutually reinforcing, creating a holistic and member-centric approach to healthcare.
- • You will be responsible for developing and refining health plan policies and clinical guidelines that support both high-quality care and financial sustainability. This includes staying abreast of regulatory changes, industry best practices, and emerging trends in healthcare delivery and financing.
- • The ideal candidate will possess a strong analytical mindset, capable of interpreting complex data to inform strategic decisions and measure the effectiveness of interventions. You will identify key performance indicators (KPIs) for case management and cost containment, and regularly report on progress against these metrics.
- • This role demands a proactive and innovative approach to problem-solving, with a commitment to continuously improving the member experience and the overall performance of the health plan. You will champion initiatives that enhance member engagement, improve health outcomes, and drive operational excellence.
- • By joining Sana Benefits, you will be part of a passionate team dedicated to transforming healthcare. If you are driven by a desire to fix what is broken in the U.S. healthcare system and seek genuine ownership over the strategic direction and operational success of a modern health plan, this is an exceptional opportunity to build something meaningful and impactful.
🎯 Requirements
- • Clinical background (e.g., RN, NP, MD) with significant experience in healthcare delivery and patient care.
- • Proven experience in health plan operations, including case management, utilization review, or population health management.
- • Strong understanding of health insurance principles, cost containment strategies, and clinical quality metrics.
- • Demonstrated ability to lead cross-functional teams and influence stakeholders across various departments.
- • Excellent analytical, problem-solving, and strategic thinking skills.
- • Experience with data analysis and reporting to drive decision-making.
🏖️ Benefits
- • Competitive salary and equity package.
- • Comprehensive health, dental, and vision insurance.
- • Generous paid time off and holidays.
- • Remote work flexibility.
- • Opportunity to make a significant impact on the future of healthcare.
Skills & Technologies
Go
Remote
About Sana Benefits, Inc.
Sana Benefits is a third-party administrator that delivers self-funded health insurance plans and integrated benefits technology to small and mid-sized employers across the United States. The company combines claims management, provider network access, customer support, and a cloud-based platform that streamlines enrollment, billing, and member services. Its model aims to lower employer costs while offering employees transparent pricing and modern digital tools for care navigation.
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