Deliver comprehensive care navigation and access support for Sana members
ensuring they receive the right care at the right time
place
and cost. Collaborate with cross-functional teams
including our virtual care practice and customer support
to provide seamless care navigation services. Educate members on their care referral options
empowering them to make informed healthcare decisions. Partner with providers to secure member access to care through established workflows
including provider education
contract negotiation
and direct billing inquiries. Identify opportunities for provider contracting to expand network development and enhance member access and care navigation. Build professional relationships with providers and Sana’s care partners to streamline referral pathways for care navigation. Conduct proactive outreach to high-risk
rising-risk
and gap-in-care members to guide them through their healthcare journey. Serve as a health advocate and supporter for members
always prioritizing their best interests throughout their healthcare journey. Monitor and assess the effectiveness of care navigation and access strategies
adjusting as needed based on clinical expertise
evidence-based guidelines
and key performance indicators. Provide feedback to the product team to improve care navigation experiences for members. Strive consistently to ensure members feel supported and to simplify their healthcare experience. About You 2+ years work experience preferred
preferably in a fast-growth company environment 1+ years working in healthcare in some capacity (i.e.
social work
managed care
insurance
etc.) Prior Care Navigation experience strongly preferred Excellent communicator. Values-oriented. You care deeply about making our healthcare system work better for people and business owners. Unparalleled attention to detail. You love getting into the weeds to get things done. Fast learner. Entrepreneurial. Self-directed. Excited to build something from scratch. Gritty. You aren’t worried about getting your hands dirty and working hard when you need to. Comfortable with change. We are a startup and need people who are ok doing things outside of their traditional job description. Strong team player with a track record of working cross-functionally. Comfortable with modern web applications. We are building all of our software in-house and you will be a key constituent in its development.