# Clinical Criteria Escalations Specialist at Tennr

- Company: Tennr
- What the company does: Tennr is a patient orchestration platform that helps providers get the right patients into the right care settings at the right time. Backed by Lightspeed, Y Combinator and a16z.
- Company website: https://tennr.com/
- Type: Startups
- Level: Mid level
- Location: New York City Office
- Work setup: Remote
- Pay: $95K to $115K base salary per year (USD)
- Posted: 2026-08-12
- Apply by: 2026-10-08
- Apply: https://jobs.ashbyhq.com/tennr/fcb8c374-6fae-454a-baa2-a3e39188f639
- Page: https://www.1752.vc/careers/jobs/tennr-clinical-criteria-escalations-specialist/

## About the role

Review and triage customer feedback related to qualification criteria, medical necessity logic, documentation requirements, and payer policy interpretation. Review custom criteria requests and translate clinical requirements into clear internal guidance for criteria writers, reviewers, and customer-facing teams.

## What they're looking for

- Active RN or LPN license
- Experience in utilization management, prior authorization, medical necessity review, clinical appeals, payment integrity, CDI, payer policy review, or DME/HME qualification review
- Strong understanding of medical necessity, payer policy, and clinical documentation, with the ability to distinguish policy-backed requirements from customer preference or workflow variation
- Strong written communication, attention to detail, and judgment around when to resolve, document, or escalate
- Familiarity with LCDs, NCDs, HCPCS, CPT, ICD-10, denial review, or criteria-heavy workflows like DME/HME, infusion, or specialty pharmacy is a plus

Tags: Center of Excellence