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Payor Intelligence Sr. Analyst

Tennr · Remote · Remote

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About Tennr

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.

About the role

Build and own payor entity mapping: the hierarchies, families, subsidiaries, TPAs, PBMs, and delegated relationships that define how coverage and authorization actually flow. Source, interpret, and govern medical policies, coverage criteria, government guidance, and fee schedules, establishing effective dating, provenance, and version control.

What they're looking for

  • 5+ years working across the U.S. payor landscape, with real breadth across Medicare, Medicare Advantage, Medicaid and MCOs, and commercial lines of business
  • Fluency in payor structure: payor families, subsidiaries, TPAs, PBMs, delegated entities, regional versus national plans, and self-funded versus fully insured arrangements
  • Experience researching and interpreting payor policies, government guidance, fee schedules, or clinical guidelines, including reconciling sources that disagree with each other
  • A track record of building taxonomies, frameworks, databases, or mapping systems that other people rely on, not just answering questions as they come in
  • Exceptional analytical and pattern-recognition skills, with the investigative instinct to work productively from ambiguous and incomplete information
  • Self-directed ownership of a domain end to end, without predefined process or constant validation
More about this role

Today, when you go to your doctor and get referred to a specialist, your doctor sends out a referral and tells you, "They'll be in touch soon." So you wait. And wait. Sometimes days, weeks, or even months. Why? Because too often providers are overwhelmed with the painstakingly tedious work required to get paid by insurance companies. Powered by proprietary models, Tennr handles the complex paperwork that gets patients through the door and providers paid, helping operators get patients the right care, at the right time, in the right setting.

We're seeking a Payor Intelligence Analyst with deep knowledge of the U.S. payor landscape and a talent for turning fragmented, conflicting information into durable logic. Understanding how payors actually relate to one another, which entities own which plans, who delegates what, and which policy applies when, is work our entire product depends on. You'll build and own payor intelligence at Tennr as a zero-to-one function.

The payor landscape is a massive, constantly shifting dataset: parent organizations, subsidiaries, TPAs, PBMs, Medicaid MCOs, Medicare Advantage plans, delegated UM vendors, acquisitions, and rebrands. Your job is to make it...

Read the full posting on Tennr's site ↗

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