Company Description
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.
Role DescriptionWe'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 legible, building the taxonomies, hierarchies, and governance that let our models and teams reason correctly about it, and translating that reality into product requirements alongside engineering, clinical, and operations.
If you've developed deep payer expertise inside a large organization, this is the rare seat with clear ownership and impact.
ResponsibilitiesBuild 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.
Design the delegated-relationship logic behind prior authorization, determining which entity owns the decision for a given plan, product, and service.
Identify and track the clinical content sources our policies depend on, such as InterQual and NCCN, and own what we need to contract for and when.
Map prospect and customer payor data back to Tennr's payor model, turning a recurring manual effort into a repeatable system.
Embrace a founder's mindset, proactively driving projects from conception to completion, and contributing significantly to our company's growth and success.
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.
Outstanding communication skills, capable of articulating complex payor concepts to a diverse audience.
Familiarity with SQL or comparable data tooling is a plus.
Drive Impact: one of our company values is Cowboy, meaning you set the pace. You won't just talk about things, you'll get them done. And feel the impact.
Develop Operational Expertise: learn the inner workings of scaling systems, tools, and infrastructure
Innovate with Purpose: we're not just doing this for fun (although we do have a lot of fun). At Tennr, you'll join a high-caliber team maniacally focused on reducing patient delays across the U.S. healthcare system.
Build Relationships: collaborate and connect with like-minded, driven individuals in our Hudson Square office (travel to office on quarterly basis)
Remote Flexibility
Unlimited PTO
100% paid employee health benefit options
Employer funded 401(k) match
Competitive parental leave
Skills Required
- 5+ years working across the U.S. payor landscape, including Medicare, Medicare Advantage, Medicaid, Medicaid MCOs, and commercial lines of business.
- Fluency in payor structures, including payor families, subsidiaries, TPAs, PBMs, delegated entities, regional and national plans, and self-funded versus fully insured arrangements.
- Experience researching and interpreting payor policies, government guidance, fee schedules, or clinical guidelines, including reconciling conflicting sources.
- Experience building taxonomies, frameworks, databases, or mapping systems used by others.
- Exceptional analytical and pattern-recognition skills, with the ability to investigate ambiguous and incomplete information.
- Self-directed ownership of a domain from conception to completion without predefined processes or constant validation.
- Outstanding communication skills and ability to explain complex payor concepts to diverse audiences.
- Familiarity with SQL or comparable data tooling.
Tennr Compensation & Benefits Highlights
The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Tennr and has not been reviewed or approved by Tennr.
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Fair & Transparent Compensation — Available salary ranges for software engineering, product, and solutions roles indicate market-competitive total compensation. Publicly shared ranges include base, equity, and bonuses, signaling comprehensive pay structures.
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Healthcare Strength — Job materials cite 100% paid employee health benefit options. This signals a strong healthcare offering with employer-covered employee premiums.
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Leave & Time Off Breadth — Unlimited PTO is consistently highlighted across roles. This expands time-off flexibility beyond standard accruals.
Tennr Insights
What We Do
Tennr reads documents from incoming faxes passing through healthcare practices and automates essential tasks like scheduling and qualifying patient visits. By automating that paperwork with Tennr, practices receive more patient referrals and reduce billing errors by 98%, significantly growing revenue.
