Payor Intelligence Sr. Analyst

Tennr
United States
Workplace: RemoteFull timeUSD 90,000 - 110,000 annuallyFunction: Data Analytics & Business IntelligenceExperience: 5+ yearsSkills: ["Communication","Analytical thinking","Ownership"]

Own Tennr’s payor intelligence as a zero-to-one domain function, turning a fast-changing U.S. payor landscape into durable, model-ready logic. Build payor entity mapping, govern medical policies and fee schedules with effective dating/version control, and design delegated decision logic for prior authorization. Identify policy content sources (e.g., InterQual, NCCN), map customer payor data into Tennr’s model, and translate findings into clear product requirements.

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FursaFursa
Tennr
Tennr
4 days ago

Payor Intelligence Sr. Analyst

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Last checked: 6 hours agoStatus: Live

Job Summary

Own Tennr’s payor intelligence as a zero-to-one domain function, turning a fast-changing U.S. payor landscape into durable, model-ready logic. Build payor entity mapping, govern medical policies and fee schedules with effective dating/version control, and design delegated decision logic for prior authorization. Identify policy content sources (e.g., InterQual, NCCN), map customer payor data into Tennr’s model, and translate findings into clear product requirements.
Location: United States
Workplace: Remote
Employment Type: Full time
Job Function: Data Analytics & Business Intelligence
Seniority: Mid level

Key Responsibilities

  • •Build and own payor entity mapping, including hierarchies, families, subsidiaries, TPAs, PBMs, and delegated relationships that define coverage and authorization flow.
  • •Source, interpret, and govern medical policies, coverage criteria, government guidance, and fee schedules with effective dating, provenance, and version control.
  • •Design delegated-relationship logic behind prior authorization to determine which entity owns decisions for a plan, product, and service.
  • •Identify and track clinical content sources policy depends on (e.g., InterQual and NCCN) and own contracting needs.
  • •Map prospect and customer payor data back to Tennr’s payor model to replace recurring manual work with a repeatable system.
Travel: Low travel

Pay and Benefits

Salary: USD 90,000 - 110,000 annually
Equity and Bonus:Equity
Perks:Remote WorkPaid LeaveHealth Insurance401kParental Leave

Key Requirements

  • •5+ years working across the U.S. payor landscape across Medicare, Medicare Advantage, Medicaid/MCOs, and commercial lines.
  • •Fluency in payor structure, including payor families, subsidiaries, TPAs, PBMs, delegated entities, and plan arrangements.
  • •Experience researching and interpreting payor policies, government guidance, fee schedules, or clinical guidelines, including reconciling disagreements.
  • •Track record building taxonomies, frameworks, databases, or mapping systems that others rely on.
  • •Strong analytical and pattern-recognition skills, with an investigative approach to ambiguous and incomplete information; familiarity with SQL is a plus.
Experience:5+ yearsHealthcareInsuranceMedicareMedicaidMedicare Advantage
Skills:CommunicationAnalytical thinkingOwnership
Tech Stack:SQL

Company Brief

Tennr
Tennr is a tennis-focused platform that helps players find opponents, book courts, discover coaching, and join local tennis events. It aims to simplify match-making and court access for recreational and competitive tennis enthusiasts.
Industry: Online Marketplaces
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