Payor Intelligence Sr. Analyst

tennr; Deutschland; Hybrid; EUR 103.000 - 155.000; Vollzeit

Benefits dieser Stelle

Remote flexibility

Unlimited paid time off

Employer-paid health benefits

Employer-funded 401(k) match

Competitive parental leave

Zusammenfassung

Tennr is building a zero-to-one payor intelligence function to support its patient-access platform. The Senior Analyst will own end-to-end mapping of U.S. payors, turning fragmented data into durable, product-ready logic.

This high-ownership role requires independence and cross-functional collaboration with engineering, clinical, and operations teams. The role emphasizes taxonomy design, policy interpretation, and robust data mapping to enable scalable decision-making across payor relationships

Qualifikationen

• 5+ years working across the U.S. payor landscape including Medicare, Medicaid, MCOs, and commercial lines.
• Demonstrated ability to research and reconcile payor policies and fee schedules.
• Experience building taxonomies, frameworks, databases, or mapping systems used by multiple teams.

Aufgaben

• Build and maintain payor entity mappings, including hierarchies, families, subsidiaries, TPAs, PBMs, and delegated relationships.
• Source, interpret, and version medical policies, coverage criteria, and government guidance with provenance and dating.
• Design delegated-relationship logic to decide ownership of prior authorization decisions.
• Track clinical content dependencies such as InterQual and NCCN and renewal timing.
• Reconcile prospect and customer payor data against the internal payor model and automate processes.

Kenntnisse

Payor landscape expertise

Analytical thinking

Policy reconciliation

Data mapping

Strong communication

Tools

SQL

Jobbeschreibung

Role overview

A healthcare technology company is building out a zero-to-one payor intelligence function to support its patient-access platform. The Senior Analyst will own the end-to-end mapping of how U.S. payors relate to one another, turning fragmented industry data into durable, product-ready logic. This is a high-ownership role for someone with deep institutional expertise who can drive decisions independently and partner across engineering, clinical, and operations.

Responsibilities

• Build and maintain payor entity mapping, including hierarchies, families, subsidiaries, TPAs, PBMs, and delegated relationships that govern coverage and authorization.
• Source, interpret, and version medical policies, coverage criteria, government guidance, and fee schedules with clear provenance and effective dating.
• Design the delegated-relationship logic that determines which entity owns a prior authorization decision for any given plan, product, or service.
• Track clinical content dependencies such as InterQual and NCCN, identifying contract needs and renewal timing.
• Reconcile prospect and customer payor data against the internal payor model, converting recurring manual work into a repeatable system.
• Operate with a founder mindset, driving ambiguous projects from concept to completion with minimal handholding.

Requirements

• 5+ years working broadly across the U.S. payor landscape, including Medicare, Medicare Advantage, Medicaid and MCOs, and commercial lines of business.
• Deep fluency in payor structure: parent organizations, subsidiaries, regional versus national plans, self-funded versus fully insured arrangements, and delegated entities.
• Demonstrated ability to research and reconcile payor policies, fee schedules, and clinical guidelines, including resolving conflicting sources.
• A track record of building taxonomies, frameworks, databases, or mapping systems that other teams rely on.
• Strong analytical and pattern-recognition skills with the instinct to work productively from incomplete information.
• Excellent communication skills, able to explain complex payor concepts to technical and non-technical audiences alike.

Nice to have

• Familiarity with SQL or comparable data tooling.

Benefits and work setup

• Remote flexibility with quarterly in-person collaboration at a Hudson Square office.
• Unlimited paid time off.
• 100% employer-paid employee health benefit options.
• Employer-funded 401(k) match.
• Competitive parental leave.