Payor Intelligence Sr. Analyst

Tennr

1d•$90,000 - $110,000•Remote

About The Position

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 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.

Requirements

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.

Nice To Haves

Familiarity with SQL or comparable data tooling is a plus.

Responsibilities

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.
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.