支付方智能高级分析师
Payor Intelligence Sr. Analyst
## 支付方智能高级分析师
### 公司简介
如今，当你去看医生并被转诊给专科医生时，医生会发送转诊信息并告诉你：“他们会尽快联系你。”于是你开始等待。有时是几天、几周，甚至几个月。为什么？因为提供方经常被繁琐的、耗时的工作压得喘不过气来，这些工作是为了从保险公司获得付款。Tennr 通过专有的模型处理复杂的文书工作，让患者顺利就诊，让提供方获得应有的报酬，帮助运营人员在正确的时间、正确的场所为患者提供正确的护理。
### 职位描述
我们正在寻找一位对美国支付方（payor）生态系统有深入了解的支付方智能分析师，并具备将零散、矛盾的信息转化为稳定逻辑的能力。理解支付方之间实际的关系，哪些实体拥有哪些计划，谁负责什么，以及在什么情况下适用哪种政策，是我们整个产品所依赖的工作。你将在 Tennr 建立并主导这项从零到一的支付方智能功能。
支付方生态系统是一个庞大且不断变化的数据集：母公司、子公司、第三方管理机构（TPA）、药品福利管理者（PBM）、医疗补助管理式医疗组织（MCO）、医保优势计划、委托的授权管理供应商、并购和品牌重塑等。你的任务是使其变得可读，构建分类体系、层级结构和治理规则，使我们的模型和团队能够正确地进行推理，并与工程、临床和运营团队一起将这一现实转化为产品需求。
如果你在一个大型组织中积累了深厚的支付方专业知识，这将是一个拥有清晰责任和影响力的难得机会。
### 工作职责
- 构建并主导支付方实体映射：定义覆盖范围和授权实际流动的层级、家族、子公司、TPA、PBM 和委托关系。
- 获取、解读和管理医疗政策、覆盖标准、政府指导文件和费用表，建立有效的日期、来源和版本控制。
- 设计事先授权背后的委托关系逻辑，确定对于特定计划、产品和服务，哪个实体拥有决策权。
- 识别并跟踪我们政策所依赖的临床内容来源，例如 InterQual 和 NCCN，并负责我们需要签订合同的内容及时间。
- 将潜在客户和客户支付方数据映射回 Tennr 的支付方模型，将重复的手动工作转化为可重复的系统。
- 拥抱创始人的思维，主动推动项目进展。
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## Payor Intelligence Sr. Analyst
### 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 Description
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.
### 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.
### Candidate Qualifications
- 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.
### Why Tennr?
- 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)
### **Benefits**
- Remote Flexibility
- Unlimited PTO
- 100% paid employee health benefit options
- Employer funded 401(k) match
- Competitive parental leave