# Payor Intelligence Senior Analyst

**Company:** [Tennr](https://hotfix.jobs/companies/tennr)
**Location:** Remote
**Role:** Data Analytics
**Salary:** $90k – $110k/yr
**Experience:** 5+ years
**Skills:** Payor Intelligence, Medicare, Medicare Advantage, Medicaid, Medicaid Mcos, Commercial Insurance, SQL, Taxonomies, Data Mapping, Prior Authorization, Medical Policies, Fee Schedules, Clinical Guidelines, Pbms, Tpas
**Posted:** 2026-09-02

> Owns the company’s payor intelligence function by mapping complex payer entities and delegated relationships, governing policy data, and translating coverage realities into product requirements. Requires 5+ years across U.S. Medicare, Medicaid, commercial payors, and related healthcare arrangements.

## Job Description

## Responsibilities
- Build and own payor entity mapping, including hierarchies, families, subsidiaries, TPAs, PBMs, and delegated relationships.
- Source, interpret, and govern medical policies, coverage criteria, government guidance, and fee schedules with effective dating, provenance, and version control.
- Design delegated-relationship logic for prior authorization and determine which entity owns decisions for plans, products, and services.
- Identify and track clinical content sources such as InterQual and NCCN, including contracting needs and timing.
- Map prospect and customer payor data to the company’s payor model and turn manual work into a repeatable system.
- Drive projects from conception through completion with high ownership.

## Requirements
- 5+ years working across the U.S. payor landscape.
- Broad experience with Medicare, Medicare Advantage, Medicaid and Medicaid MCOs, and commercial lines of business.
- Fluency in 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.
- Ability to reconcile conflicting information from multiple sources.
- Track record of building taxonomies, frameworks, databases, or mapping systems used by others.
- Strong analytical, pattern-recognition, investigative, communication, and self-directed ownership skills.

## Nice to Have
- Familiarity with SQL or comparable data tooling.

## Compensation and Benefits
- Salary: $90,000–$110,000 annually.
- Remote flexibility.
- Unlimited PTO.
- 100% paid employee health benefit options.
- Employer-funded 401(k) match.
- Competitive parental leave.
- Quarterly travel to the Hudson Square office.

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