layiq
/la·yiq/adjective
worthy; deserving; fitting; suitable.
A role, opportunity, or path that merits attention, time, and pursuit.
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Job opportunity
Clinical Criteria Escalations Specialist
Tennr
New York City, New York, USA
Source: Tennr careers · View original posting
- Pay
- $95,000 — $115,000 USD per year
Employer job description
From Tennr's posting. “We” and “our” refer to the employer.
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 Clinical Criteria Escalations Specialist to support our Qualifications team, the product customers rely on to evaluate medical necessity and documentation requirements. In this role, you'll own customer feedback, custom criteria requests, and clinical escalations, determining whether feedback represents a true criteria issue, a payer policy interpretation question, a documentation gap, or a customer-specific preference, and turning it into clear, actionable guidance.