Compliance Manager • Mid-Level

Who you are

You have experience in front-end intake, quality control, operations compliance, or audit review within the DME space — this background equips you to apply your skills in a new and impactful way. You are detail-oriented and hands-on, focused on reviewing clinical documentation and assessing model-generated qualification outcomes. You understand the importance of aligning decisions with real-world payer standards, ensuring that every referral is processed accurately and efficiently.

You thrive in collaborative environments, building relationships with like-minded individuals who share a commitment to improving healthcare processes. Your ability to flag incorrect determinations, including false positives and negatives, demonstrates your analytical skills and attention to detail. You are passionate about reducing patient delays across the U.S. healthcare system, and you are eager to contribute to a team that is dedicated to making a difference.

What you'll do

In this role, you will be responsible for reviewing clinical documentation and comparing it against Medicare, Medicaid, and commercial payer coverage policies. You will assess model-generated qualification outcomes and provide structured feedback to flag any incorrect determinations. Your insights will help ensure that Tennr's platform accurately applies qualification logic, ultimately improving the referral process for patients and providers alike.

You will collaborate closely with your team to identify when decisions do not align with real-world payer standards, contributing to the continuous improvement of our processes. Your work will play a crucial role in preventing delays and denials, ensuring that every referral gets the attention it deserves. You will also have the opportunity to engage with stakeholders and contribute to the development of best practices within the organization.

What we offer

Tennr provides a supportive work environment with a focus on collaboration and innovation. You will have the opportunity to work remotely while also having access to our new, spacious Chelsea office, where you can connect with your team in person four days a week if preferred. We offer unlimited PTO, 100% paid employee health benefit options, and an employer-funded 401(k) match to support your financial well-being. Additionally, you will enjoy competitive parental leave and a pantry full of snacks to keep you energized throughout the day.