4+ years of proven success in outbound sales and high-level account management, specifically closing net-new business. Strong experience in a Mid-Market sales motion, demonstrating the ability to navigate longer, more complex deal cycles and break into executive teams (VP to C-Suite).
Location: Remote
Workplace: Remote
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
Location: Remote
Workplace: remote
Arcadia is dedicated to happier, healthier days for all. We believe that there is a better healthcare world – one powered by data. Our platform transforms complex, diverse data into a unified foundation for health, helping organizations deliver better care, boost revenue, and lower costs.
We’re a team of fiercely driven individuals committed to making healthcare more sustainable—and we’re looking for passionate people to help us get there.
For more information, visit arcadia.io
Why This Role is Important to Arcadia
Reporting to the SVP, Growth, the Vice President of Sales, Payor is charged with generating new business opportunities for Arcadia.The VP of Sales, Payor is responsible for identifying, engaging, and closing new accounts in the Payor Healthcare market, which Arcadia defines as including Commercial and Private Payors on a regional and national scale.
What Success Looks Like
In 3 months
Learn all about Arcadia and what makes us special
Our sales and contracting process
Bond with your teammates and stakeholders
Play a key role in conferences
In 6 months
You will have established a solid relationship of trust and collaboration with your VPs of Sales
You will be leading the contracting phase with prospective clients
Close your first deal
You will be very conversant in our solution and be able to run your own presentations
In 12 months
What You'll Be Doing
BUSINESS DEVELOPMENT
Conduct research to expand prospect list using Definitive, LinkedIn Sales Navigator, and
other methods
Identify and develop leads and
opportunities from multiple sources including prospect lists,
discovery, and individual research
Build and cultivate prospect relationships by initiating communications and conducting follow-up qualification to move opportunities into the sales funnel
Perform thorough needs assessment and identify prospects pain points to determine how Arcadia’s solutions address those needs
Building and increasing industry knowledge and acumen to position Arcadia’s value proposition across multiple use case in the health system, ACO, and Payer segments. Own and drive proposal planning, development, and delivery to key client executives
Own and drive contract creation, legal review, and signature process with internal operations and key client executives
Identify and assist in resolving challenges that could prevent account retention, expansion, and referrals
Build relationships with C-level and purchasing executives at key prospects in support of sales and growth activities
INTERNAL OPERATIONS
Collaborate effectively with internal stakeholders from Product Management, Sales Operations, Operations and Finance throughout the course of each deal
Ensure all accounts you are working have documented pursuit plans and participate in regular account review meetings with the VP of Sales and line-of-business (LOB) leaders
Provide accurate financial projections to executive leadership for opportunities in your
pipeline
Manage and maintain an accurate sales funnel in the system-of-record for Arcadia (Salesforce.com)
What You'll Bring
Bachelor’s degree in business, healthcare administration, engineering, or a related
discipline
A minimum of 5-7 years’ experience with a demonstrated track record of accomplishments
in payer/health plan sales and business expansion
Broad network of relationships with Commercial, Regional, Health Plans and well known in the payor community
Experience consistently securing multi-year, multi-million-dollar contracts with Payor organizations
What You’ll Get
An opportunity to help our health care crisis by assisting with the adoption of value-based
care
The ability to compete with a top KLAS rated solution set
High visibility and impact role supporting Arcadia’s rapid growth
Be a part of a mission driven company that is transforming the healthcare industry by
changing the way patients receive care
A flexible, remote friendly company with personality and heart
Employee driven programs and initiatives for personal and professional development
Be a member of the Arcadian and Barkadian Community
About Arcadia
Arcadia.io helps innovative providers and payers across the country transform healthcare to reduce cost while improving patient health.We do this by aggregating large amounts of disparate data, applying algorithms to identify opportunities to provide better patient care, and making those opportunities actionable by physicians at the point of care in near-real time.We are passionate about helping our customers drive meaningful outcomes.
We are growing fast and have emerged as a market leader in the highly competitive population health management software market and have been recognized by industry analysts KLAS, IDC, Forrester, and Chilmark for our leadership. For a better sense of our brand and products, please explore ourwebsite.
This position is responsible for following all Security policies and procedures in order to protect all PHI under Arcadia's custodianship as well as Arcadia Intellectual Properties.For any security-specific roles, the responsibilities would be further defined by the hiring manager.
Location: Philippines
We are seeking a warm, bubbly, and exceptionally articulate
Virtual Medical Receptionist
to serve as the friendly voice of our pediatric-focused medical practice. In this key patient-facing position, you will be the first point of contact for parents, caregivers, and young patients—handling high-volume phone calls, managing provider appointment schedules, and performing insurance Verification of Benefits (VOB).
The ideal candidate possesses
elite, accent-neutral English communication skills
and a bright, empathetic phone presence that instantly puts parents and children at ease. While prior experience with
eClinicalWorks (eCW)
and pediatric healthcare settings are major advantages, top-tier verbal communication, warmth, and reliable front-desk execution are our highest priorities.
Working Environment & Core Schedule
Role Title:
Virtual Medical Receptionist (Pediatric Focus)
Status:
Full-Time (40 Hours / Week)
Schedule:
Monday – Friday, 8:00 AM – 5:00 PM EST (Eastern Standard Time)
Core Systems:
eClinicalWorks (eCW EHR)
(Strong plus)
, VoIP Phone System, Insurance Portals
Target Audience:
Pediatric patients, parents, and family caregivers
Top 3 Daily Tasks
Inbound & Outbound Phone Management:
Answer incoming calls with a cheerful, warm, and professional demeanor—addressing scheduling inquiries and assisting parents with care coordination.
Patient Scheduling & Calendar Management:
Book, confirm, and optimize provider appointment calendars in eClinicalWorks to maintain an efficient pediatric clinic flow.
Insurance Verification of Benefits (VOB):
Check insurance coverage, active eligibility, and co-pay details prior to appointments so families arrive fully prepared.
Core Responsibilities
Warm Patient Engagement:
Deliver an exceptional, high-touch patient experience over the phone, using patience and active listening to support parents navigating their children's healthcare needs.
eClinicalWorks Scheduling:
Navigate eCW to book routine pediatric check-ups, follow-ups, and urgent visits while adhering strictly to practice rules and provider preferences.
Insurance Eligibility Checks:
Conduct real-time Verification of Benefits (VOB) through payor portals and eCW to confirm active coverage and document co-pays or deductibles.
Team & Practice Coordination:
Relay messages, telephone encounters, and scheduling changes accurately to the in-office clinical team to ensure seamless patient care.
Administrative Support:
Assist with digital faxes, patient reminder texts/emails, and chart updates while strictly adhering to HIPAA privacy standards.
Requirements
Elite Verbal English Communication:
Native-level or flawless spoken English with a neutral, highly clear, and easily understandable phone accent.
Personable & Empathetic Demeanor:
Naturally bubbly, patient, warm, and confident when speaking with parents, caregivers, and pediatric patients.
Medical Front-Desk Experience:
Direct background handling front-desk duties, high-volume call handling, and scheduling in a U.S. medical practice setting.
Insurance VOB Familiarity:
Working knowledge of checking patient insurance eligibility and coverage terms.
Remote Workspace Setup:
Dedicated, quiet, HIPAA-compliant home office equipped with a high-performance computer (PC/Mac), high-speed internet connection, backup power/internet solutions, and a noise-canceling headset.
Preferred / Strong Plus Qualifications
Pediatric Experience:
Prior experience working in a Pediatric, Family Medicine, or Children's Specialty practice (
Strong Plus
).
eClinicalWorks (eCW):
Hands-on experience navigating
eClinicalWorks EHR
for scheduling, charting, and insurance checks (
Strong Plus
).
Ideal Candidate Profile
You are a energetic, cheerful, and articulate communicator who loves helping families. You bring a positive attitude to every call, keep provider schedules filled and organized, and ensure parents feel completely supported from the moment they ring the clinic.
Location: El Salvador; Colombia; Nicaragua; Honduras; Guatemala; Dominican Republic
We are seeking an experienced
Virtual Referral & Prior Authorization Coordinator
to join a growing Primary Care and Family Medicine practice in the US.
This role requires recent, hands-on experience using
eClinicalWorks (eCW)
to seamlessly integrate into established workflows. You will take full ownership of processing patient referrals and insurance prior authorizations from start to finish. As you become proficient in these core responsibilities, the role will expand to include patient scheduling, phone management, and general administrative front-desk support.
Work Schedule:
Monday through Friday, 8:00 AM – 5:00 PM CST.
RESPONSIBILITIES
Referral Coordination (Primary):
Prepare and submit referrals in eClinicalWorks (eCW), verify patient and insurance details, attach necessary clinical documentation, follow up with specialist offices, and track each referral to completion.
Prior Authorizations (Primary):
Verify authorization requirements, submit requests through insurance payor portals, gather supporting clinical records, track deadlines, escalate claim denials, and keep providers and patients informed.
Administrative & Reception Support (Secondary):
Handle inbound and outbound calls via Weave, schedule patient appointments, process intake and registration, update demographics, verify insurance coverage, and manage follow-up messages.
Requirements
eClinicalWorks (eCW):
Recent, hands-on experience using eCW in a US-based medical practice (mandatory).
Referrals & Prior Auths:
Proven experience managing full-cycle referrals and insurance prior authorizations independently.
Bilingual Skills:
Fully bilingual in English and Spanish with clear, professional spoken English.
US Healthcare Experience:
Direct experience working with US medical practices, ideally in Primary Care or Family Medicine.
Adaptability:
Willingness to expand responsibilities into phone management, patient scheduling, and front-desk reception duties.
Compliance:
Solid understanding of medical terminology, insurance communication, and strict HIPAA guidelines.
NICE TO HAVES
Experience using
Weave
VoIP phone systems.
High-volume referral and prior authorization handling.
Background in insurance benefits verification and front-desk patient reception.
Location: Colombia; El Salvador; Honduras; Guatemala; Nicaragua; Dominican Republic
We are seeking a detail-oriented, highly organized, and proactive
Virtual Surgery Scheduling Coordinator
to support a U.S.-based orthopedic medical practice. In this role, you will be responsible for coordinating surgical procedures, managing medical administrative workflows, communicating with insurance payors (Workers' Comp, Personal Injury, and Medicare), and liaising directly with attorneys and clinical teams.
If you have at least 2 years of experience in U.S. surgery scheduling, exceptional written and verbal communication skills, and a strong customer-centric mindset, we encourage you to apply!
Top 3 Daily Tasks
Surgery & Appointment Scheduling:
Coordinate, schedule, and track surgical procedures, consultations, and follow-ups while managing provider calendars with high accuracy.
Medical Administration & Document Editing:
Review, edit, and organize medical reports, surgical documentation, and client files to ensure complete clinical precision.
Payor & Legal Coordination:
Process and verify Workers' Compensation (W/C), Personal Injury (PI), and Medicare authorizations, while liaising directly with attorneys and insurance adjusters regarding case requirements.
Key Responsibilities
Oversee end-to-end surgery scheduling workflows, ensuring seamless communication between patients, surgical centers, physicians, and administrative staff.
Review and edit complex medical reports, ensuring accuracy before distribution to payors, legal teams, or patient records.
Manage Workers’ Compensation, Personal Injury, and Medicare claims details related to surgical approvals and pre-authorizations.
Communicate professionally with law offices and attorneys regarding Personal Injury and Workers' Comp cases.
Maintain clear, professional written and verbal communication with patients to guide them through pre-op and post-op administrative steps.
Work independently to solve scheduling bottlenecks, follow up on pending authorizations, and update patient files in the EMR.
Requirements
Experience:
2+ years of direct experience in surgery scheduling for a U.S. medical practice (experience in
Orthopedics
is a strong plus).
Insurance & Legal Knowledge:
Solid working knowledge of
Workers’ Compensation (W/C)
,
Personal Injury (PI)
, and
Medicare
procedures.
Medical Documentation:
Proven experience reviewing and editing medical reports and clinical documentation.
Language Skills:
Fluent/Bilingual English (written and spoken) with strong interpersonal communication. Spanish speaking capability is preferred.
Tech Skills:
Proficient in Google Workspace, Microsoft Excel, Microsoft Outlook, and digital calendar management.
EMR/EHR Experience:
Hands-on experience with medical EMR systems. Experience with
ModMed (EMA)
is a major plus, though candidates proficient in other EMR platforms are welcome to apply.
Work Style:
Ability to work independently with minimal supervision, highly team-oriented, customer-focused, and detail-driven.
Work Setup & Terms
Schedule:
Full-Time (40 hours/week, Monday – Friday, 8:00 AM – 5:00 PM PST).
Location:
100% Remote.
Technical Setup:
Quiet home office workspace equipped with a high-speed computer setup, noise-canceling headset, and power/internet backup infrastructure.
Location: San Francisco, CA | New York City, NY
About Anthropic
Anthropic’s mission is to create reliable, interpretable, and steerable AI systems. We want AI to be safe and beneficial for our users and for society as a whole. Our team is a quickly growing group of committed researchers, engineers, policy experts, and business leaders working together to build beneficial AI systems.
About the role
As a Strategic Account Executive (Healthcare) at Anthropic, you'll join the foundational team at the forefront of introducing our frontier AI platform to healthcare organizations. You'll drive adoption of safe, frontier AI by securing strategic deals with health systems, hospitals, and payor organizations. You'll leverage your consultative sales expertise in healthcare to grow revenue while becoming a trusted partner to healthcare stakeholders — helping them embed and deploy AI while uncovering its full range of capabilities. In collaboration with Product and Marketing, you'll continuously refine our value proposition, sales methodology, and market positioning to resonate with healthcare decision-makers.
The ideal candidate has a passion for developing new market segments within healthcare delivery and insurance, pinpointing high-potential opportunities, and executing strategies to capture them. By driving deployment of Anthropic's emerging products, you'll help healthcare enterprises obtain new capabilities while advancing the ethical development of AI.
Key responsibilities
Own a book of strategic, high-value accounts across health systems, hospitals, and payor organizations — driving the full sales cycle from outbound to close and navigating complex organizations to reach key clinical, administrative, and payor decision-makers
Design and execute sales strategies tailored to healthcare procurement cycles, value-based care initiatives, and budgeting processes, translating market landscape and trend analysis into targeted account plans and campaigns that meet and exceed revenue targets
Identify and prioritize high-potential opportunities across clinical departments, care management teams, claims processing units, and administrative offices, partnering cross-functionally to differentiate Anthropic's offering for both healthcare delivery and payor use cases
Run a disciplined pipeline and forecasting cadence, managing an evolving sales process to deliver predictable, coachable performance against quota
Partner closely with Product and Applied AI to translate feedback from clinicians, care coordinators, and administrative leaders into product and roadmap input, strengthening Anthropic's value proposition for healthcare organizations
Codify learnings into playbooks, templates, and best practices, partnering with Marketing and Enablement to scale winning use cases and proof points across health systems and payors
Minimum qualifications
5+ years of enterprise sales experience in healthcare, with demonstrated success covering health systems, hospitals, and/or payor organizations
A track record of managing complex, multi-stakeholder sales cycles within healthcare organizations and securing strategic deals by understanding both technical requirements and clinical/administrative use cases
Extensive experience negotiating complex agreements within healthcare procurement frameworks, including value-based care contracts and payor policies
Proven experience exceeding revenue targets in healthcare by effectively managing an evolving pipeline and sales process
Excellent communication skills, with the ability to present confidently across healthcare audiences — from physicians and nurses to C-suite executives and payor leadership
A genuine interest in deploying AI responsibly and motivation to advance Anthropic's mission of building safe, beneficial AI
Preferred qualifications
Deep understanding of healthcare buying cycles, decision-making processes, and key pain points across both provider and payor organizations
A strategic, analytical approach to assessing the healthcare market, paired with creative, tactical execution to capture opportunities
Experience developing and refining healthcare AI use cases in collaboration with customers and channel partners, with particular focus on care delivery, population health, and administrative efficiency
Passion for and/or experience with advanced AI systems and their clinical applications, with strong conviction around safe, ethical development for AI in clinical use
The annual compensation range for this role is listed below.
For sales roles, the range provided is the role’s On Target Earnings ("OTE") range, meaning that the range includes both the sales commissions/sales bonuses target and annual base salary for the role.
Annual Salary:
$380,000
—
$450,000 USD
Logistics
Minimum education:
Bachelor’s degree or an equivalent combination of education, training, and/or experience
Required field of study:
A field relevant to the role as demonstrated through coursework, training, or professional experience
Minimum years of experience:
Years of experience required will correlate with the internal job level requirements for the position
Location-based hybrid policy:
Currently, we expect all staff to be in one of our offices at least 25% of the time. However, some roles may require more time in our offices.
Visa sponsorship:
We do sponsor visas! However, we aren't able to successfully sponsor visas for every role and every candidate. But if we make you an offer, we will make every reasonable effort to get you a visa, and we retain an immigration lawyer to help with this.
We encourage you to apply even if you do not believe you meet every single qualification.
Not all strong candidates will meet every single qualification as listed. Research shows that people who identify as being from underrepresented groups are more prone to experiencing imposter syndrome and doubting the strength of their candidacy, so we urge you not to exclude yourself prematurely and to submit an application if you're interested in this work. We think AI systems like the ones we're building have enormous social and ethical implications. We think this makes representation even more important, and we strive to include a range of diverse perspectives on our team.
Your safety matters to us.
To protect yourself from potential scams, remember that Anthropic recruiters only contact you from @anthropic.com email addresses. In some cases, we may partner with vetted recruiting agencies who will identify themselves as working on behalf of Anthropic. Be cautious of emails from other domains. Legitimate Anthropic recruiters will never ask for money, fees, or banking information before your first day. If you're ever unsure about a communication, don't click any links—visit
anthropic.com/careers
directly for confirmed position openings.
How we're different
We believe that the highest-impact AI research will be big science. At Anthropic we work as a single cohesive team on just a few large-scale research efforts. And we value impact — advancing our long-term goals of steerable, trustworthy AI — rather than work on smaller and more specific puzzles. We view AI research as an empirical science, which has as much in common with physics and biology as with traditional efforts in computer science. We're an extremely collaborative group, and we host frequent research discussions to ensure that we are pursuing the highest-impact work at any given time. As such, we greatly value communication skills.
The easiest way to understand our research directions is to read our recent research. This research continues many of the directions our team worked on prior to Anthropic, including: GPT-3, Circuit-Based Interpretability, Multimodal Neurons, Scaling Laws, AI & Compute, Concrete Problems in AI Safety, and Learning from Human Preferences.
Come work with us!
Anthropic is a public benefit corporation headquartered in San Francisco. We offer competitive compensation and benefits, optional equity donation matching, generous vacation and parental leave, flexible working hours, and a lovely office space in which to collaborate with colleagues.
Guidance on Candidates' AI Usage:
Learn about
our policy
for using AI in our application process.
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