Tennr (YC W23)

Pharmacist

• Review the model’s outputs to improve criteria determinations
• Flag incorrect determinations, including false positives, false negatives, and unclear logic, with structured feedback
• Compare documentation against Medicare, Medicaid, and commercial payer coverage policies
• Analyze source materials (insurance policies, LCDs, etc.) to help validate qualification logic
• Work closely with internal teams to refine prompting logic and improve documentation review standards
• Maintain clear documentation of findings and contribute to process improvements

Infusions and Specialty Pharmacy Reviewer