---
title: 'Senior IT Systems Engineer at Tennr'
canonical: 'https://feeny.ai/job/senior-it-systems-engineer-tennr-new-york-91p7pkz49ms1'
type: 'job'
last_seen: '2026-11-12'
---

# Senior IT Systems Engineer at Tennr

- **Company:** Tennr
- **Location:** New York, NY
- **Compensation:** $135k–$155k
- **Employment:** full-time
- **Posted:** 2026-11-12
- **Last confirmed live:** 2026-11-12
- **Apply:** https://jobs.ashbyhq.com/tennr/b888c69f-2bce-4231-82af-3d55a36ac244

## Job description

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

As a Senior IT Systems Engineer, you'll help improve and automate the internal processes that keep Tennr running. Partnering with our Head of Security and teams across the company, you'll identify opportunities, set technical direction, and own improvements from discovery through rollout and ongoing operation. Success means less manual work, more reliable systems, and a better employee experience as Tennr grows.

## Responsibilities

- Own the IT improvement roadmap, assessing current workflows and prioritizing automation based on employee impact, effort, reliability, and security.
- Design and maintain scripts and API integrations across identity, devices, and SaaS applications, with testing, monitoring, exception handling, and recovery built in.
- Automate onboarding, role changes, offboarding, and access requests with People Operations and team leads, maintaining clear approvals and least-privilege access.
- Improve device lifecycle management through automated enrollment, software deployment, patching, and configuration checks.
- Turn recurring support issues into lasting process improvements and self-service workflows while keeping employee and office technology reliable.
- Set technical standards for IT automation, documentation, and change management, and lead adoption across People Operations, Finance, Security, and other teams.
- Partner with Security on IT controls, automated compliance evidence, and incident response involving employee accounts, endpoints, and SaaS applications.
- Drive projects independently from conception to completion and measure results through time saved, faster turnaround, fewer errors, and reduced recurring ticket volume.

Candidate Questions

- 6+ years in IT systems engineering, systems administration, or a similar role, with a track record of improving existing processes and delivering useful automation.
- Hands-on experience administering identity providers and SaaS applications, including SSO, MFA, SAML/OIDC, and SCIM provisioning.
- Familiarity with AI systems and agents used in internal workflows, including managing non-human identities, service accounts, credentials, and permissions with least-privilege access and clear ownership.
- Strong experience managing macOS devices and mobile device management platforms, including deployment, patching, encryption, and endpoint troubleshooting.
- Strong scripting skills in Python, Bash, or PowerShell, with experience designing and operating API integrations and automation, including authentication, testing, monitoring, exception handling, and recovery.
- Solid networking fundamentals, including DNS, DHCP, Wi-Fi, VPNs, and troubleshooting office connectivity.
- A track record of independently leading improvements across multiple IT systems, with measurable reductions in manual effort, errors, or turnaround time.
- Practical security judgment: you understand least privilege, endpoint protection, and how to implement controls without creating unnecessary friction.
- Ability to evaluate technical tradeoffs, set direction, and lead projects from discovery through adoption with minimal guidance, communicating clearly across technical and business teams.
- Experience supporting a healthcare or regulated environment, or contributing evidence to SOC 2 or HIPAA programs, 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 4 days/week
- Free lunch! Plus a pantry full of snacks.

## Benefits

- Beautiful new office at 345 Hudson Street
- Unlimited PTO
- 100% paid employee health benefit options
- Employer funded 401(k) match
- Competitive parental leave

## About Tennr

## Company Overview
- **One-liner**: Tennr is an agentic patient orchestration platform that automates complex healthcare workflows—from document intake and prior authorization to patient routing—to eliminate care delays and reduce denials.
- **Entity Type**: Private (Series C)
- **Headquarters**: New York, New York, United States
- **Founded**: 2021
- **Founders**: Not publicly available

## Core Business
- **Primary industry**: Healthcare IT / Healthcare Operations
- **Target customers**: B2B – healthcare providers (hospitals, health systems, independent practices, specialty clinics)
- **Mission / purpose**: “Eliminate patient care delays across the U.S. healthcare system” – [tennr.com](https://www.tennr.com/)

## Products & Services
- **Document Wrangling**: Automates classification, routing, and extraction of unstructured documents (referrals, clinical notes, insurance forms, letters of medical necessity) from fax, portal, or internal orders. – [tennr.com](https://www.tennr.com/)
- **Intelligent Insurance Decisioning**: Checks eligibility, investigates benefits, submits and tracks prior authorizations against payer criteria. – [tennr.com](https://www.tennr.com/)
- **Patient Flow Orchestration**: Real-time control tower showing stuck patients, prioritizes work, and automatically updates charts and orders to keep patients moving through care journeys. – [tennr.com](https://www.tennr.com/)
- **Care Coordination & Closing the Loop**: Automatically requests missing documentation from the right party and tracks it through completion. – [tennr.com](https://www.tennr.com/)

## Market Standing
- **Valuation**: Not disclosed
- **Total Funding**: $159.75 M (per [cbinsights.com](https://www.cbinsights.com/company/tennr)) / $161.3 M (per [linkedin.com](https://www.linkedin.com/company/tennrai)) – conflicting reports
- **Latest Round**: Series C ($101 M raised ~1 year ago) – [cbinsights.com](https://www.cbinsights.com/company/tennr)
- **Notable Investors**: Foundation Capital, Andreessen Horowitz, Lightspeed, Frank Slootman, Institutional Venture Partners, and 10 others – [cbinsights.com](https://www.cbinsights.com/company/tennr)
- **Growth Signals**:
  - Headcount grew 148.7% YoY to 239 employees (monthly growth +4.6%) – [linkedin.com](https://www.linkedin.com/company/tennrai)
  - Processed over 10 M patients in 2025 – [tennr.com/careers](https://www.tennr.com/careers)
  - Named to Cloud 100 Rising Stars 2024, CB Insights Digital Health 50 2024, and Top 40 Private Companies 2024 – [tennr.com/careers](https://www.tennr.com/careers)

## Competitive Advantages
- **Proprietary vision-language models** trained on the largest dataset of service-to-payer criteria mappings, enabling policy-grade decisioning at scale.
- **End-to-end automation** that handles the entire patient journey from intake through authorization and scheduling, reducing manual touch points and first-pass denials.
- **Real-time visibility** into operational bottlenecks across referrals, consults, diagnostics, and authorizations.

## Strategic Focus
- **Patient flow optimization**: Intelligently route patients to the right care setting while eliminating delays.
- **Denial prevention**: Automate payer criteria checks to slash first-pass denials.
- **Care coordination**: Close loops on missing documentation and automate follow-ups with patients, providers, and payers.
- **Scale**: Expand platform to handle millions of care pathways per month across national networks and independent providers.

## Why Work Here
- **Culture**: “Problem Obsessed,” “Confrontation” (face hard truths directly), “Courage,” “Conviction,” “Clarity,” and “Cowboy” (set the pace, do instead of talk) – [tennr.com/careers](https://www.tennr.com/careers)
- **Work model**: In-person culture (HQ in New York, NY)
- **Benefits**: Meaningful equity, competitive salary, 401k matching, unlimited PTO, free lunch (and a pantry with “a strangely wide array of puffed corn snacks”) – [tennr.com/careers](https://www.tennr.com/careers)
- **Engineering culture**: Fast-paced, data-driven, with proprietary AI/ML models; open roles include Backend Software Engineer, Staff Product Engineer, Staff Backend Software Engineer, and Product Manager – [jobs.ashbyhq.com](https://jobs.ashbyhq.com/tennr)
- **Recognition**: Listed as one of the “50 Most Promising Startups 2024” and other industry accolades – [tennr.com/careers](https://www.tennr.com/careers)

## Sources
1. [tennr.com](https://www.tennr.com/)
2. [tennr.com/careers](https://www.tennr.com/careers)
3. [cbinsights.com](https://www.cbinsights.com/company/tennr)
4. [linkedin.com](https://www.linkedin.com/company/tennrai)
5. [jobs.ashbyhq.com](https://jobs.ashbyhq.com/tennr)

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- [Accounting Manager](https://feeny.ai/job/accounting-manager-tennr-new-york-by6bh1hq1te3) — New York, NY
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