Tembo Health is hiring for four clinical and clinical-product roles as it scales its virtual dementia-care platform under the CMS GUIDE model, a move that makes the company one of the few providers offering comprehensive dementia management at no out-of-pocket cost to Traditional Medicare beneficiaries. The screen favors candidates who combine hands-on dementia care experience with demonstrable fluency in the health-tech stack that makes virtual longitudinal care possible: EHR integration, remote monitoring, and caregiver-facing digital tools.
Dr. Anurag Gupta, Tembo's founder and chief executive, frames the problem the company was built to solve: a clinical model that stops at the exam-room door while the real work — managing medications, coordinating appointments, preventing crises, coaching exhausted caregivers — unfolds in living rooms nationwide. Tembo, based in New York City, operates as a nationwide provider of virtual dementia care management, delivering diagnostic evaluations, medication management, care coordination, dementia-specific therapies, and a 24/7 virtual emergency line. The company earned a spot on the DH100, a roster tracking leaders in digital health, signaling recognition that its approach sits at the intersection of clinical rigor and technology-enabled scale.
The Policy Shift That Opened the Door
In July 2024, the Centers for Medicare and Medicaid Services launched the GUIDE Model, an eight-year initiative testing whether comprehensive, coordinated dementia services can improve patient outcomes while reducing caregiver strain. Tembo joined as a participating provider, opening a pathway to serve Traditional Medicare beneficiaries at no cost. The program covers a dedicated care navigator, appointment and transportation coordination, safety upgrades, up to $2,500 annually for respite care, and round-the-clock telehealth access to physicians and specialists.
A partnership announced in August 2024 with Papa, a companionship platform founded by Andrew Parker after his own family's dementia experience, and the Benjamin Rose Institute on Aging, a Cleveland nonprofit, extended Tembo's reach into Ohio. Ben Kline, Tembo's head of growth strategy, said the move brings the company's virtual care platform to families statewide. Ohio alone accounts for an estimated 236,000 people living with dementia and another 414,000 serving as caregivers. Nationally, nearly 12 million unpaid caregivers provided roughly 19 billion hours of care in 2024, a figure that continues to climb.
Early data from CMS suggests the collaborative approach can reduce emergency room visits and hospitalizations by 16 to 30 percent compared with peers in the GUIDE program. Sustaining that performance at scale hinges on the team the company assembles next.
The Care Model and the Screen: One Architecture
Tembo's care model wraps a multidisciplinary team around each patient and caregiver: care navigators, clinical nurse practitioners, geriatric physicians, behavioral health specialists, therapists, pharmacists, and certified dementia practitioners. As Tembo scales under the CMS GUIDE program, the roles it recruits for map directly to this architecture, and the screen hunts for people who have already operated at the intersection of dementia-specific clinical workflow and the digital tools that make virtual longitudinal care possible.
Care Navigators: The Patient's First and Continuous Contact
Every patient entering Tembo's program is assigned a personal care navigator trained in dementia and complex care. The navigator serves as guide and assistant throughout the healthcare journey, coordinating across the broader care team and helping families set goals, plan next steps, and access local resources such as support communities or assisted-living facilities. Navigators also conduct monthly check-ins that include dementia education, memory exercises, and product recommendations. This role sits at that intersection of clinical coordination, caregiver support, and platform engagement — essentially the front door and ongoing relationship manager for each enrolled family. Amy House, a Certified Dementia Practitioner, Licensed Assisted Living Director, and PAC Trainer recognized in the Twin Cities as a leader in dementia care and education, exemplifies the depth of expertise Tembo expects in this function.
Clinical Nurse Practitioners and Geriatric Physicians: Medical Leadership
Tembo's care teams include a clinical nurse practitioner or geriatric physician who oversees medical decision-making, diagnosis support, and care-plan modification. Dr. Emily Lu, a family medicine physician specializing in geriatrics and dementia care, represents the physician side of this leadership. The company explicitly states it will help patients obtain a diagnosis through comprehensive assessment, ordering imaging and lab work, and working with, not against, the patient's primary care physician. Nurse practitioners and physicians function as clinical escalation points, medication reviewers, and authors of the dementia-specific care plans the GUIDE program reimburses. Their work is virtual-first but clinically rigorous, requiring comfort with telehealth workflows, remote cognitive assessment tools, and asynchronous communication with navigators and specialists.
Geriatric Psychiatry and Behavioral Health: Managing Neuropsychiatric Complexity
Dementia care routinely involves behavioral and psychological symptoms — agitation, anxiety, depression, sleep disruption — that demand specialized psychiatric oversight. Dr. Andrew Rosenzweig, an experienced geriatric psychiatrist with a specialty in dementia, anchors this capability. The care team includes a behavioral and mental health specialist alongside the psychiatrist, providing therapy, counseling, and non-pharmacologic intervention planning. This function operates in tight loop with the navigator and medical lead: the navigator surfaces behavioral changes during monthly check-ins, the psychiatrist or behavioral specialist adjusts the care plan, and the navigator implements updated strategies with the caregiver. The role demands fluency in dementia-specific psychopharmacology, caregiver coaching techniques, and the ability to document for GUIDE-compliant billing.
Pharmacy, Therapy, and Certified Dementia Practitioners: The Specialty Layer
Rounding out the core team are pharmacists who conduct medication reconciliation, deprescribing reviews, and caregiver education on high-risk drug classes; therapists (occupational, physical, speech) who deliver functional assessments and home-safety recommendations remotely; and certified dementia practitioners like Amy House who bring hands-on care-model design, PAC training, and assisted-living operations experience. These roles are embedded in the monthly check-in cadence, the GUIDE care-plan requirements, and that annual respite-care benefit coordination. A pharmacist at Tembo reviews a patient's medication list after every navigator check-in flag; a therapist might design a home-exercise program the navigator monitors via the platform.
How the Roles Fit Together Organizationally
Tembo's organizational logic is vertical by patient panel, not horizontal by discipline. A single navigator owns the longitudinal relationship for a panel of patients; the nurse practitioner or physician, psychiatrist, pharmacist, and therapists consult into that panel on a scheduled or triggered basis. Hiring prioritizes navigators who can carry a panel (the throughput driver) and specialists who can operate in a consultative, asynchronous model rather than a traditional clinic schedule. The company's DH100 recognition and its participation in the CMS GUIDE program signal that the current hiring push aims to expand panel capacity while maintaining the interdisciplinary fidelity the model requires. Candidates who understand this panel-based, navigator-led architecture and can articulate experience in at least two of the clinical disciplines above will align with the structure the research reveals.
Inside the Screen: What Survives the First Cut
Tembo's public positioning — DH100 recognition, a virtual dementia-care platform that extends primary-care offices, 24/7 urgent access to ER physicians, and up to $2,500 in caregiver support — makes the first-pass filter predictable.
Clinical credentials that signal readiness. The company describes itself as "an extension of the PCP office to complement their care" and emphasizes "comprehensive assessment and ordering the necessary imaging and lab work." That language signals two non-negotiable clinical markers on a resume:
Dementia-specific care delivery: not just geriatrics or neurology broadly. Screeners look for documented experience conducting cognitive assessments (MoCA, SLUMS, AD8), managing behavioral and psychological symptoms of dementia (BPSD), and coordinating the imaging/lab workup that leads to a formal diagnosis. A candidate who lists "memory-care unit experience" without naming the assessment tools they used will likely stall.
Interdisciplinary care-plan authorship: Tembo's model relies on nurse practitioners, social workers, and physicians co-managing patients virtually. The screen favors applicants who have written or contributed to care plans spanning medication reconciliation, caregiver education, advance-care planning, and community-resource linkage. Bullet points that read "collaborated with neurologists" are weaker than "co-authored 200-plus dementia care plans integrating pharmacy, PT/OT, and adult-day referrals."
Digital-health fluency that isn't optional. Because the platform delivers 24/7 urgent care with licensed ER doctors and ongoing virtual support, the screen treats certain technical competencies as baseline, not bonus:
EMR integration experience: specifically Epic, Cerner, or Athenahealth. Tembo's "extension of the PCP office" claim only works if data flows bidirectionally. Candidates who have configured SmartPhrases, built dementia-specific order sets, or mapped FHIR resources for cognitive-assessment scores move faster.
Remote patient monitoring and telehealth platforms: familiarity with HIPAA-compliant video (Doxy.me, Amwell, custom WebRTC), device data ingestion (weight scales, BP cuffs, sleep trackers), and asynchronous messaging workflows. The screen flags keywords like "RPM billing codes (99453/99454/99457/99458)," "telehealth parity compliance," and "digital therapeutic adjuncts."
Caregiver-facing technology: the $2,500 caregiver-support benefit implies a portal or app where families track education modules, respite scheduling, and crisis-escalation paths. Resumes that mention designing or administering caregiver-facing dashboards, chatbots for BPSD coaching, or multilingual content libraries score higher.
Keywords that act as green lights. Based on the company's stated model, "work with them, not against them, to support and cover gaps related to dementia and complex care," the following terms appear repeatedly in job descriptions and likely in the applicant-tracking system's scoring rules:
| Category | High-signal keywords |
|---|---|
| Clinical | MoCA, SLUMS, GDS-15, NPI-Q, BPSD management, Lewy body, frontotemporal, vascular dementia, antipsychotic stewardship, deprescribing |
| Operational | interdisciplinary team (IDT), care coordination, transitions of care, CMS GUIDE model, CPT 99483/99484, value-based contracts, risk adjustment |
| Technical | FHIR, HL7, CDS Hooks, SMART on FHIR, RPM billing, telehealth parity, HIPAA BAAs, SOC 2, API integration, EHR-agnostic |
| Caregiver | caregiver burden scale (Zarit), respite coordination, advance directive facilitation, health literacy design, multilingual support |
A resume that clusters three or more of these in a single role description, "Led IDT for 120-patient dementia panel; built Epic SmartSet for CPT 99483; integrated RPM vitals via FHIR; launched caregiver portal in Spanish and English," passes the screen. One that spreads them across unrelated roles does not.
The "extension of PCP" litmus test. Tembo's phrasing about working with, not against, them reveals a cultural filter. Screeners deprioritize candidates whose language frames specialists or health systems as adversaries ("fought for prior auth," "bypassed gatekeepers"). They prioritize language showing partnership: "co-managed with PCPs," "shared care plans via interoperable summary," "reduced ED utilization through proactive outreach." That distinction reflects whether the applicant can operate inside Tembo's collaborative model rather than replicating the fragmented system the platform exists to fix.
What the screen does not reward. General "digital health" buzzwords, "AI-driven," "patient engagement," "population health," without dementia-specific anchoring are treated as noise. So are pure clinical resumes lacking any EMR configuration, telehealth workflow, or data-analysis experience. The screen explicitly selects for the hybrid profile the company's roadmap demands: clinicians who can ship product feedback, and product people who understand that clinical gravity of a missed Lewy body diagnosis.
The Market Forces Driving This Hiring
The demographic trajectory is blunt. The U.S. population aged 65 and older is projected to nearly double from 55 million in 2020 to 94 million by 2060. The Alzheimer's dementia population is on track to follow — 6.5 million in 2022, rising to 13.8 million by 2060, according to the Alzheimer's Association. Direct medical costs for Alzheimer's and related dementias already hit $196 billion in 2020, with another $254 billion in unpaid caregiver time consumed. Alzheimer's Association's figures put those direct costs at $1.4 trillion by 2060.
That tsunami is colliding with a fragmenting care system. Research published in JAMA Network Open found the average U.S. physician coordinates with 229 other providers across their patient panel; another study put the figure at 187 physicians per 100 Medicare patients. Between 20 and 25 percent of 30-day readmissions occur at a different hospital than the index admission, and those fragmented readmissions carry longer stays and higher odds of subsequent admission. When hospitals share a health-information exchange, in-hospital mortality drops nearly 40 percent — yet only 13 percent of respondents strongly agreed they could access advance directives through an HIE.
Investors have noticed. The Global Neuroscience Market was valued at $612 billion in 2022, with 73 percent derived from non-drug therapies, per Deloitte. The overall market grows modestly, 4.2 percent CAGR to $721 billion by 2026, but the digital health segment inside it is expanding at 27.8 percent CAGR, from under $4 billion to $9.6 billion in the same window. Molecular diagnostics, another digital-adjacent slice, grows at 17 percent to $2.6 billion. Average deal sizes in digital health jumped from $31.5 million in 2020 to $45.9 million in 2021, and total investment value compounded at roughly 30 percent annually from 2015 to 2020. The COVID-19 lockdowns accelerated telehealth adoption, and Deloitte notes an increasing number of co-development and commercialization partnerships between pharmaceutical companies and digital health players in neuroscience.
What this means for talent is specific: startups building virtual dementia platforms need clinicians who speak product, and product people who understand the clinical workflow of a memory-care visit. The hybrid profile is scarce. AI-focused startups now scale from $1 million to $30 million in revenue five times faster than SaaS companies did, and the knowledge half-life in AI has shrunk to months. Only 1 percent of IT leaders surveyed by Deloitte reported no major operating-model changes underway. Companies like Tembo are hiring into that velocity — roles that didn't exist three years ago, requiring fluency in remote monitoring, asynchronous messaging, and the regulatory contours of dementia-specific billing codes.
The screen favors candidates who have already navigated that intersection.
What These Hires Unlock
The four hires Tembo Health is pursuing sit at the intersection of its two core constraints: clinical capacity to serve Medicare-eligible patients through the GUIDE program, and technical capacity to keep the virtual layer from becoming a bottleneck. The company's care model assigns every patient a personal dementia-trained care navigator who coordinates an interdisciplinary team (geriatric physician, nurse practitioner, behavioral health specialist, therapist, pharmacist) and acts as an extension of the patient's primary care office. Scaling that model means adding licensed clinicians who can operate inside a virtual-first workflow, not just clinicians who tolerate video visits.
The GUIDE program changes the economics. Because services are free for patients on Traditional Medicare who live at home or in assisted living, demand is gated by clinical supply, not patient willingness to pay. Each new clinician who can conduct comprehensive assessments, order imaging and labs, and manage neurocognitive conditions across stages (Alzheimer's, related dementias, depression, anxiety) directly unlocks reimbursed slots. That annual respite-care reimbursement that GUIDE enables for caregivers is only realizable if a navigator has bandwidth to coordinate it. Hiring here is revenue-enabled capacity expansion, not speculative headcount.
The 24/7 urgent-care line staffed by licensed ER doctors illustrates the operational ceiling. That line exists because dementia crises (falls, agitation, medication reactions) don't keep business hours. Adding clinicians who can triage virtually, adjust prescriptions in real time, and decide when an ER visit is actually necessary reduces avoidable hospitalizations. That metric matters to CMS and to the health systems Tembo partners with. The product roadmap therefore prioritizes tooling that lets a part-time ER physician cover more patients safely: structured intake forms, integrated medication reconciliation, escalation pathways that don't require a synchronous hand-off every time.
On the navigator side, the platform must absorb routine tasks (memory-exercise delivery, local-resource matching, monthly check-in scheduling) so the human navigator spends time on high-variance decisions: care-plan adjustments, family mediation, facility transitions. The hires most likely include a product-minded clinician who can translate navigator workflows into software requirements, and a technical lead who can build the automation without breaking clinical safety. That blend is what the screen selects for: someone who has sat with a family choosing a memory-care unit and also knows why a FHIR integration failed.
Tembo's stated commitment to working with, not replacing, the PCP adds another constraint. The virtual service must push structured summaries, medication changes, and behavioral-health notes back into the PCP's EHR without creating alert fatigue. Each hire who understands both the geriatric workflow and the integration layer reduces the custom engineering required per new partner practice. That compounds: the tenth practice onboards faster than the first.
If the four roles fill as designed, two clinical, one clinical-product, one platform, Tembo moves from a high-touch service that happens to use video to a platform where the clinical model and the software model reinforce each other. The DH100 recognition signals the market sees that trajectory. The next test is whether the hires can ship the automation that lets each navigator carry a larger panel without the care feeling thinner — the same test that opened this story: whether technology can extend the clinic into the living room without losing the clinician at the kitchen table.
Working in frontier tech? Zero G Talent tracks the openings: see every open ASML role, browse frontier tech jobs, openings at Stripe, and the people building the field.