Billing Strategy Lead

Summary

Join Natera as a Billing Strategy Lead and leverage your expertise in complex billing strategies to support various teams. You will conduct in-depth analysis, manage projects, and improve processes to ensure efficient operations. This role requires at least 8 years of relevant experience and a proven ability to handle complex issues and develop innovative solutions. You will utilize data analysis tools and collaborate with multiple teams. The position offers a competitive salary and a comprehensive benefits package.

Requirements

• Bachelor's Degree in business, economics, related field, or equivalent required
• Minimum of 8 years of experience in business administration, information systems, health sciences, insurance company, or healthcare billing organization
• Advanced proficiency with quantitative software programs (Microsoft Excel, Google Sheets)
• Experience presenting to a variety of stakeholders including senior management
• Basic SQL knowledge and ability to query databases
• Strong problem-solving skills, with the ability to define problems, collect and reconcile data, and validate data against source information
• Self-motivated and shows initiative in a fast-paced environment
• Committed to achieving team and organizational goals and delivering high-quality results
• Driven to continuously improve processes and outcomes
• Excellent client/customer service skills, with the ability to exceed service and quality expectations
• Strong collaboration and communication skills to work effectively with teams

Responsibilities

• Conduct complex data analysis and interpretation to support decision-making by organizational stakeholders
• Provide timely financial and business analytics, including monitoring and reporting on key performance indicators
• Analyze payer contract compliance, prior authorization, denial, and reimbursement trends
• Conduct in-depth reviews and audits to identify issues/trends and develop actionable remediation plans
• Design, execute, and evaluate improvement projects based on data-driven insights
• Develop actionable roadmaps for improving workflows and processes
• Coordinate with multiple teams for process improvement and efficiency optimization
• Monitor adherence to SOPs, SLAs, productivity, and quality standards set by leadership
• Support project management to ensure successful and timely completion
• Assist with governance and rollout of Natera SOP documentation
• Utilize tools such as Excel, Power BI, and other business intelligence tools for a wide range of analytics functions
• Comply with HIPAA/PHI privacy regulations when handling PHI and complete required training within 30 days of hire

Preferred Qualifications

• Experience with BI tools (e.g., Business Objects, Hyperion) preferred
• Provides solutions to issues in creative and effective ways
• Understands the interrelationships of different disciplines and guides the development of new policies and ideas
• Works on complex issues where analysis of situations or data requires an in-depth evaluation of variable factors
• Exercises judgment in selecting methods, evaluating, adapting complex techniques, and evaluation criteria for obtaining results
• Networks with key contacts outside their own area of expertise
• Adapts style and uses persuasion in delivering messages that relate to the wider firm business
• Frequently advises others on complex matters and may be accountable through the team for the delivery of tactical business targets

Benefits

• Comprehensive medical, dental, vision, life and disability plans for eligible employees and their dependents
• Natera employees and their immediate families receive free testing in addition to fertility care benefits
• Pregnancy and baby bonding leave
• 401k benefits
• Commuter benefits
• Generous employee referral program