Lead Billing Strategy & Systems Analyst

Summary

Join Natera as a Billing Strategy & Systems Analyst and play a critical role in driving strategic initiatives and operational insights across Revenue Cycle Management (RCM). As a subject matter expert in healthcare billing, you will bridge data, process, and leadership, translating operational needs into effective billing strategies. You will be deeply involved in data analytics, claims auditing, billing system configurations, and reporting. You will optimize workflows, introduce new technologies, and lead configuration efforts for systems like AdvancedMD, Salesforce, and EMRs. This role requires a dynamic, self-directed expert who thrives in a fast-paced environment and enjoys solving complex problems impacting the claims lifecycle. The position offers competitive benefits, including comprehensive medical, dental, vision, life and disability plans, free testing for employees and their families, fertility care benefits, and paid parental leave.

Requirements

• Bachelor's degree in Business, Health Informatics, Data Science, or related field (Master’s preferred)
• Minimum 8 years of experience in healthcare billing, RCM operations, or payer strategy—ideally with lab billing experience
• Expert-level knowledge of SQL, Snowflake, Excel, and Power BI (including dashboard development)
• Proven ability to create clean, compelling presentations and data visualizations for executive audiences
• Ideally will have hands-on experience with AdvancedMD, Salesforce, EMRs, and payer portals
• Strong understanding of eligibility workflows, pre-access, payer policy, denial management, and claims adjudication
• Experience with billing system configuration, vendor vetting, and automating claims processes
• Familiarity with FrontRunnerHC, EDI automation, and healthcare tech integration best practices

Responsibilities

• Write advanced SQL queries and work within Snowflake to pull, analyze, and interpret data from multiple sources for ad hoc and recurring requests
• Conduct complex data analyses across claim volumes to identify trends, pain points, and improvement opportunities
• Create custom dashboards and automated reporting in Power BI and Excel to provide live insights to stakeholders
• Develop and deliver executive-level presentation decks to communicate findings, operational KPIs, and recommendations to leadership
• Perform audits in systems like AdvancedMD and Salesforce to connect SOPs and workflows to real-world data behavior
• Identify workflow gaps and recommend improvements based on system configurations, audit results, and reimbursement outcomes
• Act as a strategic partner to leadership by “telling the story” through data — bridging operations and data insights to guide decision-making
• Serve as the internal SME on RCM processes, particularly around eligibility, pre-registration, pre-access, payer policy, and reimbursement requirements
• Ensure billing workflows are set up to yield clean claims on the front end and maximize reimbursement on the back end
• Interpret payer contracts, manage denial trends, and develop strategies to increase collection efficiency and reduce rework
• Lead billing system configuration efforts and support the setup of new processes and workflows within various systems, tools and portals
• Vet and implement new vendors and tools (e.g., claim scrubbing, FrontRunnerHC) to support automated claim processes and data quality
• Conduct QA and QC reviews of configuration changes, claim logic, and EMR setups to ensure billing accuracy
• Assist with the implementation and optimization of EDI processes (e.g., 271 eligibility responses)

Preferred Qualifications

• Strong analytical, organizational, and communication skills
• Curious, tech-savvy, and driven to constantly improve systems and workflows
• Comfortable with fast-paced environments and high-impact executive deliverables
• Collaborative mindset, able to influence cross-functional teams and lead from both a strategic and tactical level

Benefits

• Comprehensive medical, dental, vision, life and disability plans for eligible employees and their dependents
• Free testing in addition to fertility care benefits
• Pregnancy and baby bonding leave
• 401k benefits
• Commuter benefits
• A generous employee referral program