Manager, Prior Authorization Strategy & Policy Advocacy

Summary

Join Natera as a Manager, Prior Authorization Strategy & Policy Advocacy and lead a team focused on optimizing prior authorization processes and advocating for payer policies. You will oversee the creation of job aids and system configurations, ensuring seamless cross-functional communication. This role requires strong data analysis skills, experience with payer interactions, and expertise in tools like PowerBI and Tableau. You will collaborate with payers, analyze data to identify trends, and drive process improvements. The ideal candidate possesses a Bachelor's degree (Master's preferred) in a related field and proven experience in prior authorization operations and payer policy analysis. Natera offers competitive benefits, including comprehensive medical, dental, vision, life, and disability plans.

Requirements

• Bachelor's degree in healthcare administration, business, data analytics, or a related field (Master’s preferred)
• Proven experience in prior authorization operations, payer policy analysis, and healthcare claims reimbursement
• Strong data analysis skills with proficiency in Excel (advanced functions), PowerBI, and preferably Tableau or Business Objects
• Experience in project management and process optimization
• Excellent communication skills, with the ability to collaborate across teams and advocate for policy improvements
• Knowledge of payer requirements, reimbursement guidelines, and prior authorization workflows in the healthcare industry

Responsibilities

• Lead and mentor a team focused on advocacy for payer policies and prior authorization requirements
• Oversee the creation of job aids and system configurations to improve PA workflows and reimbursement outcomes
• Serve as the communication hub for PA-related functions across internal teams, ensuring alignment with operational and strategic goals
• Work closely with the strategy analyst to track policy changes, analyze current configurations, and develop data-driven strategies for optimization
• Conduct in-depth data analysis to assess PA trends, payer policies, and workflow efficiency, leveraging advanced Excel, PowerBI, Tableau, or Business Objects
• Collaborate with payers to address prior authorization requirements and streamline processes for improved claims reimbursement
• Drive process improvements through project management methodologies and data-backed insights

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