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Billing Strategy Lead

Job Summary:
The Billing Strategy Lead at Natera will leverage advanced professional knowledge and expertise in complex billing strategies to support finance, billing, market access, product, and marketing teams. This role involves performing in-depth analysis, managing projects, and improving processes to ensure efficient operations and adherence to organizational goals. The ideal candidate has at least 8 years of related experience and a proven ability to handle complex issues, provide innovative solutions, and guide the development of new policies.
Primary 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.
Qualifications:
•    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.
•    Experience with BI tools (e.g., Business Objects, Hyperion) preferred.
•    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.
Knowledge, Skills, and Abilities:
•    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.

The pay range is listed and actual compensation packages are based on a wide array of factors unique to each candidate, including but not limited to skill set, years & depth of experience, certifications and specific office location. This may differ in other locations due to cost of labor considerations.

Remote USA

$114,400 - $143,000 USD

OUR OPPORTUNITY

Natera™ is a global leader in cell-free DNA (cfDNA) testing, dedicated to oncology, women’s health, and organ health. Our aim is to make personalized genetic testing and diagnostics part of the standard of care to protect health and enable earlier and more targeted interventions that lead to longer, healthier lives.

The Natera team consists of highly dedicated statisticians, geneticists, doctors, laboratory scientists, business professionals, software engineers and many other professionals from world-class institutions, who care deeply for our work and each other. When you join Natera, you’ll work hard and grow quickly. Working alongside the elite of the industry, you’ll be stretched and challenged, and take pride in being part of a company that is changing the landscape of genetic disease management.

WHAT WE OFFER

Competitive Benefits - Employee benefits include comprehensive medical, dental, vision, life and disability plans for eligible employees and their dependents. Additionally, Natera employees and their immediate families receive free testing in addition to fertility care benefits. Other benefits include pregnancy and baby bonding leave, 401k benefits, commuter benefits and much more. We also offer a generous employee referral program!

For more information, visit www.natera.com.

Natera is proud to be an Equal Opportunity Employer. We are committed to ensuring a diverse and inclusive workplace environment, and welcome people of different backgrounds, experiences, abilities and perspectives. Inclusive collaboration benefits our employees, our community and our patients, and is critical to our mission of changing the management of disease worldwide.

All qualified applicants are encouraged to apply, and will be considered without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, age, veteran status, disability or any other legally protected status. We also consider qualified applicants regardless of criminal histories, consistent with applicable laws.

If you are based in California, we encourage you to read this important information for California residents. 

Link: https://www.natera.com/notice-of-data-collection-california-residents/

Please be advised that Natera will reach out to candidates with a @natera.com email domain ONLY. Email communications from all other domain names are not from Natera or its employees and are fraudulent. Natera does not request interviews via text messages and does not ask for personal information until a candidate has engaged with the company and has spoken to a recruiter and the hiring team. Natera takes cyber crimes seriously, and will collaborate with law enforcement authorities to prosecute any related cyber crimes.

For more information:
- BBB announcement on job scams 
- FBI Cyber Crime resource page 

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