Payor Performance Analyst

US Remote

Job Title: Payer Performance Analyst

Company Overview: Natera, Inc. is a global leader in cell-free DNA (cfDNA) testing, specializing in oncology, women's health, and organ health. Founded in 2004 and headquartered in Austin, Texas, Natera is dedicated to making personalized genetic testing and diagnostics a standard of care, enabling earlier and more targeted interventions to improve patient outcomes. With over 250 peer-reviewed publications and more than 10 million tests processed in CAP/CLIA-certified labs, Natera continues to advance molecular diagnostics with scientific rigor and integrity.

You can read more about us at natera.com

Job Summary: We are seeking a highly analytical and detail-oriented Payer Performance Analyst to evaluate payer performance, analyze reimbursement trends, and identify opportunities to enhance revenue optimization. This role will support cross-functional teams by providing data-driven insights, developing reports and dashboards, and implementing strategies to improve reimbursement efficiency while ensuring compliance with payer policies and regulations.

Key Responsibilities:

  • Develop presentations and analytical reports for Finance, Billing, Market Access, Product Leads, and other teams as needed.
  • Identify functions and barriers affecting ASP (Average Sales Price) and revenue, including trends, opportunities, and risks across all payers and products.
  • Compare payer reimbursement patterns based on medical policies, contract language, authorization requirements, and patient benefits.
  • Research complex benefits and insurance verification using internal and external systems and portals.
  • Investigate payer literature, regulations, and state statutes to stay current on reimbursement indicators, laws, and other requirements.
  • Develop and implement strategies to improve reimbursement rates and reduce denials for assigned payers based on data analysis and trends.
  • Identify areas for process improvements, automation, and operational efficiencies to optimize payer performance.
  • Create management reports, dashboards, and data visualizations to support decision-making and performance tracking.
  • Lead and support projects, initiatives, and change management efforts related to payer performance and revenue cycle optimization.
  • Conduct in-depth trend analysis, forecasting, sensitivity analysis, and "what-if" scenario evaluations.
  • Partner with internal cross-functional teams to manage multiple product-related projects and initiatives.
  • Present analysis, insights, financial risks, and strategic recommendations to key stakeholders.
  • Analyze operational, financial, and production data to assess payer behaviors and optimize reimbursement processes.
  • Ensure data integrity and implement best practices for business process data management.
  • Utilize business intelligence solutions to highlight strengths, opportunities, and performance improvement areas.
  • Analyze large structured and unstructured datasets to extract meaningful insights and collaborate with business partners on data-driven solutions.
  • Participate in weekly meetings to review key metrics, workflows, trends, payer performance improvement strategies, and opportunities.
  • Maintain compliance with PHI (Protected Health Information) regulations while working with sensitive data in both paper and electronic formats.

Qualifications:

  • Bachelor's degree in Finance, Business, Healthcare Administration, Data Analytics, or a related field.
  • 3+ years of experience in payer analytics, revenue cycle management, or healthcare finance.
  • Strong analytical and problem-solving skills with experience in data analysis and business intelligence tools (Excel, SQL, Tableau, Power BI, etc.).
  • Deep understanding of payer reimbursement methodologies, insurance verification, and claims processing.
  • Experience with healthcare regulatory compliance, medical policies, and payer contract analysis.
  • Ability to manage multiple projects simultaneously and collaborate with cross-functional teams.
  • Excellent communication and presentation skills with the ability to convey complex financial and operational insights to stakeholders.
  • Strong attention to detail and ability to work independently in a fast-paced environment.

Preferred Qualifications:

  • Experience with healthcare reimbursement systems and payer negotiations.
  • Knowledge of federal and state healthcare regulations, including Medicare and Medicaid policies.
  • Familiarity with revenue cycle management (RCM) systems and electronic health records (EHR).

 

If you thrive in a data-driven environment and are passionate about optimizing payer performance and financial outcomes, we encourage you to apply!

 

 

#LI-AB1

 

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.

San Carlos, CA

$69,900 - $90,000 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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