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Manager, Prior Authorization Strategy & Policy Advocacy

US Remote

Job Title: Manager, Prior Authorization Strategy & Policy Advocacy

About Natera:

Natera is a global leader in cell-free DNA testing, dedicated to advancing personalized healthcare through innovative genetic testing solutions. Our tests provide critical insights in oncology, reproductive health, and organ transplantation, helping patients and providers make informed decisions.

Position Summary:

Natera is seeking a Manager, Prior Authorization Strategy & Policy Advocacy to lead a team responsible for monitoring payer policies, optimizing prior authorization (PA) processes, and ensuring seamless cross-functional communication. This role will oversee policy advocacy efforts, create job aids, and refine system configurations to enhance reimbursement efficiency. The ideal candidate will have strong data analysis skills, experience with payer interactions, and expertise in tools such as PowerBI, Tableau, and Business Objects.

Key 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.

Qualifications:

  • Bachelor's degree in healthcare administration, business, data analytics, or a related field (Master’s preferred). Equivalent years of relevant experience will be considered.
  • 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.

 

 

#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.

Austin, TX

$95,000 - $120,000 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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