Credentialing Analyst

 

Job Summary

The Credentialing Analyst (Sr Market Access Analyst) supports the Credentialing Team by managing day-to-day Credentialing workflows and leading data analysis projects. This role partners with Credentialing Leadership to identify workflow gaps, track performance metrics, and develop reporting for cross-functional stakeholders on the status of payor enrollment and credentialing activities.

 

Key Responsibilities

Workflow & Process Improvement

• Conduct routine audits of Monday.com task boards to surface performance trends and workflow gaps for leadership review.

• Partner with the Credentialing Team to develop and maintain workflow Standard Operating Procedures (SOPs) for leadership review and approval.

• Triage incoming chatbot inquiries and escalate to the appropriate Credentialing team member in a timely manner.

• Track and log incoming mail correspondence into the appropriate Monday.com project boards.

• Monitor shared credentialing inboxes (credentialing@natera.com, medicaidprovider@natera.com, commercialprovider@natera.com) and create corresponding tasks in Monday.com, ensuring accurate routing and timely follow-up.

• Manage credentialing request form intake and route submissions to the appropriate Government or Commercial workflow queues.

Data Analysis & Reporting

• Analyze dashboards to identify trends in claim volume and reimbursement, and provide actionable insights to support payer credentialing prioritization decisions.

• Develop and distribute reporting for cross-functional teams on the status of payer enrollment and credentialing activities.

Qualifications

Education

• Bachelor's degree in Business Administration, Healthcare Administration, or a related field; equivalent work experience will be considered.

Experience

• 5 plus years of experience in healthcare credentialing healthcare, credentialing, payer enrollment, or revenue cycle experience preferred.

• Demonstrated experience with workflow management, process documentation, and cross-functional collaboration.

• Proven track record of producing accurate and actionable data analysis.

• undefined

Core Competencies

• Exceptional problem-solving skills with the ability to think strategically and execute operational initiatives.

• Strong written and verbal communication skills, with the ability to effectively manage cross-functional relationships.

• High attention to detail and organizational skills with the ability to manage multiple priorities in a fast-paced environment.

• Self-directed and proactive, with a continuous improvement mindset.

• undefined

Technical Proficiency

• Microsoft Office Suite (Word, Excel, PowerPoint, Outlook)

• Google Workspace (Docs, Sheets, Drive, Gmail)

• Power BI or equivalent business intelligence/data visualization tools

• Project management platforms (Monday.com, Smartsheet, or equivalent)

• Familiarity with AI productivity tools (e.g., Claude AI) a plus

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