Manager - Prior Authorization Strategy & Policy Advocacy

March 19

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Natera

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Natera is a global leader in cell-free DNA testing technology, specializing in non-invasive genetic testing and diagnostics. The company's innovative solutions focus on areas such as prenatal screening, cancer detection, and organ transplant monitoring. By using advanced bioinformatics and DNA analysis, Natera provides healthcare professionals and patients with critical information to make more informed medical decisions.

Non-Invasive Prenatal Testing (NIPT) • Single gene diseases • Preimplantation Genetic Screening (PGS)/Diagnosis (PGD) • Biopsy training • Multi-Disease Carrier Screening

1001 - 5000 employees

Founded 2004

🧬 Biotechnology

⚕️ Healthcare Insurance

💊 Pharmaceuticals

📋 Description

• 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 and develop data-driven strategies for optimization. • Conduct in-depth data analysis to assess PA trends, payer policies, and workflow efficiency. • 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.

🎯 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.

🏖️ Benefits

• Comprehensive medical, dental, vision, life and disability plans for eligible employees and their dependents. • Free testing for employees and their immediate families. • Fertility care benefits. • Pregnancy and baby bonding leave. • 401k benefits. • Commuter benefits. • Generous employee referral program.