Senior Billing Strategy Lead
Remote
The Senior 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 …
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Benefits/Perks401k benefits Commuter benefits Competitive Competitive benefits Comprehensive medical Dental Employee Referral Program Fertility care Fertility care benefits Free testing Innovative solutions Life and disability plans Pregnancy and baby bonding leave Vision
Tasks- Analysis
- Conduct audits
- Conduct data analysis
- Coordinate with teams
- Data Analysis
- Develop roadmaps
- Monitor key performance indicators
- Process Improvement
- Project management
- Support project management
Analytics Billing BI Tools Business Intelligence Business Objects Collection Communication Compliance Customer service Data analysis Databases Design Documentation Excel Financial analytics Genetics Genetic Testing Google Google Sheets Healthcare Healthcare Billing HIPAA HIPAA/PHI Privacy Hyperion Leadership Management Microsoft Excel Oncology Operations Organizational Orientation PHI Privacy Power BI Prior authorization Problem-solving Process Improvement Project Management Reimbursement SOPS SQL Training
Experience8 years
EducationBachelor's Bachelor's degree Bachelor's degree in Business Business Business Administration Economics Finance Genetics Healthcare Information Systems Marketing Oncology Related Field Software
Certifications