Natera logo
Natera

Founded in 2004 and led by CEO Steve Chapman, Natera is a company in the biotechnology market that offers genetic testing and diagnostics on a global scale. Ope

Business Systems Analyst – Prior Authorization Technology

Location

United States

Posted

5 days ago

Salary

$85.1K - $106.4K / year

Seniority

Senior

Bachelor DegreeEnglishSQL

Job Description

Business Systems Analyst – Prior Authorization Technology

Natera

• Serve as a liaison between Prior Authorization operations, engineering teams, automation vendors, and other cross-functional partners to support technology-driven initiatives. • Gather, clarify, and document business requirements for system enhancements, workflow changes, automation opportunities, and new functionality requests. • Partner with PA operational leaders and frontline subject matter experts to understand current workflows, pain points, process gaps, and desired future-state solutions. • Translate operational needs into clear, actionable requirements for technical teams, while also translating technical updates and constraints back into operationally understandable language. • Develop and maintain process maps, workflow diagrams, decision trees, and “if/then” visualizations to document current and future-state workflows. • Evaluate enhancement requests to determine whether existing solutions already exist, whether the request is operationally necessary, and whether the proposed solution is scalable and sustainable. • Assess upstream and downstream impact of technology changes across Prior Authorization functions, including submissions, decisions, cancellations, appeals, follow-up, and related workflows. • Support prioritization, intake, and vetting of technology requests to reduce ad hoc or incomplete requests going directly from operations to engineering. • Create and manage clear documentation around business requirements, process decisions, meeting notes, open questions, risks, dependencies, and next steps. • Submit, review, and track Jira tickets related to PA technology initiatives, including monitoring ticket status and communicating updates to stakeholders. • Support user acceptance testing, workflow validation, issue identification, and bug reporting prior to implementation or go-live. • Conduct live troubleshooting if system issues occur or processes stop working properly. • Partner with technical teams to ensure builds align with the original problem statement and intended operational outcome. • Communicate finalized process or system updates to impacted teams and support training, adoption, and change management efforts. • Collaborate with analysts assigned to other PA technology products to ensure changes across systems are aligned and do not create downstream conflicts. • Help identify opportunities to improve workflow consistency, reduce unnecessary variability, increase automation adoption, and optimize use of available technology.

Job Requirements

  • Prior experience in Prior Authorization, Revenue Cycle, Billing Operations, healthcare operations, or a closely related operational function.
  • Strong understanding of prior authorization workflows, preferably within lab, diagnostics, biotech, or healthcare revenue cycle environments.
  • Demonstrated ability to gather business requirements and translate operational needs into clear technical or functional requests.
  • Strong process mapping, workflow documentation, and visual diagramming skills.
  • Excellent written and verbal communication skills, with the ability to communicate effectively with both technical and non-technical audiences.
  • Strong organizational skills and ability to manage multiple initiatives, stakeholders, open items, and competing priorities.
  • Ability to facilitate meetings, keep discussions productive, manage differing opinions, and drive alignment.
  • Strong critical thinking skills with the ability to identify downstream impacts, process gaps, dependencies, and unintended consequences.
  • Comfort working with ambiguity in a fast-paced, evolving environment.
  • Technical aptitude and willingness to learn new systems, tools, and workflows.
  • Experience working with Salesforce or similar CRM/workflow platforms.
  • Experience using Jira or similar ticketing/project tracking tools.
  • Experience with Miro, Draw.io, Visio, Lucidchart, or similar process-mapping tools.
  • Exposure to automation initiatives, payer portals, healthcare technology platforms, or operational system integrations.
  • Familiarity with Agile, Scrum, or structured project management methodologies.
  • Experience supporting UAT, implementation readiness, workflow validation, or operational change management.
  • Basic familiarity with SQL, Snowflake, reporting tools, or data workflows is a plus, but not required.

Benefits

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

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