Business Systems Analyst – Prior Authorization Technology

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $85.1k - $106.4k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

⚙️ Systems Engineer

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

Natera

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2004

🧬 Biotechnology

⚕️ Healthcare Insurance

💊 Pharmaceuticals

Biotechnology • Healthcare Insurance • Pharmaceuticals

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.

📋 Description

• 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.

🎯 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.