Full-Time Business Analyst
Natera is hiring a remote Full-Time Business Analyst. The career level for this job opening is Experienced and is accepting USA based applicants remotely. Read complete job description before applying.
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Natera is seeking a Business Analyst to support billing, claims, and reimbursement analytics within our Revenue Cycle Operations group.
This role will focus on analyzing large data sets to identify trends, optimize revenue performance, and drive strategic decision-making.
The Business Analyst will collaborate with cross-functional teams to develop data visualizations, dashboards, and reports that provide valuable insights into payer reimbursement, claim denials, and process efficiency.
Responsibilities:
- Analyze billing, claims, and payment data to identify trends in payer reimbursement, claim denials, and rejections.
- Develop reports, dashboards, and visualizations using SQL and BI tools (Power BI, Tableau, etc.).
- Conduct data extractions and reconciliations to ensure accuracy and completeness.
- Partner with Finance, Insurance Billing, Market Access, and Product teams to provide insights and strategic recommendations.
- Support payer contract compliance analysis by identifying reimbursement patterns and anomalies.
- Work closely with IT and Data Engineering to optimize billing and claims data structures.
- Identify opportunities for process improvements in claims submission, payer compliance, and denial resolution.
- Design and implement workflow enhancements to improve billing efficiency.
- Ensure adherence to HIPAA and regulatory requirements while handling Protected Health Information (PHI).
- Respond to ad hoc data requests from leadership and key stakeholders.
- Support revenue cycle projects by delivering data-driven insights and recommendations.
Skills & Experience:
- Bachelor’s degree in Business, Economics, Healthcare Administration, Information Systems, or a related field (or equivalent experience).
- 3+ years of experience in healthcare revenue cycle analytics, insurance billing, or claims reimbursement.
- Deep understanding of the claim life cycle, payer reimbursement models, and insurance billing workflows.
- Advanced SQL skills for data querying and analysis.
- Strong proficiency in Excel (PivotTables, formulas, automation) and Google Sheets.
- Experience with business intelligence tools (Power BI, Tableau, or similar).
- Familiarity with billing systems, payer reimbursement rules, and claims processing is a plus.
- Ability to interpret complex financial and operational data and translate insights into actionable recommendations.
- Strong attention to detail with an ability to identify trends, discrepancies, and process inefficiencies.
- Excellent ability to communicate data findings to non-technical stakeholders.
- Strong stakeholder management skills with experience presenting insights to leadership.
- Experience with payer contracts and knowledge of payer-specific reimbursement requirements is a plus.
- Familiarity with API/HL7 integrations for billing and claims data workflows.
- Experience designing and implementing process improvement initiatives within revenue cycle operations.
- Ability to work independently in a fast-paced, dynamic environment with tight deadlines.