Natera

3 months ago

Market Access Payor Analyst

✓ Verified Job

Canonical indexed version, validated from employer's careers page.

Source: Company careers pageValidated by: Fursa AI

Last checked: 2 hours agoStatus: Live

Job Summary

Profiling, researching, and resolving reimbursement issues for assigned payors and products. Uses data analytics to identify trends, forecast outcomes, and develop strategies to improve reimbursement, reduce denials, and drive performance. Works with cross-functional teams to deliver BI reports and dashboards, while navigating PHI and complex payer literature in a remote environment.

Location: United States

Workplace: Remote

Employment Type: Full time

Job Function: Data Analytics & Business Intelligence

Key Responsibilities

•Formulates and develops presentations for project analysis needs from Finance, Billing, Market Access, Product Leads, and other teams as required.
•Identify functions and barriers that affect ASP and revenue, including identifying trends, opportunities, and risks for all payors and products.
•Compare payor reimbursement patterns based on medical policies, contract language, authorization requirements, and patient benefits.
•Research complex benefits and insurance verification using various systems and portals internal and external.
•Investigate designated payors’ literature and agencies, and stay current on new indicators such as state statutes, laws, and other requirements.
•Develop strategies to improve reimbursement and reduce denials for assigned payors based on trends and analysis findings.
•Identifies areas of opportunities for process improvements, automation, and efficiencies.
•Creates management reports and custom dashboards and visualizations.
•Initiates and supports projects, initiatives, solutions, and other change management.
•Conducts complex trend review, forecasting, sensitivity analysis, what-if scenarios, and other analyses.

Pay and Benefits

Salary: USD 90,000 - 112,500 annually

Perks:MedicalDentalVisionLifeDisability401kCommuter Benefits

Key Requirements

•Bachelor’s Degree healthcare-related field of study or equivalent experience.
•Minimum of 5 years of experience in revenue cycle or claim analysis.
•Project management experience preferred.
•Knowledge of CPT/HCPCS, ICD-10, modifier selection, and UB revenue codes.
•Proficiency with medical billing systems, Microsoft Excel, reporting software, and basic procedure coding knowledge.

Experience:5+ yearsHealthcareRevenue cycleClaims analysis

Education:Bachelor's

Skills:CommunicationProblem-solvingAnalyticalTeam playerOrganization

Languages:English

Tech Stack:PowerBiSQLMicrosoft Excel

Company Brief

Natera

Develops and commercializes genetic testing and diagnostics focused on reproductive health, oncology, and organ transplant to inform clinical decision-making and improve patient outcomes.

Industry: Diagnostics

Company Size: Enterprise (1,001+ employees)

Revenue: USD 500M to 1B

Growth: Public Company

Valuation: Public Company (Market Cap in USD)

Funding: IPO / Publicly Listed

Headquarters: San Carlos, United States

Founded: 2004

Website LinkedIn

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Natera

3 months ago

Market Access Payor Analyst

✓ Verified Job

Canonical indexed version, validated from employer's careers page.

Source: Company careers pageValidated by: Fursa AI

Last checked: 2 hours agoStatus: Live

Job Summary

Location: United States

Workplace: Remote

Employment Type: Full time

Job Function: Data Analytics & Business Intelligence

Key Responsibilities

•Formulates and develops presentations for project analysis needs from Finance, Billing, Market Access, Product Leads, and other teams as required.
•Identify functions and barriers that affect ASP and revenue, including identifying trends, opportunities, and risks for all payors and products.
•Compare payor reimbursement patterns based on medical policies, contract language, authorization requirements, and patient benefits.
•Research complex benefits and insurance verification using various systems and portals internal and external.
•Investigate designated payors’ literature and agencies, and stay current on new indicators such as state statutes, laws, and other requirements.
•Develop strategies to improve reimbursement and reduce denials for assigned payors based on trends and analysis findings.
•Identifies areas of opportunities for process improvements, automation, and efficiencies.
•Creates management reports and custom dashboards and visualizations.
•Initiates and supports projects, initiatives, solutions, and other change management.
•Conducts complex trend review, forecasting, sensitivity analysis, what-if scenarios, and other analyses.

Pay and Benefits

Salary: USD 90,000 - 112,500 annually

Perks:MedicalDentalVisionLifeDisability401kCommuter Benefits

Key Requirements

•Bachelor’s Degree healthcare-related field of study or equivalent experience.
•Minimum of 5 years of experience in revenue cycle or claim analysis.
•Project management experience preferred.
•Knowledge of CPT/HCPCS, ICD-10, modifier selection, and UB revenue codes.
•Proficiency with medical billing systems, Microsoft Excel, reporting software, and basic procedure coding knowledge.

Experience:5+ yearsHealthcareRevenue cycleClaims analysis

Education:Bachelor's

Skills:CommunicationProblem-solvingAnalyticalTeam playerOrganization

Languages:English

Tech Stack:PowerBiSQLMicrosoft Excel

Company Brief

Natera

Develops and commercializes genetic testing and diagnostics focused on reproductive health, oncology, and organ transplant to inform clinical decision-making and improve patient outcomes.

Industry: Diagnostics

Company Size: Enterprise (1,001+ employees)

Revenue: USD 500M to 1B

Growth: Public Company

Valuation: Public Company (Market Cap in USD)

Funding: IPO / Publicly Listed

Headquarters: San Carlos, United States

Founded: 2004

Website LinkedIn