Business Systems Analyst, Prior Authorization Technology

Natera is a global leader in cell-free DNA testing, and they are seeking a Business Systems Analyst for Prior Authorization Technology to support technology initiatives within Billing Operations. The role involves acting as a liaison between operations and technical teams, translating business needs into requirements, and optimizing workflows across various technology platforms.

Responsibilities:

• 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