Business Systems Analyst, Prior Authorization Technology

About this role

Position Summary

Natera is seeking a Business Systems Analyst, Prior Authorization Technology to support a newly formed team within Billing Operations focused on Prior Authorization technology initiatives. This role will serve as a strategic liaison between Prior Authorization operations, engineering, automation partners, and cross-functional stakeholders to ensure technology enhancements are thoughtfully designed, clearly documented, properly tested, and aligned to end-to-end operational workflows.

This individual will help translate operational needs into clear business requirements, partner with technical teams to support scalable solutions, and ensure Prior Authorization workflows are optimized across systems such as Salesforce, automation tools, payer portals, and related technology platforms. The ideal candidate brings strong prior authorization and revenue cycle knowledge, excellent communication skills, technical aptitude, and the ability to manage competing stakeholder perspectives while keeping projects organized and moving forward. This is not a traditional production-based Prior Authorization role. It is a highly cross-functional, process-oriented role focused on workflow design, business requirements, technology enablement, UAT, issue resolution, documentation, and operational change management.

About the Team

The Prior Authorization Technology Team was created to improve alignment between Prior Authorization operations and technology partners. As PA continues to invest in systems, automation, and workflow enhancements, this team ensures that initiatives are properly scoped, operationally sound, scalable, and aligned across upstream and downstream teams. The team serves as the bridge between PA stakeholders, operation teams and technical partners, helping ensure seamless communication, thoughtful execution, workflow optimization, and measurable operational impact.

Key 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.

Systems / Tools Exposure

This role may work with or support initiatives involving, but not limited to:

● Salesforce

● Jira

● Miro

● Draw.io or similar process-mapping tools

● Automation tools and vendor platforms, including Prior Authorization automation solutions

● External payer portals

● Internal reporting or data systems

● Snowflake, Boomi, or other backend/integration systems (at a conceptual level)

*Hands-on coding or system development is not required, but candidates should be comfortable understanding how systems interact, how data and workflow dependencies affect builds, and how to communicate effectively with engineering teams.

Qualifications (Required)

● 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

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