Business Systems Analyst, Prior Authorization Technology

About the role

The Business Systems Analyst, Prior Authorization Technology supports a newly formed team within Billing Operations focused on Prior Authorization technology initiatives. This role serves as a strategic liaison between Prior Authorization operations, engineering, automation partners, and cross-functional stakeholders.

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.
• 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.

Qualifications

• 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.
• 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.

Location

Austin, TX

Salary Range

$85,100 - $106,400 USD

Company Information

Natera™ is a global leader in cell-free DNA (cfDNA) testing, dedicated to oncology, women’s health, and organ health. Our aim is to make personalized genetic testing and diagnostics part of the standard of care to protect health and enable earlier and more targeted interventions that lead to longer, healthier lives.

The Natera team consists of highly dedicated statisticians, geneticists, doctors, laboratory scientists, business professionals, software engineers and many other professionals from world-class institutions, who care deeply for our work and each other. When you join Natera, you’ll work hard and grow quickly. Working alongside the elite of the industry, you’ll be stretched and challenged, and take pride in being part of a company that is changing the landscape of genetic disease management.

For more information, visit www.natera.com.

Natera is proud to be an Equal Opportunity Employer. We are committed to ensuring a diverse and inclusive workplace environment, and welcome people of different backgrounds, experiences, abilities and perspectives. Inclusive collaboration benefits our employees, our community and our patients, and is critical to our mission of changing the management of disease worldwide.