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Billing Strategy Lead, Denials and Appeals

Natera, Inc.

Austin (TX)

Remote

USD 95,000 - 140,000

Full time

9 days ago

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Job summary

Join a forward-thinking company as a Billing Strategy Lead, where you will manage high-impact projects focused on enhancing revenue cycle operations. This role emphasizes transitioning offshore billing operations in-house and improving reimbursement outcomes. You will collaborate with diverse teams, utilize data insights, and drive strategic initiatives in a dynamic environment. If you're data-savvy and passionate about healthcare, this is an exciting opportunity to make a significant impact in the industry.

Benefits

Comprehensive medical, dental, and vision plans
401k benefits
Free testing for employees and families
Pregnancy and baby bonding leave
Generous employee referral program

Qualifications

  • 2-4 years of project management experience in healthcare or biotech.
  • Experience with denials and appeals management in healthcare reimbursement.

Responsibilities

  • Lead strategic initiatives for denials and appeals management.
  • Drive collaboration across various teams to meet deliverables.

Skills

Project Management
Healthcare Revenue Cycle
Data Analysis
Communication Skills
Problem-Solving

Education

Bachelor's Degree in Biology
Bachelor's Degree in Health Administration
Bachelor's Degree in Business

Tools

Excel
PowerBI
Tableau
Smartsheet
Drawio

Job description

Billing Strategy Lead, Denials and Appeals

US Remote

We are seeking a Billing Strategy Lead,Denials & Appeals to provide cross-functional project management across critical strategic programs focused on revenue cycle operations—particularly denials and appeals management. This role will support the Billing Strategy leadership team by managing high-impact projects, leading vendor transitions, and driving initiatives to enhance reimbursement outcomes. The ideal candidate will be highly data-savvy, experienced in healthcare revenue cycle processes, and skilled at managing multiple stakeholders, timelines, and deliverables in a dynamic environment.

PRIMARY RESPONSIBILITIES:

  • Lead strategic initiatives related to denials and appeals, with an emphasis on transitioning offshore billing operations in-house and standing up new billing workflows or teams.

  • Act as a subject matter expert in revenue cycle and healthcare reimbursement, especially in backend functions such as appeals, denials, and claims workflows.

  • Drive collaboration across Billing Strategy, Operations, Data Analytics, and Engineering teams to ensure deliverables are met, timelines are tracked, and blockers are addressed.

  • Manage and audit vendors; support vendor transition planning, oversight, and implementation of new billing technologies or processes.

  • Translate data into operational insights through the use of dashboards, reporting, and Business Intelligence tools (Excel, PowerBI, or Tableau); provide data-driven insights to aid in operational strategy.

  • Utilize project planning and tracking using tools such as Drawio, Smartsheet, or other project trackers to ensure accountability across teams and deliver clear, concise status updates to leadership.

  • Organize and lead recurring cross-functional meetings to review project progress, manage risks, and ensure alignment on priorities and timelines.

  • Provide high-quality documentation and communications including project plans, audit summaries, transition roadmaps, and status updates.

  • Balance hands-on management of projects with strategic planning—pivoting and adapting as needed to meet evolving business demands.

QUALIFICATIONS:

  • Bachelor’s degree in a relevant field (e.g., Biology, Health Administration, Business) or equivalent years of professional experience.

  • 2–4 years of project or program management experience in healthcare or biotech, and at least 5 years of direct experience in revenue cycle operations and denials management.

  • Proven experience with denials and appeals management and implementing process improvements in a healthcare reimbursement setting.

  • Experience leading large initiatives involving vendor transitions, standing up new internal teams, or shifting billing operations in-house.

  • Strong experience working with data and KPIs; proficiency with Excel is required, and familiarity with SQL, PowerBI or Tableau is strongly preferred.

  • Certification or formal training in Program or Project Management (PMP, Agile, etc.) is a plus.

  • Experience building Gantt charts, timelines, and using project tracking software.

KNOWLEDGE, SKILLS, AND ABILITIES:

  • Deep understanding of healthcare reimbursement, claims processing, and appeals workflows.

  • Excellent interpersonal and communication skills, with the ability to convey updates and data-driven insights to both operational teams and executive leadership.

  • Strong organizational, problem-solving, and time management abilities; thrives in fast-paced, ambiguous environments with shifting priorities.

  • Comfortable managing up, holding cross-functional partners accountable, and driving project progress independently.

  • Ability to translate project status, KPIs, and priorities into clear documentation and updates for stakeholders.

#LI-AB1

The pay range is listed and actual compensation packages are based on a wide array of factors unique to each candidate, including but not limited to skill set, years & depth of experience, certifications and specific office location. This may differ in other locations due to cost of labor considerations.

Austin, TX

$95,900 - $140,000 USD

OUR OPPORTUNITY

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.

WHAT WE OFFER

Competitive Benefits - Employee benefits include comprehensive medical, dental, vision, life and disability plans for eligible employees and their dependents. Additionally, Natera employees and their immediate families receive free testing in addition to fertility care benefits. Other benefits include pregnancy and baby bonding leave, 401k benefits, commuter benefits and much more. We also offer a generous employee referral program!

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.

All qualified applicants are encouraged to apply, and will be considered without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, age, veteran status, disability or any other legally protected status. We also consider qualified applicants regardless of criminal histories, consistent with applicable laws.

If you are based in California, we encourage you to read this important information for California residents.

Please be advised that Natera will reach out to candidates with a @natera.com email domain ONLY. Email communications from all other domain names are not from Natera or its employees and are fraudulent. Natera does not request interviews via text messages and does not ask for personal information until a candidate has engaged with the company and has spoken to a recruiter and the hiring team. Natera takes cyber crimes seriously, and will collaborate with law enforcement authorities to prosecute any related cyber crimes.

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