[Remote] Manager, Prior Authorizations at Natera

United States

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Not SpecifiedCompensation

Senior (5 to 8 years), Expert & Leadership (9+ years)Experience Level

Full TimeJob Type

UnknownVisa

Healthcare, Genetic Diagnostics, BiotechnologyIndustries

Requirements

Strong understanding of medical billing workflows, payor authorization systems, and revenue cycle operations
Expertise in medical necessity criteria and payor-specific prior authorization requirements
Proven ability to analyze operational data, identify performance gaps, and implement corrective actions
Excellent communication, leadership, and problem-solving skills
Experience working with Business Process Outsourcing (BPO) teams
Proficiency with Google Workspace and other RCM workflow tools
Bachelor’s degree in Healthcare Administration, Business, or related field, or equivalent years of relevant professional experience
5+ years of experience in Revenue Cycle Management or healthcare operations, with at least 2 years in prior authorization management or payor policy

Responsibilities

Oversee daily operations of the Prior Authorization Submissions team, ensuring that all requests are processed accurately and within defined turnaround times (TAT)
Monitor and optimize team productivity and quality performance, ensuring adherence to departmental KPIs (≥95% accuracy; daily volume targets)
Manage queue prioritization, workload balancing, and escalation handling for complex or high-priority cases
Evaluate authorization trends, payor turnaround times, and process adherence
Develop and maintain standard operating procedures (SOPs) for submission workflows, ensuring alignment with payor-specific requirements and regulatory compliance (HIPAA, PHI)
Collaborate with internal stakeholders to minimize downstream claim denials and ensure end-to-end process integrity
Identify automation and technology enhancement opportunities to streamline processes and improve efficiency
Recruit, train, and develop a team of Prior Authorization Supervisors and Specialists; provide coaching, feedback, and performance evaluations
Foster a positive, inclusive, and high-performance culture that supports accountability, continuous learning, and operational excellence
Conduct quality audits and case reviews to ensure compliance with payor policy standards and internal quality metrics
Recognize and celebrate team performance milestones, driving engagement and retention
Track and analyze team performance data, including submission volumes, approval rates, and denials
Create and distribute monthly trend reports summarizing operational KPIs and payor-specific insights
Partner with the RCM Analytics team to design dashboards for real-time productivity and quality tracking
Serve as a subject-matter expert on payor utilization management policies, ensuring the team remains current with evolving requirements

Skills

Key technologies and capabilities for this role

Prior AuthorizationsRevenue Cycle ManagementHealthcare ReimbursementPayor ComplianceHIPAAPHISOP DevelopmentWorkflow OptimizationData-Driven Decision-MakingTeam LeadershipKPI ManagementQueue ManagementEscalation HandlingProcess Improvement

Questions & Answers

Common questions about this position

What are the key responsibilities of the Manager, Prior Authorizations role?

The role involves overseeing daily operations of the Prior Authorization Submissions team, optimizing workflows for compliance, managing and developing the team, and analyzing performance data to drive continuous improvement.

What skills and experience are required for this position?

The ideal candidate needs operational discipline, data-driven decision-making, strong leadership, expertise in payor policy navigation, and knowledge of healthcare reimbursement processes.

Is this a remote position or does it require office work?

This information is not specified in the job description.

What is the salary or compensation for this role?

This information is not specified in the job description.

What kind of company culture does Natera promote for this team?

Natera fosters a positive, inclusive, and high-performance culture that supports accountability, continuous learning, operational excellence, engagement, and retention.

Natera

Genetic testing and diagnostics solutions provider

About Natera

Natera focuses on genetic testing and diagnostics, providing advanced solutions for cancer patients, transplant patients, and individuals assessing hereditary health risks. Their main technology is cell-free DNA (cfDNA) testing, which analyzes DNA fragments in the blood to detect minimal traces of cancer and assess organ health. Natera stands out by offering specialized tests like the Signatera ctDNA test and Panorama NIPT, along with genetic counseling services. The company's goal is to improve patient care and health outcomes through accurate genetic testing.

Austin, TexasHeadquarters

2004Year Founded

$149.9MTotal Funding

IPOCompany Stage

Biotechnology, HealthcareIndustries

1,001-5,000Employees

Benefits

Flexible medical plans

Investment options

Time off

Workplace perks

Risks

Hindenburg report accuses Natera of deceptive sales practices, risking legal challenges.

New Prospera Heart features may face slow adoption by healthcare providers.

Fetal RhD NIPT demand may drop post-RhIg shortage, affecting future sales.

Differentiation

Natera's Signatera test offers personalized ctDNA analysis for cancer patients.

Prospera Heart test uses unique Donor Quantity Score for transplant rejection detection.

Panorama NIPT test is a leader in non-invasive prenatal testing with 2 million tests.

Upsides

Increased adoption of liquid biopsy techniques boosts demand for Natera's cfDNA tests.

AI integration enhances accuracy and speed of Natera's cfDNA analysis.

Growing personalized medicine trend aligns with Natera's customized genetic tests.

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