[Hiring] Associate Director, Billing Strategy @Natera

Role Description

Natera is seeking an Associate Director, Billing Strategy – Denials & Appeals to lead the strategy, performance, and optimization of denied claims and appeals. This is a senior individual contributor role responsible for shaping denial management strategy, driving payer advocacy, and partnering cross-functionally to improve reimbursement outcomes.

This role will also play a key part in supporting automation initiatives across denial and appeals workflows—translating operational expertise into system logic and partnering with engineering and vendors to scale processes through technology.

The Associate Director will oversee this function from three angles:

• Operational: Oversight and performance management of outsourced RCM teams handling denials and appeals.
• Analytical: Root cause analysis and data-driven insights to improve denial rates and recovery.
• Technical: Defining and supporting system enhancements and automation strategies tied to denial workflows.

Qualifications

• 8–12+ years of experience in healthcare Revenue Cycle Management (RCM), with deep focus on denials and appeals.
• Expertise in laboratory billing, CPT coding, and reimbursement methodologies.
• Strong knowledge of commercial, Medicare, Medicaid, and managed care payer policies.
• Demonstrated success improving appeal overturn rates and resolving medical necessity denials.
• Experience working with BPO or offshore RCM vendors.
• Strong analytical skills with experience using tools such as Power BI, Excel, SQL, or Snowflake.
• Experience leading cross-functional initiatives and influencing stakeholders without direct authority.

Requirements

• Experience supporting automation initiatives in revenue cycle (e.g., rules engines, RPA, or workflow automation tools).
• Experience partnering with engineering teams or vendors to implement billing system enhancements.
• Familiarity with AI-driven workflow concepts (e.g., intelligent routing, decisioning) in an operational setting.
• Experience with AMD or similar billing platforms.
• Experience with tools such as Jira or similar workflow tracking systems.

Key Traits for Success

• Investigative: Relentless in understanding why denials occur and how to prevent or overturn them.
• Systems Thinker: Able to connect operational workflows with system logic and automation opportunities.
• Data-Driven: Uses data to inform decisions and influence stakeholders.
• Cross-Functional Operator: Effectively partners with engineering, operations, and leadership teams.
• Builder Mindset: Proactive in identifying opportunities and driving improvements with a high degree of ownership.
• Low Ego, High Accountability: Focused on outcomes and team success over individual recognition.

Benefits

• Comprehensive medical, dental, vision, life and disability plans for eligible employees and their dependents.
• Free testing for Natera employees and their immediate families, in addition to fertility care benefits.
• Pregnancy and baby bonding leave.
• 401k benefits.
• Commuter benefits.
• Generous employee referral program.