Billing Analyst, Client Financial Operations
About Judi Health
Judi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans, including:
- Capital Rx , a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions to self-insured employers,
- Judi Health™ , which offers full-service health benefit management solutions to employers, TPAs, and health plans, and
- Judi® , the industry’s leading proprietary Enterprise Health Platform (EHP), which consolidates all claim administration-related workflows in one scalable, secure platform.
Together with our clients, we’re rebuilding trust in healthcare in the U.S. and deploying the infrastructure we need for the care we deserve. To learn more, visit .
Position Summary:
This Analyst role is a critical position for Client Financial Operations and will partner with other internal departments. This role will be an instrumental team player that will drive process improvement with our invoicing (drug spend and ancillary) and reconciliations. The individual must have a strong financial background in PBM and be comfortable working with Excel and SQL formulas to efficiently run processes.
Why you’ll love working here:
- You will have consistent opportunities to create and improve processes that will have a direct downstream positive impact on healthcare experiences for millions.
- We are a late-stage startup with stability. We have startup energy with a focus on delivery, but healthy processes with a strong financial outlook that provides a sense of security.
Position Responsibilities:
- Billing Operations & Data Analysis: Lead comprehensive billing processes by analyzing inbound data from multiple sources, including multi-year contracts, client programs, and service volumes (e.g., per claim, per member, one-time fees, recurring fees).
- Manage billing across various lines of business including commercial, public, private, and government health plans, covering drug spend and ancillary services
- Invoice Generation: Prepare and issue invoices based on predefined billing schedules and contract terms.
- Data Entry & Validation: Enter billing data into financial systems and verify accuracy across multiple sources.
- System Reconciliation: Reconcile billing records between internal platforms (e.g., ERP and adjudication systems) to ensure consistency
- Contract Review for Billing: Review internal documentation to confirm billable items are correctly captured.
- Audit Support: Assist with internal audits by providing accurate billing records and documentation.
- Documentation & Filing: Maintain organized records of billing activities and ensure proper documentation for compliance.
- Process Adherence: Follow established billing procedures and escalate discrepancies to senior finance staff.
- Continuous Improvement & Collaboration
- Utilize SQL or other data query applications to prepare journal entries, accruals, and adjustments as required
- Responsible for adherence to the Capital Rx Code of Conduct, including reporting of noncompliance.
Qualifications:
- Undergraduate bachelor’s degree in Business, Finance, or quantitative field and/or PBM experience (preferred)
- 3+ years of related experience in finance, data analysis, or accounting
- Strong Excel and MS Office skills
- Advanced SQL skills
- Ability to challenge and improve existing processes through automation and redesign
- Motivated team player with the ability to work in a fast-paced, forward-moving environment
- Attention to detail & commitment to delivering high quality work
- Passion for healthcare and for driving lasting change in pharmacy benefits
- Ability to define problems, collect data, establish facts, solve problems, make recommendations, and draw valid conclusions in a timely and accurate manner
Salary Range
$60,000 - $70,000 USD
All employees are responsible for adherence to the Capital Rx Code of Conduct including the reporting of non-compliance. This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals.
Judi Health values a diverse workplace and celebrates the diversity that each employee brings to the table. We are proud to provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
By submitting an application, you agree to the retention of your personal data for consideration for a future position at Judi Health. More details about Judi Health's privacy practices can be found at .
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