Billing Analyst, Client Financial Operations
About Us:
Judi Health is a health technology company offering a wide range of benefits administration solutions for employers and health plans. This includes Capital Rx, a public benefit corporation that provides full-service pharmacy benefit management (PBM) solutions to self-insured employers; Judi Health™, which offers comprehensive health benefit management solutions for employers, TPAs, and health plans; and Judi®, the industry’s leading proprietary Enterprise Health Platform. To learn more, visit .
Position Description:
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.
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 non-compliance.
Required Qualifications:
- Undergraduate bachelor’s degree in Business, Finance, or quantitative field and/or PBM experience (preferred)
- 2+ years of related experience in finance, data analysis, or accounting
- Strong Excel and 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
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.
Recommended Jobs
Travel Registered Nurse Med Surg Tele Job
Job Overview TLC Nursing Associates, Inc. is seeking a dedicated RN – Medical-Surgical Telemetry (Med Surg Tele) for travel assignments . This role involves providing comprehensive nursing ca…
Controls Engineering Technician
Requisition Number: 72049 The company built on breakthroughs. Join us. Corning is one of the world’s leading innovators in glass, ceramic, and materials science. From the d…
Senior Agency Partnership Manager (Multiple Positions)
Responsibilities Build long term partnerships with agencies and brands by providing strategic solutions through consultation, education, and support to drive business results on the platform. Analyz…
Senior Security Solutions Architect
Make an impact with NTT DATA Join a company that is pushing the boundaries of what is possible. We are renowned for our technical excellence and leading innovations, and for making a difference…
Manager, High Line Network
Friends of the High Line seeks an experienced and results-driven professional to join our High Line Network Team. This position is designed to drive the strategic execution of core Network programs, …
Verizon Wireless Sales Representative
We’re looking for motivated, self-starters who want the opportunity to get hands-on experience in Marketing and Sales while making advancements in their career. Our team members develop the skills ne…
Server (DRCM) (Holbrook)
When you join Sunrise Senior Living, you will be able to use your unique skills to empower residents to live longer, healthier, and happier lives. Not only will you build meaningful relationships …
Manufacturing Technician I
Job Responsibilities: Execute standard operating procedures (SOPs) in routine/non-routine sampling process in areas of the cGMP manufacturing facility. Perform aseptic sampling (Environmental m…
Family Partner
Description Pro Action’s Head Start Program is looking for two full-time, 10-month Family Partner that will be responsible for recruiting and enrolling eligible children and families, completing home…