Billing Operations & Data Automation Lead

Capital Rx; Denver (CO); On-site; USD 110,000 - 120,000; Full time

Job summary

Judi Health in Denver, CO seeks a Financial Operations Manager to streamline and execute invoicing for non-standard lines of business, partnering to define billing requirements and invoice specifications.

Responsibilities include end-to-end billing operations across multiple lines, data validation, system reconciliation, and ongoing process improvements through automation. A strong finance background in PBM and proficiency with Excel and SQL are essential.

Qualifications

• 2+ years Health Care experience, inclusive of premium billing, self-funded, EGWP.
• 2+ years of related experience in finance, data analysis, or accounting.
• Undergraduate bachelor's degree in Business, Finance, or quantitative field.
• Strong Excel and SQL Skills.
• Ability to challenge and improve existing processes through automation and redesign.
• Motivated team player in a fast-paced environment.
• Attention to detail and commitment to high quality work.
• Passion for healthcare and driving change in health and pharmacy benefits.
• Ability to define problems, collect data, establish facts, solve problems, and draw valid conclusions.

Responsibilities

• Billing Operations & Data Analysis: lead comprehensive billing processes from multiple data sources.
• Manage billing across lines of business including commercial, public, private, and government health plans.
• Data Validation: verify month-over-month data consistency and research discrepancies.
• System Reconciliation: reconcile billing records between internal platforms (ERP and adjudication systems).
• Contract Review: review internal documentation to confirm billable items are captured.
• Process Adherence: follow established procedures and escalate discrepancies.
• Continuous Improvement with focus on automation.
• Use SQL or other data query tools to prepare journal entries, accruals, and adjustments.

Skills

Health care billing

Data analysis

Automation mindset

Problem solving

Education

Bachelor's degree in Business/Finance/quantitative field

Tools

Excel

SQL

Job description

Judi Health in Denver, CO seeks a Financial Operations Manager to streamline and execute invoicing for non-standard lines of business, partnering to define billing requirements and invoice specifications.

Responsibilities include end-to-end billing operations across multiple lines, data validation, system reconciliation, and ongoing process improvements through automation. A strong finance background in PBM and proficiency with Excel and SQL are essential.