Billing Operations Lead – Healthcare Finance & SQL

Judi Health; New York (NY); On-site; USD 120,000 - 130,000; Full time

Job summary

Judi Health in New York, NY is seeking a Manager in Financial Operations to streamline invoicing for non-standard lines of business and to partner with internal and external stakeholders to align billing requirements and invoice specifications. The role requires a strong financial background in PBM, expert Excel and SQL skills, and a drive to automate processes and improve accuracy.

This position offers competitive compensation and the opportunity to influence healthcare benefit operations at

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 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 health and pharmacy benefits

Responsibilities

• Lead comprehensive billing processes by analyzing inbound data from multiple sources, including multi-year contracts, client programs, and service volumes
• Manage billing across various lines of business including commercial, public, private, and government health plans, covering drug spend and ancillary services
• Data Validation: Verify month-over-month data consistency across multiple sources
• System Reconciliation: Reconcile billing records between internal platforms to ensure consistency
• Contract Review: Review internal documentation to confirm billable items are correctly captured
• Process Adherence: Follow established billing procedures and elevate discrepancies to senior finance staff
• Continuous Improvement & Collaboration with a focus on automation
• Utilize SQL or other data query applications to prepare journal entries, accruals, and adjustments as required

Skills

Excel

SQL

Healthcare experience

Finance / accounting background

Automating processes

Data analysis

Attention to detail

Education

Bachelor's degree in Business, Finance, or quantitative field

Tools

ERP systems

Adjudication systems

Job description

Judi Health in New York, NY is seeking a Manager in Financial Operations to streamline invoicing for non-standard lines of business and to partner with internal and external stakeholders to align billing requirements and invoice specifications. The role requires a strong financial background in PBM, expert Excel and SQL skills, and a drive to automate processes and improve accuracy.

This position offers competitive compensation and the opportunity to influence healthcare benefit operations at