Member Revenue Analyst

PROGYNY; New York (NY); On-site; USD 65,000 - 75,000; Full time

Benefits offered by this job

Family benefits

Equity

Bonus program

401(k) plan with company match

Health insurance

Mental health support

Paid time off

Learning and development programs

Mentorship program

Volunteer day

Onsite meals and snacks

Job summary

Progyny is seeking a highly analytical Member Revenue Operations Analyst to join our Finance team. This role focuses on member accounts receivable, reconciliations, refunds, collections, payment activity, and complex billing investigations.

You will partner across Finance, Engineering, Accounting, Claims Revenue Operations, Member Services, Product, and external vendors to drive operational excellence, automate processes, and improve the member billing experience.

Qualifications

• Bachelor's degree in finance, Accounting, Health Administration, Business Administration, or related field.
• 3+ years of experience in Revenue Operations, Billing Operations, Healthcare Finance, Accounts Receivable, Financial Operations, or a similar analytical role.
• Strong analytical mindset with exceptional problem-solving and investigative skills.
• Advanced Microsoft Excel skills, including working with large datasets and complex formulas.
• Working knowledge of SQL for querying and validating data.
• Experience with Power BI or other BI/reporting platforms.
• Experience working with Salesforce or comparable case management systems.
• Familiarity with healthcare billing, insurance claims, EOBs, payment posting, collections, refunds, and reimbursement processes.

Responsibilities

• Perform detailed reconciliations of member accounts, payment activity, and financial transactions to ensure billing accuracy and financial integrity.
• Investigate and resolve complex member billing issues by researching payment discrepancies, reimbursement inquiries, claim processing errors, and account exceptions.
• Manage a high-volume portfolio of member emails and Salesforce cases, providing timely, accurate resolutions while meeting established service level agreements.
• Review accounts for receivable balances, payment postings, claim adjustments, and member responsibility to identify discrepancies and determine appropriate resolution.
• Process member refunds, account adjustments, and approved balance corrections in accordance with internal controls and financial policies.
• Review bankruptcy documentation, coordinate with Legal for required approvals, and execute approved account write-offs and balance adjustments.
• Partner with Accounting, Claims Revenue Operations, Member Services, Engineering, Product, IT, and external vendors to troubleshoot operational issues, resolve system defects, and improve the member billing experience.
• Serve as a subject matter expert on billing operations by researching complex issues, identifying root causes, and recommending scalable solutions that improve accuracy and efficiency.
• Utilize SQL, advanced Excel, and Power BI to analyze large datasets, perform reconciliations, identify trends, and support operational reporting and decision-making.
• Participate in system enhancements, user acceptance testing (UAT), and cross-functional initiatives to ensure successful implementation of new processes and technology.
• Develop and maintain standard operating procedures, process documentation, and training materials to support operational consistency and knowledge sharing.
• Identify opportunities to automate manual processes, streamline workflows, and improve operational performance through continuous process improvement.

Skills

SQL

Excel (Advanced)

Power BI

Data analysis

Education

Bachelor's degree in finance or related field

Tools

Salesforce

Job description

Thank you for considering Progyny!

We areseeking a highly analytical, detail-oriented Member Revenue Operations Analyst to join our Finance team. This role is ideal for someone who enjoys solving complex problems, improving operational processes, and partnering across multiple teams to deliver an exceptional member financial experience.

As a Member Revenue Operations Analyst, you will serve as a subject matter expert for member accounts receivable, reconciliations, refunds, collections, payment activity, and complex billing investigations. You will work across Finance, Engineering, Accounting, Claims Revenue Operations, Member Services, Product, and external vendors to identify root causes, resolve issues, and continuously improve operational workflows.

This position requires someone who thrives in a fast-paced environment, enjoys working with large datasets, and is passionate about operational excellence, process automation, and driving efficiency.

What You'll Be Doing

• Perform detailed reconciliations of member accounts, payment activity, and financial transactions to ensure billing accuracy and maintain financial integrity.

• Investigate and resolve complex member billing issues by researching payment discrepancies, reimbursement inquiries, claim processing errors, and account exceptions.

• Manage a high-volume portfolio of member emails and Salesforce cases, providing timely, accurate resolutions while meeting established service level agreements.

• Review accounts for receivable balances, payment postings, claim adjustments, and member responsibility to identify discrepancies and determine appropriate account resolution.

• Process member refunds, account adjustments, and approved balance corrections in accordance with internal controls and financial policies.

• Review bankruptcy documentation, coordinate with Legal for required approvals, and execute approved account write-offs and balance adjustments.

• Partner with Accounting, Claims Revenue Operations, Member Services, Engineering, Product, IT, and external vendors (including PatientPay) to troubleshoot operational issues, resolve system defects, and improve the member billing experience.

• Serve as a subject matter expert on billing operations by researching complex issues, identifying root causes, and recommending scalable solutions that improve accuracy and efficiency.

• Utilize SQL, advanced Excel, and Power BI to analyze large datasets, perform reconciliations, identify trends, and support operational reporting and decision-making.

• Participate in system enhancements, user acceptance testing (UAT), and cross-functional initiatives to ensure successful implementation of new processes and technology.

• Develop and maintain standard operating procedures, process documentation, and training materials to support operational consistency and knowledge sharing.

• Identify opportunities to automate manual processes, streamline workflows, and improve operational performance through continuous process improvement.

About You

• Bachelor's degree in finance, Accounting, Health Administration, Business Administration, or related field, or equivalent work experience.

• 3+ years of experience in Revenue Operations, Billing Operations, Healthcare Finance, Accounts Receivable, Financial Operations, or a similar analytical role.

• Strong analytical mindset with exceptional problem-solving and investigative skills.

• Advanced Microsoft Excel skills, including working with large datasets and complex formulas.

• Working knowledge of SQL for querying and validating data.

• Experience with Power BI or other business intelligence/reporting platforms.

• Experience working with Salesforce or comparable case management systems.

• Familiarity with healthcare billing, insurance claims, Explanation of Benefits (EOBs), payment posting, collections, refunds, and reimbursement processes.

• Experience partnering with third-party payment vendors or payment platforms is preferred.

• Excellent organizational skills with the ability to manage multiple priorities in a fast-paced environment.

• Strong written and verbal communication skills with the ability to explain complex financial information clearly.

• Demonstrated ability to collaborate across departments and influence outcomes through partnership.

• Passion for continuous improvement, automation, and operational excellence.

Preferred Qualifications

• Healthcare, health tech, or insurance industry experience.

• Experience supporting payment platforms or third-party billing vendors (e.g., PatientPay).

• Experience with workflow automation or process improvement initiatives.

• Knowledge of financial reconciliations and month-end support activities.

• Experience with data validation, quality assurance, and operational reporting.

Why You'll Love This Role

This is more than a billing position it's an operations-focused role where you'll solve complex financial challenges, partner across the organization, leverage data to drive decisions, and improve the systems and processes that support our members. You'll have the opportunity to influence operational strategy, build scalable solutions, and make a measurable impact on both the member experience and the organization's financial operations.

About Progyny

Progyny (Nasdaq: PGNY) is a global leader in women's health and family building solutions, trusted by the nation's leading employers, health plans and benefit purchasers. We envision a world where everyone can realize dreams of family and ideal health. Our outcomes prove that comprehensive, inclusive and intentionally designed solutions simultaneously benefit employers, patients and physicians.

Our benefits solution empowers patients with concierge support, coaching, education, and digital tools;provides access to a premier network of fertility and women's health specialists who use the latest science and technologies; drives optimal clinical outcomes; and reduces healthcare costs.

Our mission is toempower healthier, supported journeys through transformative fertility, family building and women's health benefits.

Headquartered in New York City, Progyny has been recognized for its leadership and growth as a TIME100 Most Influential Company, CNBC Disruptor 50, Modern Healthcare's Best Places to Work in Healthcare, Forbes' Best Employers, Financial Times Fastest Growing Companies, Inc. 5000, Inc. Power Partners, and Crain's Fast 50 for NYC. For more information, visit www.progyny.com.

Our perks

• Family friendly benefits: Paid family and parental leave, preconception, fertility and family building benefits (including egg freezing, IVF, and adoption support), family and pet care fund, and Parents' Employee Affiliation Group

• Menopause and midlife care

• Health, dental, vision and life insurance options for employees and family

• Free in-person, virtual and text-based mental health and wellness support

• Paid time off, including vacation, sick leave, personal days and summer flex time

• Company equity

• Bonus program

• 401(k) plan with company match

• Access to on-demand legal and financial advice

• Learning and development programs to help you grow professionally and a mentorship program

• Company social eventsto include annual volunteer day and donation matching

• Flex days (3 days a week in the office) and onsite meals and snacks for employees reporting into our NY office

In compliance with New York City's Wage Transparency Law, the hourly salary [wage] range for NYC-based applicants is: $65,000 - 75,000. There are a variety of factors that go into determining a salary range, including but not limited to external market benchmark data, geographic location, and years of experience sought/required. Progyny offers a total compensation package comprised of base salary, cash bonus, and equity.

Progyny is proud to be anEqual Opportunity and Affiliated Action employer.We respect and seek to empower each individual and support the diverse cultures, perspectives,skillsand experiences within our workforce. All qualified applicants will receive consideration for employment without regard to race, creed, color, religion, sex, sexual orientation, gender identity or expression, national origin, disability, age, genetic information, marital status, pregnancy or related condition, status as a protected veteran, criminal history consistent with legal requirements or any other basis protected by law.

please note: Progyny is unable to provide visa sponsorship for this position. Candidates must be authorized to work in United States without the need for sponsorship, now or in the future.