Senior Billing Analyst, Client Financial Operations

Judi Health, LLC; Charlotte (NC); Hybrid; USD 77,000 - 96,000; Full time

Job summary

Judi Health, LLC in New York, NY; a health tech company delivering Unified Claims Processing™ solutions seeks a Senior Analyst for Client Financial Operations. Hybrid role with in-office days in NYC, Denver or Charlotte, focusing on invoicing for non-core programs, notably EGWP.

The role requires strong PBM and premium invoicing background, proficiency in Excel and SQL, and a drive to automate and improve processes across cross-functional teams.

Qualifications

• Undergraduate bachelor’s degree in Business, Finance, or quantitative field.
• 5+ years of related experience in finance, data analysis, or accounting.
• Experience specific to EGWP Premium invoicing.
• 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.
• PBM experience preferred.

Responsibilities

• Own and oversee billing operations for non-core programs, including EGWP, by interpreting complex, multi-year contracts, client program requirements, service volumes, fee structures, and financial data to determine appropriate billing approaches.
• Independently evaluate incomplete, conflicting, or unusual billing information; compare alternative courses of action; resolve material issues within established authority; and escalate matters requiring broader approval with a recommended solution.
• Interpret contract terms, and client-specific arrangements to identify billable items, establish appropriate billing mechanisms, and advise internal partners on financial and operational implications.
• Design, implement, and refine invoicing processes, controls, schedules, and operating practices for new and existing programs, coordinate with technology teams when standard procedures do not cover contractual requirements.
• Analyze data from financial, adjudication, membership, and other operational systems to assess billing accuracy, identify trends and financial exposure, determine root causes, and recommend corrective or preventive action.
• Direct invoice preparation, reconciliation, and issuance in accordance with contractual requirements.
• Lead reconciliations across ERP, adjudication, and related platforms; assess the significance of variances; determine appropriate resolution; and coordinate implementation with Finance, Client Services, Operations, and other stakeholders.
• Evaluate existing processes and controls, prioritize improvement opportunities, and use Excel, SQL, or other analytical tools to develop automation and redesign solutions that improve accuracy, scalability, and financial governance.
• Develop and maintain billing policies, procedures, decision criteria, and supporting documentation; recommend changes to operating practices and help implement approved improvements across affected business areas.
• Lead audit and compliance support for assigned programs.

Skills

Financial analysis

Attention to detail

Automation mindset

Team collaboration

Education

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

Tools

Excel

SQL

Job description

Judi Health, LLC in New York, NY; a health tech company delivering Unified Claims Processing™ solutions seeks a Senior Analyst for Client Financial Operations. Hybrid role with in-office days in NYC, Denver or Charlotte, focusing on invoicing for non-core programs, notably EGWP.

The role requires strong PBM and premium invoicing background, proficiency in Excel and SQL, and a drive to automate and improve processes across cross-functional teams.