Senior Billing Analyst: EGWP & Non-Core Programs, Hybrid

Capital Rx Inc.; Charlotte (NC); Hybrid; USD 77,000 - 96,000; Full time

Job summary

Judi Health is seeking a Senior Analyst to administer invoicing for non-core programs, including EGWP, and to develop billing processes with strong Excel and SQL skills. The role focuses on finance operations, data analysis, and process improvement in a hybrid setting with office days in Charlotte, NYC, or Denver.

You will drive automation, oversee reconciliations, and coordinate with Finance, Operations, and Technology to ensure accurate, compliant billing and continuous program improvements

Qualifications

• 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 automate and redesign processes.
• 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 escape 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

Excel

SQL

PBM experience

Automation

Education

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

Job description

Judi Health is seeking a Senior Analyst to administer invoicing for non-core programs, including EGWP, and to develop billing processes with strong Excel and SQL skills. The role focuses on finance operations, data analysis, and process improvement in a hybrid setting with office days in Charlotte, NYC, or Denver.

You will drive automation, oversee reconciliations, and coordinate with Finance, Operations, and Technology to ensure accurate, compliant billing and continuous program improvements