Billing Analyst, Client Financial Operations

Judi Health•Denver, CO

1d•$60,000 - $70,000

About The Position

About Judi Health Judi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans, including: Capital Rx , a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions to self-insured employers, Judi Health™ , which offers full-service health benefit management solutions to employers, TPAs, and health plans, and Judi® , the industry’s leading proprietary Enterprise Health Platform (EHP), which consolidates all claim administration-related workflows in one scalable, secure platform. Together with our clients, we’re rebuilding trust in healthcare in the U.S. and deploying the infrastructure we need for the care we deserve. To learn more, visit www.judi.health . Position Summary: This Analyst role is a critical position for Client Financial Operations and will partner with other internal departments. This role will be an instrumental team player that will drive process improvement with our invoicing (drug spend and ancillary) and reconciliations. The individual must have a strong financial background in PBM and be comfortable working with Excel and SQL formulas to efficiently run processes. Why you’ll love working here: You will have consistent opportunities to create and improve processes that will have a direct downstream positive impact on healthcare experiences for millions. We are a late-stage startup with stability. We have startup energy with a focus on delivery, but healthy processes with a strong financial outlook that provides a sense of security.

Requirements

Undergraduate bachelor’s degree in Business, Finance, or quantitative field and/or PBM experience (preferred)
3+ years of related experience in finance, data analysis, or accounting
Strong Excel and MS Office skills
Advanced 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

Responsibilities

Billing Operations & Data Analysis: Lead comprehensive billing processes by analyzing inbound data from multiple sources, including multi-year contracts, client programs, and service volumes (e.g., per claim, per member, one-time fees, recurring fees).
Manage billing across various lines of business including commercial, public, private, and government health plans, covering drug spend and ancillary services
Invoice Generation: Prepare and issue invoices based on predefined billing schedules and contract terms.
Data Entry & Validation: Enter billing data into financial systems and verify accuracy across multiple sources.
System Reconciliation: Reconcile billing records between internal platforms (e.g., ERP and adjudication systems) to ensure consistency
Contract Review for Billing: Review internal documentation to confirm billable items are correctly captured.
Audit Support: Assist with internal audits by providing accurate billing records and documentation.
Documentation & Filing: Maintain organized records of billing activities and ensure proper documentation for compliance.
Process Adherence: Follow established billing procedures and escalate discrepancies to senior finance staff.
Continuous Improvement & Collaboration Utilize SQL or other data query applications to prepare journal entries, accruals, and adjustments as required
Responsible for adherence to the Capital Rx Code of Conduct, including reporting of noncompliance.