Manager, Financial Operations
About The Position
Judi Health is a health technology company providing benefit administration solutions to employers, unions, health plans, and government entities. Judi Health replaces fragmented, outdated systems with the industry's first Unified Claims Processing™ architecture, seamlessly consolidating pharmacy and medical benefit administration on a single, secure platform. By delivering true price transparency, eliminating unnecessary middleman fees, and leveraging advanced AI-powered care delivery, Judi Health helps clients achieve unprecedented operational efficiency and service levels. At Judi Health, we're deploying the infrastructure our country needs to deliver the healthcare we all deserve. We are the intelligence platform powering benefits plans for millions of Americans and proudly leading the next generation of care. To learn more, visit www.judi.health.
Requirements
- 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
- Ability to define problems, collect data, establish facts, solve problems, make recommendations, and draw valid conclusions in a timely and accurate manner
Responsibilities
- 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
- Verify month-over-month data consistency across multiple sources
- Research discrepancies for root cause
- Reconcile billing records between internal platforms (e.g., ERP and adjudication systems) to ensure consistency
- Review internal documentation to confirm billable items are correctly captured
- Follow established billing procedures and escalate discrepancies to senior finance staff
- Utilize SQL or other data query applications to prepare journal entries, accruals, and adjustments as required
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What This Job Offers
Job Type
Full-time
Career Level
Manager
