Senior Analyst, Client Financial Operations

Judi Health•Charlotte, NC

6d•Hybrid

About The Position

Judi Health is a health technology company providing benefit administration solutions to employers, unions, health plans, and government entities. It offers a unified claims processing platform that consolidates pharmacy and medical benefit administration. The Senior Analyst, Client Financial Operations supports and administers invoicing for business areas outside core PBM and PBA services, particularly EGWP. The role will help develop invoicing processes for new programs and improve processes for existing non-core services. The analyst applies financial knowledge of PBM and premium billing and uses Excel and SQL to operate and improve processes. The position is hybrid, with three days in the office in New York City, Denver, or Charlotte.

Requirements

Bachelor’s degree in Business, Finance, or a quantitative field.
At least 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 able to work in a fast-paced, forward-moving environment.
Attention to detail and commitment to delivering high-quality work.
Passion for healthcare and 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.

Nice To Haves

PBM experience.

Responsibilities

Own and oversee billing operations for non-core programs, including EGWP, by interpreting contracts, client program requirements, service volumes, fee structures, and financial data to determine appropriate billing approaches.
Evaluate incomplete, conflicting, or unusual billing information; compare options; resolve 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 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 financial, adjudication, membership, and other operational data 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 variances, determine appropriate resolutions, and coordinate implementation with Finance, Client Services, Operations, and other stakeholders.
Evaluate 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 and help implement approved improvements across affected business areas.
Lead audit and compliance support for assigned programs.
Adhere to the Judi Health Code of Conduct, including reporting non-compliance.