Senior Analyst, Client Financial Operations

<div class="content-intro"><h2><strong>About Judi Health</strong></h2> <p>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 Judi Health replaces fragmented, outdated systems with the industry's first Unified Claims Processing™ architecture, seamlessly consolidating pharmacy and medical benefit administration on a single,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.<br><br>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 <span><a href="http://www.judi.health" target="_blank">www.judi.health</a></span>.</p></div><p><span style="text-decoration: underline;"><strong>Location</strong></span>: Hybrid - 3 days in office (NYC, Denver or Charlotte)</p> <p><u><strong>Position Summary:</strong></u></p> <p>This Senior Analyst role is a critical position for Client Financial Operations focusing on the support and administration of invoicing related to areas of business outside of core PBM and PBA services, in particular EGWP. This role will be an instrumental player in developing invoicing processes for other new programs and also drive process improvement within existing non-core services. The individual must have a strong financial background in PBM and premium billing and be comfortable working with Excel and SQL formulas to efficiently run processes.</p> <p class="p1"><span style="text-decoration: underline;"><strong>Position Responsibilities:</strong></span></p> <p class="p1"><span class="s1">•</span> 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.</p> <p class="p1"><span class="s1">•</span> 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.</p> <p class="p1"><span class="s1">•</span> Interpret contract terms, and client-specific arrangements to identify billable items, establish appropriate billing mechanisms, and advise internal partners on financial and operational implications.</p> <p class="p1"><span class="s1">•</span> 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.</p> <p class="p1"><span class="s1">•</span> 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.</p> <p class="p1"><span class="s1">•</span> Direct invoice preparation, reconciliation, and issuance in accordance with contractual requirements.</p> <p class="p1"><span class="s1">•</span> 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.</p> <p class="p1"><span class="s1">•</span> 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.</p> <p class="p1"><span class="s1">•</span> 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.</p> <p class="p1"><span class="s1">•</span> Lead audit and compliance support for assigned programs.</p> <p class="p1"><span style="text-decoration: underline;"><strong>Required Qualifications:</strong></span></p> <p class="p1">• Undergraduate bachelor’s degree in Business, Finance, or quantitative field</p> <p class="p1">• 5+ years of related experience in finance, data analysis, or accounting</p> <p class="p1">• Experience specific to EGWP Premium invoicing</p> <p class="p1">• Strong Excel and SQL Skills</p> <p class="p1">• Ability to challenge and improve existing processes through automation and redesign</p> <p class="p1">• Motivated team player with the ability to work in a fast-paced, forward-moving environment</p> <p class="p1">• Attention to detail & commitment to delivering high quality work</p> <p class="p1">• Passion for healthcare and for driving lasting change in pharmacy benefits</p> <p class="p1">• Ability to define problems, collect data, establish facts, solve problems, make recommendations, anddraw valid conclusions in a timely and accurate manner</p> <p class="p1">• PBM experience pref