About Us:

Judi Health is a health technology company offering a wide range of benefits administration solutions for employers and health plans. This includes Capital Rx, a public benefit corporation that provides full-service pharmacy benefit management (PBM) solutions to self-insured employers; Judi Health™, which offers comprehensive health benefit management solutions for employers, TPAs, and health plans; and Judi®, the industry’s leading proprietary Enterprise Health Platform. To learn more, visit www.judi.health.

Position Description:

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.

Position 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 non-compliance.

Required Qualifications:

Undergraduate bachelor’s degree in Business, Finance, or quantitative field and/or PBM experience (preferred)
2+ years of related experience in finance, data analysis, or accounting
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 pharmacy benefits
Ability to define problems, collect data, establish facts, solve problems, make recommendations, and draw valid conclusions in a timely and accurate manner

Salary Range

$60,000 - $70,000USD

This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals.

Capital Rx values a diverse workplace and celebrates the diversity that each employee brings to the table. We are proud to provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.