Member Revenue Operations Analyst

Thank you for considering Progyny!

We are seeking a highly analytical, detail-oriented Member Revenue Operations Analyst to join our Finance team. This role is ideal for someone who enjoys solving complex problems, improving operational processes, and partnering across multiple teams to deliver an exceptional member financial experience.

As a Member Revenue Operations Analyst, you will serve as a subject matter expert for member accounts receivable, reconciliations, refunds, collections, payment activity, and complex billing investigations. You will work across Finance, Engineering, Accounting, Claims Revenue Operations, Member Services, Product, and external vendors to identify root causes, resolve issues, and continuously improve operational workflows.

This position requires someone who thrives in a fast-paced environment, enjoys working with large datasets, and is passionate about operational excellence, process automation, and driving efficiency.

• Perform detailed reconciliations of member accounts, payment activity, and financial transactions to ensure billing accuracy and maintain financial integrity.

• Investigate and resolve complex member billing issues by researching payment discrepancies, reimbursement inquiries, claim processing errors, and account exceptions.

• Manage a high-volume portfolio of member emails and Salesforce cases, providing timely, accurate resolutions while meeting established service level agreements.

• Review accounts for receivable balances, payment postings, claim adjustments, and member responsibility to identify discrepancies and determine appropriate account resolution.

• Process member refunds, account adjustments, and approved balance corrections in accordance with internal controls and financial policies.

• Review bankruptcy documentation, coordinate with Legal for required approvals, and execute approved account write-offs and balance adjustments.

• Partner with Accounting, Claims Revenue Operations, Member Services, Engineering, Product, IT, and external vendors (including Patient Pay) to troubleshoot operational issues, resolve system defects, and improve the member billing experience.

• Serve as a subject matter expert on billing operations by researching complex issues, identifying root causes, and recommending scalable solutions that improve accuracy and efficiency.

• Utilize SQL, advanced Excel, and Power BI to analyze large datasets, perform reconciliations, identify trends, and support operational reporting and decision-making.

• Participate in system enhancements, user acceptance testing (UAT), and cross-functional initiatives to ensure successful implementation of new processes and technology.

• Develop and maintain standard operating procedures, process documentation, and training materials to support operational consistency and knowledge sharing.

• Identify opportunities to automate manual processes, streamline workflows, and improve operational performance through continuous process improvement.

• Bachelor's degree in finance, Accounting, Health Administration, Business Administration, or related field, or equivalent work experience.

• 3+ years of experience in Revenue Operations, Billing Operations, Healthcare Finance, Accounts Receivable, Financial Operations, or a similar analytical role.

• Strong analytical mindset with exceptional problem-solving and investigative skills.

• Advanced Microsoft Excel skills, including working with large datasets and complex formulas.

• Working knowledge of SQL for querying and validating data.

• Experience with Power BI or other business intelligence/reporting platforms.

• Experience working with Salesforce or comparable case management systems.

• Familiarity with healthcare billing, insurance claims, Explanation of Benefits (EOBs), payment posting, collections, refunds, and reimbursement processes.

• Experience partnering with third-party payment vendors or payment platforms is preferred.

• Excellent organizational skills with the ability to manage multiple priorities in a fast-paced environment.

• Strong written and verbal communication skills with the ability to explain complex financial information clearly.

• Demonstrated ability to…