Finance Support Specialist US Finance Operations

Company Overview

Leading with our core values of Quality, Integrity, and Opportunity, MedInsight is one of the healthcare industry’s most trusted solutions for healthcare intelligence. Our company’s purpose is to empower easy, data-driven decision-making on important healthcare questions. Through our products, education, and services, MedInsight is making an impact on healthcare by helping to drive better outcomes for patients while reducing waste. Over 300 leading healthcare organizations have come to rely on MedInsight analytic solutions for healthcare cost and care management. MedInsight has been ranked #1 for Payer Quality Analytics by clients for the last three years in the Best in KLAS report.  

MedInsight is a subsidiary of Milliman, a global, employee-owned consultancy providing actuarial consulting, retirement funding and healthcare financing, enterprise risk management and regulatory compliance, data analytics and business transformation as well as a range of other consulting and technology solutions. 

Role Overview

The Finance Support Specialist will support US-based finance operations from India, handling day-to-day finance and accounting activities such as billing, invoicing, accounts payable, collections, and financial reporting. This role works closely with internal stakeholders, vendors, and clients to ensure accurate, timely, and compliant financial operations while adhering to company policies and US business requirements. The role requires strong attention to detail, adaptability, and flexibility to work during US business hours.

Roles And Responsibilities

• Support finance-related tasks aligned with US time zones while meeting agreed timelines
• Prepare and complete client billing and invoicing transactions in accordance with applicable policies and procedures
• Support accounts receivable activities, including cash application, payment tracking, and basic client follow-ups with defined escalation support
• Perform accounts payable activities such as invoice processing, payment scheduling, and expense payments
• Prepare detailed financial transaction reports to support royalty invoicing and payments
• Review staff expense reimbursements and pre-approvals
• Assist in completing commission payments, reconciliations, and related reporting
• Compile detailed billing and expense transactions and perform basic financial analysis for management reports
• Document financial operations processes and support process improvement efforts
• Processes, as well as identify and recommend process improvements
  
  

• Bachelor’s degree in finance, Accounting, or Business Management
• 1+ year of experience in accounting or finance operations
  
  

• Familiarity with general accounting and finance principles
• Foundational knowledge of financial principles, accounting practices, and company-specific processes
• Basic ability in finance operations such as invoice processing, payment scheduling, cash application, and collections
• Basic ability to examine financial requirements and interpret financial results
• Ability to communicate professionally with internal teams, other Milliman practices, vendors, and clients, both written and verbal
  
  

• Prior experience supporting US-based or global finance operations
• Exposure to budgeting, forecasting, or management reporting
• Familiarity with automation or AI tools, including productivity enhancers (e.g., Microsoft Copilot, AI-assisted reporting or reconciliation tools)
  
  

• Adaptable and flexible
• Detail-oriented
• Organized and dependable
• Professional communicator
  
  

• Hands-on experience working with advanced software development technologies, tools, and frameworks. A collaborative, inclusive, and values-driven work environment that encourages learning, teamwork, and professional development 
• Flexible work environment with opportunity to work remotely and in-person in a professional office environment 
• Competitive pay