Judi Health
Principal, Provider Data Management
$121K–$181K
Charlotte, North Carolina, United States +5 · Principal · Full-time · Posted Aug 13, 2026
- Location
- Charlotte, North Carolina, United States
Denver, Colorado, United States
New York, New York, United States
Charlotte, North Carolina, United States
Denver, Colorado, United States
New York, New York, United States - Experience
- 7+ years; accepted areas include healthcare provider data, network operations, payer/TPA operations, claims configuration, provider relations, or healthcare data governance.
- Education
- Bachelor’s degree in healthcare administration, business, information systems, analytics, or a related field.
About the job
Leads enterprise governance and operations for provider, network, roster, and contract data, ensuring accuracy, compliance, and reliable use across claims, pricing, directories, analytics, and other systems.
What you'll do
- Set provider-data standards and controls for changes, contract attributes, network participation, and effective dates.
- Improve data quality, roster reconciliation, audit readiness, and downstream data propagation; resolve high-impact issues.
- Partner across contracting, product, engineering, operations, and vendors; mentor teams and lead improvements.
What they ask for
- Bachelor’s degree in healthcare administration, business, information systems, analytics, or a related field.
- 7+ years of healthcare provider data, network operations, payer/TPA operations, claims configuration, provider relations, or healthcare data-governance experience.
- Advanced understanding of provider identifiers, hierarchies, roster management, contract data, network participation, effective dating, and downstream payer/TPA impacts.
- Demonstrated ability to govern provider data changes with strong controls, documentation, reconciliation, audit readiness, and issue-resolution discipline.
Nice to have
- Experience in a medical TPA, PPO/network vendor, self-funded employer/ASO, captive, direct-contracting, repricing, or health plan environment.
- Working knowledge of SQL, data warehouses, EDI/file feeds, provider master data tools, claims platforms, CRM/workflow platforms, or data visualization/reporting tools.
Pay
$144,800 — $181,000 USD (base salary); $132,800 — $166,000 USD (base salary); $120,800 — $151,000 USD (base salary)
Tools
Excel, SQL, EDI
Model-written summary · the original posting is authoritative