Provider Data Management

About Judi Health

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 Judi Health replaces fragmented, outdated systems with the industry's first Unified Claims Processing™ architecture, seamlessly consolidating pharmacy and medical benefit administration on a single,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.

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 www.judi.health.

Location: Hybrid 3 days (offices in NYC, Denver, CO and Charlotte, NC area)

Position Summary**:**

The Principal, Provider Data Management is the enterprise subject-matter expert and senior steward for provider, network, roster, and provider contract data. This role ensures provider data is accurate, governed, compliant, and consistently propagated to claims, repricing, directories, portals, analytics, care navigation, vendors, and client-facing reporting. The Principal owns standards and controls for provider adds, deletes, terminations, demographic changes, network participation, contract attributes, effective dates, fee schedule references, product/tier applicability, and roster reconciliation.

This position operates at a senior individual-contributor level: leading governance design, resolving complex data issues, strengthening claims-pricing defensibility, mentoring operational teams, and driving sustainable improvements across provider data intake, maintenance, quality, audit readiness, and downstream consumption.

Position Responsibilities**:**

• Lead enterprise provider-data governance for critical provider and contract fields, including NPI, TIN, taxonomy/specialty, locations, group/facility relationships, network status, effective/termination dates, product applicability, and contract references.
• Own compliant processes for provider adds, deletes, changes, and terminations, including source documentation, approval controls, effective-date logic, exception handling, audit trail, and SLA oversight.
• Manage and improve roster operations for contracted groups, facilities, ancillaries, direct contracts, COEs, high-performance networks, wrap networks, and other network arrangements.
• Partner with Network Contracting, Product and Engineering teams and Third-Party vendors to translate contract terms, amendments, carve-outs, fee schedules, tiers, and reimbursement indicators into accurate provider data and pricing setup requirements.