Judi Rx delivers transparent, member-focused PBM solutions, while Judi Care provides medical, vision, and dental benefits through Judi®, supporting millions of plan members across employers, unions, health systems, and government programs. Backed by General Catalyst.
About the role
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.
What they're looking 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
- Data stewardship, contract-data fluency, claims/network acumen, governance mindset, executive communication, root-cause problem solving, cross-functional leadership
- Advanced understanding of provider identifiers, provider hierarchies, roster management, contract data, network participation, effective dating, and downstream payer/TPA system impacts
- Demonstrated ability to govern provider adds/deletes/changes with strong controls, documentation, reconciliation, audit readiness, and issue-resolution discipline
- Strong knowledge of how provider data impacts claims pricing, repricing, member liability, provider directories, network access, client implementations, reporting, and vendor integrations
More about this role
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 Judi Health replaces fragmented, outdated systems with the industry's first Unified Claims Processing™ architecture, seamlessly consolidating pharmacy and medical benefit administration on a single,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 .
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,...
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