Hybrid Lead, Provider Network Onboarding & Integration

Judi Health, LLC; United States; Hybrid; USD 146,000 - 219,000; Full time

Job summary

Judi Health in New York focuses on onboarding and integration of provider networks for the TPA business. You will coordinate with providers, technology teams, and operations to ensure secure, scalable integrations and fast go-lives.

The role demands 5+ years in healthcare network or managed care, API/file-based data exchanges, and strong stakeholder management. Hybrid work with in-office days in NYC, Denver, or Charlotte is offered.

Qualifications

• Bachelor’s degree in healthcare administration, Information Systems, Business, or a related field.
• Minimum of 5 years of experience in the healthcare network or managed care space, preferably within a TPA, payer, or network organization.
• Strong familiarity and hands-on experience with healthcare data exchange standards (EDI transactions such as 837, 835, 270/271, 278).
• Experience with API-based integrations and file-based data exchange mechanisms.

Responsibilities

• Lead onboarding of new national and regional healthcare networks as well as DPCs and COEs as part of TPA business growth strategy.
• Demonstrate strong ability to maintain a big-picture focus while balancing strategic and tactical priorities.
• Coordinate with both internal and external network stakeholders to establish contractual, operational, and technical readiness.
• Ensure network configurations align with business goals and client-specific requirements.
• Design and oversee integration of network services into TPA ecosystems using API and file-based approaches.
• Enable core transactions between Judi Health and the network including, Claims, submission and adjudication workflows, Eligibility and benefits verification, Prior authorization processing, Provider data exchange and updates.

Skills

Healthcare data exchange

API integrations

Stakeholder management

Education

Bachelor’s degree in healthcare administration or related field

Tools

EDI standards (837, 835, 270/271, 278)

Job description

Judi Health in New York focuses on onboarding and integration of provider networks for the TPA business. You will coordinate with providers, technology teams, and operations to ensure secure, scalable integrations and fast go-lives.

The role demands 5+ years in healthcare network or managed care, API/file-based data exchanges, and strong stakeholder management. Hybrid work with in-office days in NYC, Denver, or Charlotte is offered.