Hybrid: Senior Provider Data Governance Lead

Judi Health, LLC; New York (NY); Hybrid; USD 145.000 - 181.000; Vollzeit

Zusammenfassung

Judi Health, LLC is seeking a Principal, Provider Data Management to lead enterprise provider-data governance, ensuring accuracy and compliance across claims, directories, and analytics. You will own governs for provider adds/terminations, roster management, and pricing references, coordinating with networks, product, engineering, and vendors.

In this senior IC role, you’ll mentor analysts, drive improvements in data intake and downstream consumption, and ensure audit readiness and regulatory

Qualifikationen

• Bachelor's degree in healthcare administration, business, information systems, analytics, or related field.
• 7+ years of healthcare provider data, network operations, payer/TPA operations, or governance experience.
• Data stewardship, contract-data fluency, and governance mindset.
• Advanced Excel and data-analysis skills with large datasets.
• Ability to influence senior stakeholders across multiple functions.
• Knowledge of provider data impact on claims pricing and directories.

Aufgaben

• Lead enterprise provider-data governance for critical fields such as NPI, taxonomy, locations, and contract references.
• Own compliant processes for provider adds, deletes, changes, and terminations with controls and audit trails.
• Manage roster operations for contracted groups, facilities, ancillaries, and COEs.
• Collaborate with Network Contracting, Product, Engineering, and vendors to translate terms into data setup.
• Ensure downstream propagation to claims, directories, portals, analytics, and vendor data feeds.
• Design and run data-quality controls including completeness checks and reconciliation.
• Mentor analysts, drive continuous improvements, and lead governance initiatives.

Kenntnisse

Data stewardship

Contract-data fluency

Claims/network acumen

Governance mindset

Executive communication

Root-cause problem solving

Cross-functional leadership

Advanced Excel / data-analysis

Influence senior stakeholders

Ausbildung

Bachelor’s degree in healthcare administration, business, information systems, analytics, or a related field

Tools

SQL

Data warehouses

EDI / file feeds

Provider master data tools

Claims platforms

CRM / workflow platforms

Data visualization / reporting tools

Jobbeschreibung

Judi Health, LLC is seeking a Principal, Provider Data Management to lead enterprise provider-data governance, ensuring accuracy and compliance across claims, directories, and analytics. You will own governs for provider adds/terminations, roster management, and pricing references, coordinating with networks, product, engineering, and vendors.

In this senior IC role, you’ll mentor analysts, drive improvements in data intake and downstream consumption, and ensure audit readiness and regulatory