Senior Provider Data Governance Lead

Capital Rx; Charlotte (NC); Hybrid; USD 121,000 - 151,000; Full time

Job summary

Judi Health in Charlotte, NC, is seeking a Principal, Provider Data Management. You will govern provider data across contracts, networks, and rosters, ensuring accuracy, compliance, and downstream propagation to claims, directories, and client reporting.

The role leads governance design, solves complex data issues, mentors teams, and drives improvements in data intake, quality, and audit readiness across the organization.

Qualifications

• Bachelor's degree or related field required.
• 7+ years in healthcare provider data, network operations, payer/TPA operations, claims configuration, provider relations, or governance.
• Strong data governance, contract-data fluency, and downstream system impact knowledge.
• Advanced understanding of provider identifiers, rosters, contracts, and date logic.
• Proven ability to govern provider adds/deletes/changes with controls and audits.
• Knowledge of how provider data affects pricing, directories, and vendor integrations.
• Proficiency in Excel and large dataset analysis; experience with dashboards.

Responsibilities

• Lead provider-data governance for critical fields (NPI, TIN, taxonomy, locations, relationships).
• Own processes for provider adds/updates/terminations with controls and SLAs.
• Manage roster operations for groups, facilities, ancillaries, direct contracts, and networks.
• Collaborate with stakeholders to translate terms into data/setup requirements.
• Ensure propagation to claims, directories, portals, analytics, and vendors.
• Design and run data-quality controls and exception reporting.
• Mentor analysts and drive continuous-improvement in data quality and speed.

Skills

Provider data governance

Data stewardship

Cross-functional leadership

Executive communication

Root-cause problem solving

Advanced Excel/data-analysis

Education

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

CRM/workflow platforms

Data visualization tools

Job description

Judi Health in Charlotte, NC, is seeking a Principal, Provider Data Management. You will govern provider data across contracts, networks, and rosters, ensuring accuracy, compliance, and downstream propagation to claims, directories, and client reporting.

The role leads governance design, solves complex data issues, mentors teams, and drives improvements in data intake, quality, and audit readiness across the organization.