Senior Provider Data Governance Lead (Hybrid)

Transformcap; United States; Hybrid; USD 121,000 - 181,000; Full time

Job summary

Judi Health in New York, NY, Denver, CO, and Charlotte, NC is seeking a Principal, Provider Data Management to lead governance for provider and contract data, ensuring accuracy, compliance, and consistent propagation to claims, directories, and client reporting.

This senior individual contributor will design governance standards, mentor teams, and drive improvements across data intake, maintenance, quality, and downstream consumption.

Qualifications

• Bachelor’s degree or equivalent in healthcare/IT/business/analytics.
• 7+ years in healthcare provider data, network operations, payer/TPA ops, or governance.
• Demonstrated data stewardship and governance capabilities.
• Strong understanding of provider identifiers, hierarchies, rosters, and contracts.
• Ability to govern provider data changes with robust controls and audits.
• Knowledge of how provider data affects pricing, directories, and vendor integrations.

Responsibilities

• Lead enterprise provider-data governance for critical fields (NPI, TIN, taxonomy, locations).
• Own compliant processes for provider adds/deletes/changes/terminations with controls and SLAs.
• Manage roster operations for groups, facilities, ancillaries, contracts, networks.
• Collaborate with Network Contracting, Product, Engineering and vendors to translate terms into data setup requirements.
• Ensure accurate downstream propagation to claims, directories, portals, analytics, and EDI/data feeds.
• Design and run data-quality controls: completeness, duplicates, reconciliation, and audits.
• Escalate high-impact issues related to pricing, network status, or client implementations.
• Maintain SOPs, data dictionaries, governance rules, and QA checklists.
• Support audits and regulatory readiness with defensible documentation.
• Mentor analysts and lead continuous-improvement on data quality.

Skills

Data governance

Data stewardship

Executive communication

Cross-functional leadership

Problem solving

Advanced Excel

SQL basics

Education

Bachelor’s degree in healthcare administration, business, information systems, analytics

Tools

SQL

Data warehouses

EDI/file feeds

Provider master data tools

CRM/workflow platforms

Data visualization tools

Job description

Judi Health in New York, NY, Denver, CO, and Charlotte, NC is seeking a Principal, Provider Data Management to lead governance for provider and contract data, ensuring accuracy, compliance, and consistent propagation to claims, directories, and client reporting.

This senior individual contributor will design governance standards, mentor teams, and drive improvements across data intake, maintenance, quality, and downstream consumption.