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Data Manager

Atlanta, GA · On-site

Data Management, Analysis, and Integrated Systems Support for Vaccine Safety Monitoring 1. Provide data management support by assisting with data processing, including downloading, processing ...

Judge Group, Inc.

Data Management Analyst

Minneapolis, MN · On-site

$49 - $53/hr

Provide guidance and consultative support on data-related processes and controls. * Utilize strong ... Data Management * Business Analysis * Data Analytics * Project Management * Equivalent experience ...

Genius Road

Manager, Data Management #3291

Dallas, TX · Hybrid

Manager, Data Management Contract Position: 12 months + potential extension Location: Dallas, TX (Local candidates only - Hybrid schedule) We are seeking an experienced Manager, Data Management to ...

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You will provide oversight of all digital media buys to ensure that they are following process ... agency or manager. Our objective is to increase this requirement over time, and many of our ...

Omnicom

Director, Data Management

New York, NY · On-site

You will provide oversight of all digital media buys to ensure that they are following process ... agency or manager. Our objective is to increase this requirement over time, and many of our ...

Omnicom

Director, Data Management

Chicago, IL · On-site

You will provide oversight of all digital media buys to ensure that they are following process ... agency or manager. Our objective is to increase this requirement over time, and many of our ...

Kimley-Horn

Data Management Analyst

Raleigh, NC · On-site

Overview Join our team as a Data Governance Analyst and assist the Data Governance Manager with ... Employees know our culture and approach to business are built on a desire to provide an environment ...

Horizon Resource Services

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Data Management Analyst

Washington, DC · On-site

$110K - $140K/yr

The successful candidate will provide management, financial, and advanced data analytics support to DON leadership and program stakeholders. This position combines management and financial analysis ...

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As of Sep 11, 2026, the average yearly pay for manager provider data management in the United States is $97,145.00, according to ZipRecruiter salary data. Most workers in this role earn between $66,000.00 and $125,500.00 per year, depending on experience, location, and employer.

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Principal, Provider Data Management

Charlotte, NC • On-site

Judi Health
See more jobs at Judi Healthexternal

Full-time

Posted 29 days ago

Job description

About Judi Health
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.
Location: Hybrid 3 days (offices in NYC, Denver, CO and Charlotte, NC area)
Position Summary:
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. The Principal owns standards and controls for provider adds, deletes, terminations, demographic changes, network participation, contract attributes, effective dates, fee schedule references, product/tier applicability, and roster reconciliation.
This position operates at a senior individual-contributor level: leading governance design, resolving complex data issues, strengthening claims-pricing defensibility, mentoring operational teams, and driving sustainable improvements across provider data intake, maintenance, quality, audit readiness, and downstream consumption.
Position Responsibilities:
  • Lead enterprise provider-data governance for critical provider and contract fields, including NPI, TIN, taxonomy/specialty, locations, group/facility relationships, network status, effective/termination dates, product applicability, and contract references.
  • Own compliant processes for provider adds, deletes, changes, and terminations, including source documentation, approval controls, effective-date logic, exception handling, audit trail, and SLA oversight.
  • Manage and improve roster operations for contracted groups, facilities, ancillaries, direct contracts, COEs, high-performance networks, wrap networks, and other network arrangements.
  • Partner with Network Contracting, Product and Engineering teams and Third-Party vendors to translate contract terms, amendments, carve-outs, fee schedules, tiers, and reimbursement indicators into accurate provider data and pricing setup requirements.
  • Ensure accurate downstream propagation to claims, repricing, provider directories, member/provider portals, eligibility, care navigation, UM, analytics, stop-loss, client reporting, EDI/data feeds, and external vendors.
  • Design and run data-quality controls: completeness checks, duplicate detection, roster reconciliation, effective-date validation, contract-data alignment, exception reporting, and root-cause correction plans.
  • Serve as escalation point for high-impact issues involving claims pricing, network assignment, directory accuracy, access-to-care, provider payment, client implementation, or compliance exposure.
  • Maintain SOPs, data dictionaries, governance rules, change-control artifacts, intake templates, QA checklists, reconciliation standards, and management reporting.
  • Support audits, regulatory readiness, network adequacy/directory accuracy needs, NSA/balance-billing operations, and client commitments by producing defensible documentation and control evidence.
  • Mentor analysts/specialists, influence cross-functional operating practices, and lead continuous-improvement initiatives that increase data quality, speed, transparency, and accountability.

Required Qualifications:
  • 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.
  • Advanced Excel/data-analysis skills and comfort working with large datasets, exception reports, data feeds, workflow tools, and operational dashboards.
  • Ability to influence senior stakeholders across Network Contracting, Claims, IT, EDI/Data Engineering, Compliance, Legal, Provider Relations, Analytics, Client Implementation, and vendors.

Preferred Qualifications:
  • Experience in a medical TPA, PPO/network vendor, self-funded employer/ASO, captive, direct-contracting, repricing, or health plan environment.
  • Experience with contract loading, fee schedules, claims-pricing logic, tiered networks, COEs, direct primary care, wrap networks, value-based arrangements, or provider directory/network adequacy processes.
  • Working knowledge of SQL, data warehouses, EDI/file feeds, provider master data tools, claims platforms, CRM/workflow platforms, or data visualization/reporting tools.
  • Experience building governance frameworks, data dictionaries, operating metrics, QA controls, and audit-ready documentation for provider/network data.
  • Relevant training/certification in healthcare operations, data governance, project management, Lean/Six Sigma, compliance, or analytics.

New York, NY Salary Range
$144,800-$181,000 USD
Denver, CO Salary Range
$132,800-$166,000 USD
Charlotte, NC Salary Range
$120,800-$151,000 USD
All employees are responsible for adherence to the Judi Health Code of Conduct including the reporting of non-compliance. This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals.
We provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
By submitting an application, you agree to the retention of your personal data for consideration for a future position at Judi Health. More details about Judi Health's privacy practices can be found at https://www.judi.health/legal/privacy-policy.

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