Sr. Lead Provider Network Onboarding and Integration
Judi HealthAbout the role
<div class="content-intro"><h2><strong>About Judi Health</strong></h2> <p>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 Judi Health replaces fragmented, outdated systems with the industry's first Unified Claims Processing™ architecture, seamlessly consolidating pharmacy and medical benefit administration on a single,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.<br><br>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 <span><a href="http://www.judi.health" target="_blank">www.judi.health</a></span>.</p></div><p>Location: Hybrid (at least 3 days per week in our NYC, Denver, or Charlotte offices)</p> <p><strong><u>Position Summary</u></strong></p> <p>The Senior Lead Provider Network Onboarding and Integration will play a critical role in supporting the expansion of the TPA business by leading the onboarding, integration, and operational enablement of national, regional, direct contract provider networks and network aggregators. This role is responsible for establishing and maintaining network connectivity, ensuring seamless integration with internal claims platforms, and enabling TPA clients to leverage network services effectively.</p> <p>The individual will serve as the bridge between network providers, technology teams, and operations (Claims Adjudications, Payments, and Customer Care), ensuring that all network capabilities are fully operational and aligned with client requirements.</p> <p><strong><u>Position Responsibilities:</u></strong></p> <ul> <li>Lead onboarding of new national and regional healthcare networks as well as DPCs and COEs as part of TPA business growth strategy.</li> <li>Demonstrate strong ability to maintain a big-picture focus while balancing strategic and tactical priorities.</li> <li>Coordinate with both internal and external network stakeholders to establish contractual, operational, and technical readiness.</li> <li>Ensure network configurations align with business goals and client-specific requirements.</li> <li>Design and oversee integration of network services into TPA eco systems using API and file-based approaches.</li> <li>Enable core transactions between Judi Health and the network including, Claims, submission and adjud
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