Note: The job is a remote job and is open to candidates in USA. Broadway Ventures is a Service-Disabled Veteran-Owned Small Business focused on delivering tailored solutions for government and private sector clients. They are seeking a detail-oriented Directory Review Analyst to support a federal health IT program by performing compliance reviews of healthcare directory records and documenting findings accurately.
Responsibilities
- Review assigned TEFCA directory entries against authoritative corroboration sources, including NPPES, CMS Provider of Services data, IRS Tax-Exempt Organization Search, RCE/QTF published documentation, and QHIN-provided records
- Apply the approved Task 2 Review Methodology and Control Framework to each assigned entry
- Follow documented decision criteria to classify directory entries as: T1: Pass, T2: Minor discrepancy, T3: Inexplicable discrepancy, T4: Non-compliant
- Research, validate, and reconcile healthcare directory data across multiple reference sources
- Document review findings, evidence, discrepancies, and final dispositions in Jira with a complete audit trail
- Ensure no entry is closed without a recorded disposition and supporting documentation
- Escalate exception-path entries to the Lead Analyst for adjudication
- Flag entries requiring QHIN outreach or additional review
- Participate in Blind QA sampling and quality review activities as assigned
- Maintain consistent review throughput to support weekly and biweekly reporting deadlines
- Support a disciplined, accurate, and repeatable review process across high-volume data sets
Skills
- Experience in one or more of the following areas: Federal health IT programs, Healthcare data management, Provider data or provider directory operations, Provider enrollment or credentialing, Healthcare compliance review, Audit, quality review, or data validation, Health information management
- Demonstrated ability to apply written decision criteria consistently across large volumes of records
- Experience documenting findings in Jira or a similar ticket-based case management system
- Strong attention to detail and ability to maintain accuracy while working at volume
- Ability to research, compare, and reconcile information from multiple data sources
- Strong written documentation skills, including the ability to create clear, audit-ready case notes
- Ability to identify discrepancies, follow escalation procedures, and maintain documentation discipline
- Familiarity with healthcare provider data sources such as NPPES, CMS enrollment data, CMS Provider of Services files, or similar national registries
- Experience working with provider directories, organizational records, healthcare registries, or healthcare data quality initiatives
- Familiarity with TEFCA, health information exchange networks, QHINs, Participants, or Subparticipants
- Prior experience supporting federal healthcare, regulatory, compliance, audit, or quality review programs
- Familiarity with FHIR, HL7, endpoint records, or health data standards
- Experience using Jira, ServiceNow, Salesforce, Zendesk, or other workflow/case management tools
- AHIMA, AAPC, compliance, audit, HIM, or healthcare data credentials are a plus but not required
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