Directory Review Analyst
New
Remote, United StatesFull-TimeMiddle
Salary60,000 - 75,000 USD per year
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Job Details
- Required Skills
- JiraQuality Assurance
Requirements
- Experience in federal health IT programs, healthcare data management, provider enrollment, or credentialing.
- Experience in healthcare compliance review, audit, quality review, or data validation.
- 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 accuracy while working at volume.
- Ability to research, compare, and reconcile information from multiple data sources.
- Strong written documentation skills, including audit-ready case notes.
- Ability to identify discrepancies and follow escalation procedures.
Responsibilities
- Review assigned TEFCA directory entries against authoritative corroboration sources.
- Apply the approved Task 2 Review Methodology and Control Framework to each assigned entry.
- Follow documented decision criteria to classify directory entries.
- Research, validate, and reconcile healthcare directory data across multiple reference sources.
- Document review findings, evidence, discrepancies, and final dispositions in Jira.
- 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.
- Maintain consistent review throughput to support reporting deadlines.
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