Directory Review Analyst

New
United States - RemoteFull-TimeMiddle
Salary60,000 - 75,000 USD per year
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Job Details

Required Skills
Jira

Requirements

  • Experience in federal health IT programs
  • Experience in healthcare data management or provider directory operations
  • Experience in provider enrollment, credentialing, or healthcare compliance review
  • Experience in audit, quality review, or data validation
  • Demonstrated ability to apply written decision criteria consistently
  • Experience documenting findings in Jira or similar ticket-based systems
  • Strong attention to detail and ability to maintain accuracy at volume
  • Ability to research, compare, and reconcile information from multiple sources
  • Strong written documentation skills for 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
  • Classify directory entries based on a four-tier disposition taxonomy
  • Research, validate, and reconcile healthcare directory data across multiple sources
  • Document findings, evidence, and final dispositions in Jira with a complete audit trail
  • 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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60,000 - 75,000 USD per year
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