Directory Review Analyst

Analyst

Remote

June 11, 2026

Application ends: September 9, 2026

REQUIREMENTS

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.

Preferred

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.

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.