Directory Review Analyst

Broadway Ventures
$60,000 - $75,000Remote

About The Position

Broadway Ventures is seeking a detail-oriented Directory Review Analyst to support a federal health IT program focused on TEFCA directory review, healthcare data validation, compliance review, and documentation quality. The Directory Review Analyst will perform entry-by-entry compliance reviews of TEFCA Participant and Subparticipant directory records under the direction of the Lead Analyst. This role applies a documented review protocol to directory data, corroborates information against authoritative public reference sources, documents findings in Jira, and classifies each entry according to the program’s four-tier disposition taxonomy. This is a strong opportunity for someone with experience in healthcare provider data, compliance review, health information management, provider enrollment, credentialing, audit, quality review, or healthcare data validation.

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.

Nice To Haves

  • 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.

Benefits

  • The company is an Equal Opportunity Employer.
  • Reasonable accommodations are available for applicants with disabilities.
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