Directory Review Analyst
$60,000–$75,000 year
Remote · United States
Job Summary
Directory Review Analyst to support a federal health IT program focused on TEFCA directory review, healthcare data validation, compliance review, and documentation quality. Responsibilities include entry-by-entry review of TEFCA directory records against authoritative sources (e.g., NPPES, CMS Provider of Services data, IRS), applying a documented review methodology, classifying entries using a four-tier disposition (T1 Pass, T2 Minor discrepancy, T3 Inexplicable discrepancy, T4 Non-compliant), documenting findings in Jira with an audit trail, escalating exception-path entries, participating in QA sampling, and maintaining consistent throughput to meet weekly/biweekly reporting deadlines. Strong candidates have experience in healthcare data, provider directory operations, credentialing, health information management, data validation, and Jira/related tools; familiarity with TEFCA, QHINs, and healthcare data standards is a plus.
Required Qualifications
- Experience in Federal health IT programs
- Healthcare data management
- 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
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