Directory Review Analyst

Simsy Ventures

Directory Review Analyst supporting healthcare data validation and compliance review within federal health IT programs. Collaborating on TEFCA directory reviews and documenting findings with accuracy.

Posted 6/10/2026full-timeRemote • 🇺🇸 United StatesLead💰 $60,000 - $75,000 per yearWebsite

About the role

Key responsibilities & impact

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.

Requirements

What you’ll need

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.

Benefits

Comp & perks

Health insurance
Retirement plans
Flexible work arrangements
Professional development

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

healthcare data managementprovider data operationsprovider enrollmentcredentialinghealthcare compliance reviewauditquality reviewdata validationhealth information managementdecision criteria application

Soft Skills

attention to detailaccuracyresearchdocumentation skillsdiscrepancy identificationescalation proceduresdocumentation discipline