Broadway Ventures - Directory Review Analyst
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. • 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. • The ideal candidate is a careful, analytical healthcare data reviewer who is comfortable working through detailed records, applying documented rules, and writing defensible findings. This person enjoys structured review work, understands the importance of audit trails, and can distinguish between minor discrepancies and issues that require escalation. • Successful candidates may come from backgrounds such as healthcare compliance, provider data, provider enrollment, credentialing, health information management, medical records, audit review, quality assurance, payment integrity, or healthcare data validation. • Work Environment • This is a remote role supporting a federal health IT contract. The work requires strong independent judgment, consistent documentation habits, and the ability to meet recurring production and quality review timelines. • Equal Opportunity Statement
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. • Follow documented decision criteria to classify directory entries as: • 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
• Company: • 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. • Directory Review Analyst • 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.
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