Directory Review Analyst

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🕒 Junho 10

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Simsy Ventures

SiteLinkedInTodas as Vagas

11 - 50 funcionários

Fundada em 2022

🤝 B2B

B2B • Startup • Sustainability

A Simsy Ventures é uma venture builder e cofundadora institucional que faz parceria com empreendedores, investidores e corporações para criar startups sustentáveis. Sua missão é capacitar startups a alcançarem seu verdadeiro potencial, ao mesmo tempo em que promovem um impacto positivo nos lucros, pessoas e no planeta. Com uma abordagem estruturada, eles apoiam startups ao longo de seu ciclo de vida, desde a ideação até a validação de mercado e crescimento. Aproveitando um modelo de venture studio replicável, a Simsy Ventures visa impulsionar economias globalmente através do empreendedorismo impactante.

Descrição

• 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.

🎯 Requisitos

• 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.

🏖️ Benefícios

• Health insurance • Retirement plans • Flexible work arrangements • Professional development