• Provide financial analysis and reporting for portfolio of programs that includes all elements of cost • Support multiple levels of reviews, including monthly program status reviews, EACs, and Program LRE development • Cost and schedule control analysis across production programs – maintaining compliance within EVMS • Support Management with the development and submittal of monthly financial forecasts • Support special projects including but not limited to Gate Reviews, Proposals, RFIs, ROMs, Invoicing, Balance Sheet Cleanup and Funding analysis • Managing the overall cash management process including timely invoicing and managing customer receipts • Assist with cost strategy effort for competitive/strategic proposals

• Prepare, submit, and monitor individual and group Medicare revalidations through PECOS. • Manage Medicare revalidations and enrollment maintenance requests. • Track PTAN assignments, effective dates, and approval statuses. • Coordinate electronic signatures and supporting documentation required for Medicare revalidations. • Maintain compliance with CMS regulations and Medicare Administrative Contractor (MAC) requirements. • Submit revalidation Medicaid applications for both individual providers and provider organizations. • Coordinate state-specific Medicaid enrollment requirements and supporting documentation. • Monitor application status and resolve deficiencies with state Medicaid agencies. • Develop and maintain tracking systems for all Medicare and Medicaid revalidation activities. • Monitor revalidation due dates, enrollment expirations, and regulatory deadlines. • Conduct routine follow-up with Medicare contractors and state Medicaid agencies. • Ensure all enrollment milestones are documented and reported accurately. • Escalate delayed or high-risk applications to leadership as appropriate. • Ensure all activities comply with CMS, Medicare, Medicaid, and organizational requirements. • Maintain complete and audit-ready enrollment files and supporting documentation. • Assist with internal audits, accreditation reviews, and regulatory requests. • Monitor changes in Medicare and Medicaid enrollment policies and communicate impacts to stakeholders. • Implement process improvements to enhance enrollment efficiency and accuracy. • Serve as the primary resource for Medicare and Medicaid revalidation guidance. • Collaborate with Billing, Revenue Cycle, Credentialing, Compliance, and Operations teams. • Research and resolve enrollment-related billing delays, claim denials, and reimbursement issues. • Provide status updates and reporting to leadership and operational stakeholders.

• Review clinical documentation and assign accurate ICD-10-CM, CPT, and HCPCS codes in compliance with regulatory and payer requirements. • Work daily custom coding, pricing, and patient/client inquiry queues, as applicable, to ensure prior authorization requests and claims are coded accurately, have appropriate pricing and in are compliance with regulatory and payer requirements. • Investigate and resolve coding-related denials resulting in claim denials and delays in payment. • Identify and analyze coding denial patterns from worklists and collaborate cross functionally on strategies to reduce revenue leakage. • Collaborate with internal revenue cycle management teams to improve coding compliance. • Serve as a medical coding resource and subject matter expert for cross functional teams. • Participate in external audits to review coding integrity. • Monitor coding changes, regulatory updates, and payer policy changes. • Review reports on coding denials to support root cause analysis and coding accuracy. • Participate in ad hoc medical coding related tasks, projects, and inquiries as directed by leadership. • Complete other duties as assigned.

Role Description The Credentialing Analyst is responsible for the comprehensive coordination, analysis, and execution of practitioner credentialing and privileging activities for the Alaska Region Medical Staff. This role applies critical thinking and regulatory expertise to ensure accurate primary source verification and compliance with medical staff bylaws, organizational policies, and accreditation standards. This Credentialing Analyst position is a fully Remote opportunity! - Schedule is full time, 1.0 FTE, Day shift, Monday-Friday, 8am-4:30pm in Alaska time zone, with some flexibility and advance notice to provide support outside these hours; 40 hours per week. - Note: The following States are currently permitted for remote employment in this position with Providence Health System Alaska: Alaska, California, Montana, New Mexico, Oregon, and Washington. Qualifications - Bachelor's Degree or 3 years of medical staff credentialing experience, including complex privilege review will be considered. - Within 2 years of hire: Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Services Management (CPMSM). - 2 years of Medical Staff credentialing experience. - 2 years of experience with primary source verification, privileging review, and committee file preparation. Requirements - MD staff experience (preferred). Benefits - Comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching. - Health care benefits (medical, dental, vision). - Life insurance and disability insurance. - Time off benefits (paid parental leave, vacations, holidays, health issues). - Voluntary benefits and well-being resources. - Additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.