Credentialing & Project Coordination Specialist

About Sage Health We believe all seniors regardless of means deserve concierge primary care & wellness, without the concierge fees. They’ve earned it. Sage Health builds enriching neighborhood health centers that are easy to access, provide or arrange for all of our patients’ healthcare needs, and partner with Medicare Advantage plans that fully cover primary care. Unlike other physician practices, a Sage Health physician has a patient panel of 400 or less, and we collaborate with the best outcomes-oriented specialists and hospitals in each market. Because we are not a fee-for-service provider and manage patients within a global capitation budget provided by Medicare Advantage plans, our only concern and motivation is to keep our seniors healthy. Sage Health is a destination for the best risk provider talent in the country who are building the new standard-bearing senior model for the United States. Company Perks

• Join a growing company with a community focused mission to make a difference in the lives of seniors!
• Our employee Net Promoter Score (eNPS) ranks above industry standards reflecting our strong commitment to delivering exceptional service and satisfaction.
• We promote a company culture that values, recognizes, and rewards its employees for their contributions through Nectar, our employee engagement platform.
• Medical, Dental and Vision benefits with generous employer provided contributions to offset per paycheck premium costs.
• 3 different medical plan options to provide flexibility to meet personal needs including: 2 PPO options and a CDHP plan that includes a $500/year HSA employer match
• Healthcare & Dependent Care Flexible Savings Accounts (FSAs)
• Access to Employee Assistance Program (EAP) for support and work-life benefits for you and your immediate family.
• Employer-paid Life Insurance, Short-term and Long-term Disability benefits. Optional voluntary life insurance is also available.
• A 401k retirement plan offered through Transamerica for long-term financial savings & planning.
• Flexible time off including: generous PTO, 7 paid company holidays and 2 floating holidays.
• Opportunities for career growth and advancement within the company.

All applicants are considered for all positions without regard to race, religion, color, sex, gender, sexual orientation, pregnancy, age, national origin, ancestry, physical/mental disability, medical condition, military/veteran status, genetic information, marital status, ethnicity, citizenship or immigration status, or any other protected classification, in accordance with applicable federal, state, and local laws. By completing this application, you are seeking to join a team of hardworking professionals dedicated to consistently delivering outstanding service to our customers and contributing to the financial success of the organization, its clients, and its employees. Equal access to programs, services, and employment is available to all qualified persons. Those applicants requiring an accommodation to complete the application and/or interview process should contact [email protected]. About The Role Position Summary The Credentialing & Project Coordination Specialist is responsible for supporting provider credentialing, payer enrollment, and provider onboarding activities while serving as a key operational partner to the Strategic Initiatives team. This role ensures providers are credentialed and enrolled accurately and timely while coordinating project activities, tracking deliverables, facilitating communication, and supporting implementation of strategic organizational initiatives. The ideal candidate is highly organized, detail-oriented, and capable of managing multiple priorities across provider operations, credentialing, payer relations, and project management functions in a value-based primary care environment.

What You'll Do

Key Responsibilities Provider Credentialing, Recredentialing & Payer Enrollment

• Manage initial credentialing and recredentialing for all providers across contracted health plans.
• Prepare and submit credentialing applications through payer portals and credentialing platforms (e.g., CAQH).
• Track credentialing status and follow up with payers to ensure timely approvals.
• Maintain accurate provider credentialing files including licenses, certifications, malpractice insurance, and other required documentation.
• Monitor credential expiration dates and ensure timely renewals.
• Maintain records of all payer participation status and effective dates.
• Support provider onboarding to ensure enrollment is completed prior to seeing patients when required.
• Provide updates to leadership on credentialing timelines and payer approvals.
• Identify and escalate delays that may impact provider start dates or billing.

Provider Directory Management

• Ensure provider information is accurate and updated across payer directories.
• Submit roster updates and demographic changes to payers.
• Work with internal teams to maintain consistent provider information across systems.

Compliance & Documentation

• Maintain credentialing files in accordance with regulatory and accreditation requirements.
• Support audits related to provider credentialing and payer enrollment.
• Ensure compliance with internal policies and payer requirements.

Project Coordination & Strategic Initiatives Support

• Support the Strategic Initiatives Project Manager in planning, executing, and monitoring cross-functional projects.
• Maintain project plans, timelines, meeting notes, action logs, and status reports.
• Coordinate project meetings, prepare agendas, document decisions, and track follow-up actions.
• Develop and maintain project documentation, SOPs, process maps, and implementation materials.

Process Improvement & Operational Support

• Identify opportunities to improve credentialing, onboarding, and provider operations workflows.
• Assist in developing standardized processes, templates, and tracking tools.
• Support reporting and analysis related to credentialing performance, enrollment status, and project progress.
• Maintain organizational project repositories, trackers, and documentation libraries.
• Participate in special projects and organizational initiatives as assigned.

Qualifications

Required

• Bachelor’s degree in Healthcare Administration, Business, or related field preferred.
• 2+ years of experience in provider credentialing or payer enrollment.
• Experience working with Medicare Advantage, Medicare, and Medicaid plan enrollment processes.
• Knowledge of provider credentialing and payer enrollment processes.
• Strong organizational and project coordination skills.
• Proficiency with Microsoft Office Suite, including Excel, PowerPoint, and Outlook.
• Excellent written and verbal communication skills.
• Strong attention to detail and ability to manage multiple priorities simultaneously.

Preferred

• Experience in value-based care, primary care, or multi-site provider organizations.
• Experience using credentialing software, CAQH, payer portals, and provider enrollment systems.
• Familiarity with project management methodologies and tools
• Experience with SharePoint and Power BI.

Reports To: Senior Associate, Strategic Initiatives Apply To This Job