Role Description

Your north star: Manage Medicaid enrollments, credentialing, and re-credentialing across clinician types for our existing and new markets.

Reporting to the Director, Care Operations, in this role, you will have the following responsibilities:

• Own the the end-to-end process for credentialing new providers with our health plan partners, supporting newly hired clinicians on all requirements for credentialing
• Work closely with new clinical hires and our third-party vendor to manage new license applications and license renewals
• Partner with the Manager, Licensing, Credentialing, and Enrollment to enroll providers in Medicaid across existing and new markets
• Identify opportunities to improve our credentialing processes to shorten the time for new clinicians to start seeing patients

Who you are

• 3+ years healthcare operations experience, ideally having worked within healthcare delivery or a high-growth startup
• Experience with credentialing APPs, therapists, registered dietitians, physicians, and doulas with Medicaid managed care plans
• Exceptional project management and prioritization skills
• Experience building and scaling operational processes for clinicians
• Results-oriented operator who moves fast
• Meticulous attention to detail
• Comfort with ambiguity
• Ability to work cross-functionally with clinicians and technical teams
• Passionate about maternal and child health

Why you should join our team

By joining Pomelo, you will get in on the ground floor of a fast-moving, well-funded, and mission-driven startup where you will have a profound impact on the patients we serve. And you'll learn, grow, be challenged, and have fun with your team while doing it.

We strive to create an environment where employees from all backgrounds are respected. We value working across disciplines, moving fast, data-driven decision making, learning, and always putting the patient first. We also offer:

• Competitive healthcare benefits
• Generous equity compensation
• Unlimited vacation
• Membership in the First Round Network (a curated and confidential community with events, guides, thousands of Q&A questions, and opportunities for 1-1 mentorship)

At Pomelo, we are committed to hiring the best team to improve outcomes for all mothers and babies, regardless of their background. We need diverse perspectives to reflect the diversity of problems we face and the population we serve. We look to hire people from a variety of backgrounds, including but not limited to race, age, sexual orientation, gender identity and expression, national origin, religion, disability, and veteran status.

Our salary ranges are based on paying competitively for our company’s size and industry, and are one part of the total compensation package that also includes equity, benefits, and other opportunities at Pomelo Care. In accordance with New York City, Colorado, California, and other applicable laws, Pomelo Care is required to provide a reasonable estimate of the compensation range for this role. Individual pay decisions are ultimately based on a number of factors, including qualifications for the role, experience level, skillset, geography, and balancing internal equity. A reasonable estimate of the current salary range is $55,000 - $65,000. We expect most candidates to fall in the middle of the range. We also believe that your personal needs and preferences should be taken into consideration, so we allow some choice between equity and cash.

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