The Role

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

Qualifications

• 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

The Company

Pomelo Care is a multi-disciplinary team of clinicians, engineers and problem solvers who are passionate about improving care for moms and babies. We are transforming outcomes for pregnant people and babies with evidence-based pregnancy and newborn care at scale. Our technology-driven care platform enables us to engage patients early, conduct individualized risk assessments for poor pregnancy outcomes, and deliver coordinated, personalized virtual care throughout pregnancy, NICU stays, and the first postpartum year. We measure ourselves by reductions in preterm births, NICU admissions, c-sections and maternal mortality; we improve outcomes and reduce healthcare spend.