[Hiring] Payer Enrollment Specialist @Pomelo Care

Role Description

Your North Star:

Manage payer enrollments, and payer re-enrollments across clinician types for our existing and new markets. Reporting to the Payer Enrollments Manager, in this role, you will have the following responsibilities:

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

Qualifications

• 3+ years healthcare operations experience, ideally having worked within healthcare delivery or a high-growth startup.
• Experience with payer credentialing for roles including APPs, therapists, registered dietitians, physicians, and doulas with Medicaid managed care plans.
• Experience enrolling clinicians in state Medicaid.
• 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.

Requirements

• The expected base salary range offered for this role is $55,000-$65,000.
• This role is also eligible for equity, giving you an ownership stake in Pomelo’s mission.
• Actual compensation may vary based on relevant experience, skills, competencies, and certifications.

Benefits

• Comprehensive Health, Dental, and Vision coverage for employees and their families.
• High deductible Health Plans with Health Savings Account (HSA) options.
• Flexible Spending Account (FSA).
• Equity grant participation.
• 401(k) program.
• Competitive vacation policy.
• 16 weeks paid parental leave.
• Fully remote work flexibility (within the US) with offices in NYC and SF for those who prefer in-person work.