Manager, Provider Network Operations

Posted 2 Days Ago
Be an Early Applicant
Hiring Remotely in United States
Remote
100K-115K Annually
Mid level
Healthtech • Telehealth • Consumer Health • Digital Health & Therapeutics • Healthtech + Telemedicine • Healthcare Services
Care that’s always one step ahead.
The Role
Manage and scale Pomelo Care’s provider network for its Midlife line of business. Own network capacity, provider onboarding, utilization, retention, quality monitoring, remediation, reporting, and cross-functional coordination across Recruiting, Credentialing, Clinical, Compliance, Product, and Quality teams. Build processes, programs, dashboards, and metrics that improve provider engagement, network health, patient access, and clinical quality.
Summary Generated by Built In

Pomelo Care is the leading virtual medical practice for women and children, providing care across pregnancy, postpartum, pediatrics, menopause, and perimenopause. We combine proactive, 24/7 clinical care with technology that helps us reach patients earlier, identify risks sooner, and deliver personalized care throughout their journey. Our team includes clinicians, technologists, operators, and problem-solvers working together to make high-quality care more accessible for families nationwide.

About The Role:

We are looking for a Manager of Provider Network Operations to build and scale the clinical network powering Pomelo's new Midlife line of business. In this role, you’ll partner closely with cross-functional teams (Recruiting, Licensing & Credentialing, Product, Clinical Leadership) to build processes, programs and infrastructure to support the growth, utilization, retention and quality of our multi-license-type provider network as volume scales.

What you'll do:

  • Set and report on network capacity targets; identify and close gaps before they affect patient access

  • Partner with Recruiting, Licensing & Credentialing, and Learning teams to keep time between contract signature & first patient visit efficient as volume scales

  • Own the end-to-end provider relationship, including orientation, utilization, and retention across the network

  • Define and track provider utilization metrics; turn insights into concrete process and/or product fixes

  • Build and run programs (e.g., incentives, community) that keep clinicians actively practicing within the Pomelo network

  • Partner with the Quality team to define what good looks like across the network and translate clinical quality standards into network participation criteria

  • Monitor provider-level quality data (e.g., utilization, patient outcomes, complaints) and drive action on outliers, in partnership with Clinical leadership

  • Support quality-based remediation and, when necessary, contract termination decisions in line with Pomelo's clinical and compliance standards

  • Serve as the connective tissue across Licensing, Credentialing, Quality, Clinical Ops, and Product teams whose work supports the clinical network 

  • Build the reporting and dashboards to provide a clear view of network health

  • Represent the provider network in company-wide planning, and flag risks (e.g., capacity gaps, quality issues) before they become urgent

Who you are:
  • 3 years of work experience, with 1+ years in provider network management, provider success/experience, or network operations at a telehealth company

  • Demonstrated ownership over key network metrics, including growth, retention, utilization, and quality

  • Enjoys building net new processes in addition to optimizing existing ones

  • Strong cross-functional communicator, able to work fluidly with Clinical, Product, Compliance, and Commercial teams and translate between them

  • Strong analytical skills, track record of using data to tell a story & prioritize investments

  • Comfortable with ambiguity and early-stage pace

  • Nice to have: experience specifically in women's health or a clinician network involving multiple license types (MDs, NPs, RDs, etc.)

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 that always puts the patient first. You will learn, grow and 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.

Benefits and Perks:

  • 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)

Compensation:

The expected base salary range offered for this role is $100,000-$115,000. 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.

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.

We are committed to hiring the best team to improve outcomes for all mothers and babies. To solve the complex challenges facing the diverse population we serve, we need diverse perspectives, actively welcoming people of all races, ages, sexual orientations, gender identities and expressions, national origins, religions, disabilities, and veteran statuses. We strive to cultivate an inclusive and respectful environment where team members thrive by working across disciplines, moving fast, making data driven decisions, learning continuously, and always putting the patient first.

Skills Required

  • At least 3 years of work experience
  • At least 1 year of experience in provider network management, provider success or experience, or network operations at a telehealth company
  • Experience owning network metrics such as growth, retention, utilization, and quality
  • Experience building new processes and optimizing existing processes
  • Strong cross-functional communication skills across Clinical, Product, Compliance, and Commercial teams
  • Strong analytical skills and experience using data to tell stories and prioritize investments
  • Comfort working with ambiguity in an early-stage environment
  • Experience in women's health or with clinician networks involving multiple license types

Pomelo Care Compensation & Benefits Highlights

The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Pomelo Care and has not been reviewed or approved by Pomelo Care.

  • Healthcare Strength — Healthcare benefits are described as platinum-level medical, dental, and vision coverage, with a high share of premiums covered for employees and partial support for dependents. Free access to the company’s own healthcare services is also offered to eligible employees.
  • Parental & Family Support — Paid parental leave is reported at around 16 weeks, aligning with the company’s maternal and infant health mission. Family-oriented benefits and support resources are emphasized as part of the package.
  • Equity Value & Accessibility — Equity compensation is described as generous stock option grants for employees. This sits alongside other financial perks and professional development support.

Pomelo Care Insights

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The Company
HQ: New York, NY
550 Employees
Year Founded: 2021

What We Do

Pomelo Care is the leading virtual medical practice for women and children, providing care across pregnancy, postpartum, pediatrics, menopause, and perimenopause. We combine proactive, 24/7 clinical care with technology that helps us reach patients earlier, identify risks sooner, and deliver personalized care throughout their journey. Our team includes clinicians, technologists, operators, and problem-solvers working together to make high-quality care more accessible for families nationwide.

Why Work With Us

Pomelo Care redefines women’s and pediatric healthcare by combining 24/7 virtual care with proactive technology to catch risks early. Working here means joining a fast-paced, mission-driven team where clinicians, engineers, and operators collaborate directly to meaningfully improve maternal and child health outcomes nationwide.

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