Payer Enrollment Specialist

Posted Yesterday
Be an Early Applicant
Hiring Remotely in United States
Remote
55K-65K Annually
Mid level
Healthtech • Telehealth
Care that’s always one step ahead.
The Role
Manage end-to-end payer enrollment and re-enrollment for clinicians across existing and new markets. Support licensing, credentialing, Medicaid enrollment, and renewals while coordinating with clinicians, vendors, and internal teams. Improve operational processes to reduce onboarding time and help providers begin seeing patients sooner. The role requires healthcare operations experience, payer credentialing expertise, strong prioritization, attention to detail, and cross-functional collaboration.
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

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:

What You’ll Do
  • Own the 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

Who You Are
  • 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

Compensation

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 and Perks

By joining Pomelo, you’ll get in on the ground floor of a fast-moving, well-funded startup on a mission to improve outcomes for all mothers and babies. We cultivate a collaborative, patient-first environment where data drives our decisions and team members are challenged to learn, grow, and have fun together. We also offer:

  • 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

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

  • 3+ years of healthcare operations experience, ideally in healthcare delivery or a high-growth startup
  • Experience with payer credentialing for 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 and able to work in a fast-paced environment
  • Meticulous attention to detail
  • Comfort with ambiguity
  • Ability to work cross-functionally with clinicians and technical teams
  • Passion for maternal and child health

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 — Health coverage is described as robust, including employer-paid medical, dental, and vision plans alongside complimentary access to Pomelo’s own family-health services for eligible employees. Around-the-clock virtual care across pregnancy, postpartum, pediatrics, fertility, and menopause further strengthens the overall offering.
  • Affordable Benefits — Employer-covered premiums are characterized as covering a high share of costs, helping reduce employees’ out-of-pocket burden. Complimentary access to company-delivered maternal and family-health services also lowers the cost of care for eligible employees.
  • Parental & Family Support — Support spans pregnancy and postpartum care, mental-health services, nutrition and lactation guidance, doula resources, pediatric care, and menopause support. Continuous access and care coordination are emphasized as part of this family-focused package.

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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