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Pomelo Care

Personalized maternal and newborn healthcare technology

Senior Manager of Provider Network Operations

Business OperationsConfirmed live in the last 24 hours
Full-timeRemote in USA

About the Job

Requirements

  • At least 5 years of experience in provider network management, provider success or experience, or network operations at a telehealth company.
  • Demonstrated ownership of key network metrics, including growth, retention, utilization, and quality.
  • Ability to build new processes and optimize existing ones.
  • Ability to work cross-functionally with Clinical, Product, Compliance, and Commercial teams and translate between them.
  • Strong analytical skills and a track record of using data to tell a story and prioritize investments.
  • Comfort with ambiguity and an early-stage pace.

Responsibilities

  • Set and report on network capacity targets, identifying and closing gaps before they affect patient access.
  • Partner with Recruiting, Licensing and Credentialing, and Learning teams to keep the time between contract signature and 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, and turn insights into concrete process or product fixes.
  • Build and run programs, such as incentives and community, that keep clinicians actively practicing within the Pomelo network.
  • Partner with the Quality team to define quality standards across the network and translate them into network participation criteria.
  • Monitor provider-level quality data, including utilization, patient outcomes, and complaints, and drive action on outliers with Clinical leadership.
  • Support quality-based remediation and, when necessary, contract termination decisions in line with clinical and compliance standards.
  • Connect Licensing, Credentialing, Quality, Clinical Operations, and Product teams supporting the clinical network.
  • Build reporting and dashboards that provide a clear view of network health.
  • Represent the provider network in company-wide planning and flag risks, such as capacity gaps and quality issues, before they become urgent.

Desired Qualifications

  • Experience specifically in women's health or with a clinician network involving multiple license types, such as MDs, NPs, and RDs.

About the Company

Pomelo Care

Personalized maternal and newborn healthcare technology

Pomelo Care provides healthcare services for pregnant individuals and newborns, combining traditional medical care with technology to offer personalized, evidence-based care. It integrates in-person visits with digital tools, remote consultations, and data-driven care plans to monitor health and tailor interventions. It differentiates itself by linking high-quality medical care with technology and data, working with healthcare providers and insurers to improve access and coordination. Its goal is to improve health outcomes for mothers and babies and to make high-quality care easier to access for families.

Company size
201-500
Company stage
Series C
Total funding
$179M
Headquarters
New York City, New York
Founded
2021

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