Manager, Provider Network Operations
About The Position
Pomelo Care is seeking a Manager of Provider Network Operations to build and scale the clinical network for their new Midlife line of business. This role involves partnering with cross-functional teams to establish processes, programs, and infrastructure that support the growth, utilization, retention, and quality of a multi-license-type provider network as volume increases. The position requires owning the end-to-end provider relationship, defining and tracking key network metrics, and building programs to ensure clinician engagement. The manager will also collaborate with Quality and Clinical Operations teams to define quality standards, monitor provider performance, and support remediation or termination decisions. This role serves as a central point of contact for various teams supporting the clinical network and is responsible for building reporting and dashboards to monitor network health. The manager will also represent the provider network in company-wide planning and identify potential risks.
Requirements
- 3 years of work experience
- 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 Haves
- Experience specifically in women's health
- Experience in a clinician network involving multiple license types (MDs, NPs, RDs, etc.)
Responsibilities
- 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
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)
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What This Job Offers
Job Type
Full-time
Career Level
Manager
Education Level
No Education Listed
