Payer Enrollment Specialist

Pomelo Care

4d • $55,000 - $65,000 • Remote

About The Position

Pomelo Care is a virtual medical practice for women and children, providing care across pregnancy, postpartum, pediatrics, menopause, and perimenopause. The Payer Enrollment Specialist manages payer enrollments and re-enrollments across clinician types in existing and new markets. The role supports new clinical hires with licensing, credentialing, and enrollment requirements and works with health plan partners and a third-party vendor. The position reports to the Payer Enrollments Manager.

This is a fully remote role within the United States, with offices in New York City and San Francisco for employees who prefer in-person work. The expected base salary range is $55,000–$65,000, and the role is eligible for equity. Compensation may vary based on relevant experience, skills, competencies, and certifications.

Requirements

• At least 3 years of healthcare operations experience; experience in healthcare delivery or a high-growth startup is ideal.
• Experience with payer credentialing for APPs, therapists, registered dietitians, physicians, and doulas with Medicaid managed care plans.
• Experience enrolling clinicians in state Medicaid programs.
• Exceptional project management and prioritization skills.
• Experience building and scaling operational processes for clinicians.
• Results-oriented approach and ability to move quickly.
• Meticulous attention to detail.
• Comfort with ambiguity.
• Ability to work cross-functionally with clinicians and technical teams.
• Passion for maternal and child health.

Nice To Haves

• Experience working within healthcare delivery or a high-growth startup.

Responsibilities

• Manage the end-to-end process of enrolling new providers with health plan partners and support newly hired clinicians with licensing, credentialing, and enrollment requirements.
• Work with new clinical hires and a 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 licensing, payer credentialing, and enrollment processes so clinicians can begin seeing patients sooner.

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 of paid parental leave.
• Fully remote work flexibility within the United States, with offices in New York City and San Francisco for those who prefer in-person work.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed