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Manager, Provider Network Operations

1 month, 2 weeks ago
United States
Full-time
Mid Level
Operations Manager
Project and Program Management
Apply Now
Pomelo Care

Pomelo Care

Pomelo Care is a virtual maternity care program that supplements traditional pregnancy care with unlimited, customized support. They offer services like consulting with a dietitian for prenatal vitamins, speaking to a therapist for labor anxiety, and j...

Health Care Providers & Services
11-50
$41M raised
View All Jobs 23

Description

  • Set and report on network capacity targets, identifying and resolving access gaps.
  • Partner with Recruiting, Licensing, Credentialing, and Learning teams to streamline providers’ path from contract signing to first patient visit.
  • Own provider relationships across orientation, utilization, engagement, and retention.
  • Define and track utilization metrics and translate insights into process and product improvements.
  • Build programs such as incentives and clinician communities to support provider participation.
  • Partner with Quality and Clinical Leadership to establish network standards and participation criteria.
  • Monitor provider-level quality data, including utilization, outcomes, and complaints, and address performance outliers.
  • Support quality remediation and provider contract termination decisions when necessary.
  • Coordinate across Licensing, Credentialing, Quality, Clinical Operations, and Product teams.
  • Build dashboards and reporting to monitor network health and represent network needs in company planning.

Requirements

  • At least 3 years of professional experience, including 1+ years in provider network management, provider success, provider experience, or network operations at a telehealth company.
  • Demonstrated ownership of network metrics such as growth, retention, utilization, and quality.
  • Experience building new processes and optimizing existing operations.
  • Strong cross-functional communication skills across Clinical, Product, Compliance, and Commercial teams.
  • Strong analytical skills and experience using data to prioritize investments and communicate insights.
  • Comfort working with ambiguity in an early-stage environment.
  • Experience in women’s health is preferred.
  • Experience managing clinician networks with multiple license types, such as MDs, NPs, and RDs, is preferred.

Benefits

  • $100,000–$115,000 expected base salary range, plus equity eligibility.
  • Comprehensive medical, dental, and vision coverage for employees and families.
  • High-deductible health plans with HSA options and FSA access.
  • 401(k) program.
  • Competitive vacation policy.
  • 16 weeks of paid parental leave.
  • Fully remote work flexibility within the United States.

Interested in this position?

Apply directly on the company website

Apply Now

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