Note: The job is a remote job and is open to candidates in USA. Pomelo Care is a virtual medical practice providing care for women and children across multiple stages of life. The Manager of Provider Network Operations will build and scale the clinical network for the company’s Midlife line of business, overseeing provider capacity, relationships, utilization, retention, quality, reporting, and cross-functional network operations.
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
Skills
- 3 years of work experience, with 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
- Experience specifically in women's health or a clinician network involving multiple license types (MDs, NPs, RDs, etc.)
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)
Company Overview