Pomelo Care

Payer Enrollment Specialist

United States

Role brief

What this role is asking for.

About us Pomelo Care is the leading virtual medical practice for women and children, providing care across pregnancy, postpartum, pediatrics, menopause, and perimenopause. We combine proactive, 24/7 clinical care with technology that helps us reach patients earlier, identify risks sooner, and deliver personalized care throughout their journey. Our team includes clinicians, technologists, operators, and problem-solvers working together to make high-quality care more accessible for families nationwide. About The Role: Your north star: Manage licensing activities, Medicaid enrollments, payer credentialing, and payer re-credentialing across clinician types for our existing and new markets. This role reports to the Director, Operations & Clinical Quality and can be based anywhere in the continental US. What You'll Do: Own the the end-to-end process for enrolling new providers with state Medicaid and our health plan partners, supporting newly hired clinicians on all requirements for licensing, credentialing, and enrollment Work closely with new clinical hires and our third-party vendor to manage new license applications and license renewals Partner with the Licensing, Credentialing, and Enrollment team to enroll providers in Medicaid across existing and new markets Identify opportunities to improve our licensing, payer credentialing, and enrollment processes to shorten the time for...

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