Senior Manager, Licensing, Credentialing, & Enrollments

About us Pomelo Care is the national leader in evidence-based healthcare for women and children. We deliver personalized, high-quality clinical interventions from reproductive care and pregnancy, infant care and pediatrics, to hormonal health through perimenopause and menopause, with long-term preventive care and condition management. Our model delivers 24/7 multispecialty care to address the medical, behavioral, and social factors that most significantly impact outcomes for women and children. We partner with payers, employers, and providers to expand access to quality healthcare across the system. Role Description Your North Star: Own the strategy and execution of our licensing, credentialing, and Medicaid enrollments across new and existing markets. Reporting to the Senior Manager, Operations and Clinical Quality, you will have the following responsibilities: What You’ll Do Manage a team of licensing and credentialing associates and managers Oversee the end-to-end process for licensing, credentialing and enrolling providers with states and our health plan partners Own and implement licensing, credentialing, and enrollment strategy across clinical specialties, payers and geographic states to ensure adequate coverage and access to care for patients Leverage data to proactively identify gaps in both process and clinician licensing, credentialing, and enrollment coverage Proactively identify and resolve process improvements, both internally and with third parties Own processes related to the Pomelo Credentialing Committee Work cross-functionally with our customer success, market operations, and clinical teams to hit our licensing and credentialing goals Manage relationship with third-party licensing vendor, including holding them accountable to SLAs Lead audit activities related to licensing, credentialing, and enrollment including delegated credentialing agreements Scale the licensing, credentialing, and payer enrollment guide across all Pomelo states and payers Who you are 5+ years healthcare operations experience, ideally having worked within healthcare delivery or a high-growth startup 2+ years people management experience 1+ years experience managing licensing, credentialing, and enrollment activities Experience with credentialing APPs, therapists, registered dietitians, physicians, and doulas with Medicaid managed care plans preferred Exceptional project management and prioritization skills Experience building and scaling operational processes for clinicians Results-oriented operator who moves fast Meticulous attention to detail Comfort with ambiguity Exceptional ability to work cross-functionally with clinicians, technical teams, and external vendors / contacts Passionate about maternal and child health Why you should join our team By joining Pomelo, you will get in on the ground floor of a fast-moving, well-funded, and mission-driven startup where you will have a profound impact on the patients we serve. And you'll learn, grow, be challenged, and have fun with your team while doing it. We strive to create an environment where employees from all backgrounds are respected. We value working across disciplines, moving fast, data-driven decision making, learning, and always putting the patient first. We also offer: Competitive healthcare benefits Generous equity compensation Unlimited vacation Membership in the First Round Network (a curated and confidential community with events, guides, thousands of QA questions, and opportunities for 1-1 mentorship) At Pomelo, we are committed to hiring the best team to improve outcomes for all mothers and babies, regardless of their background. We need diverse perspectives to reflect the diversity of problems we face and the population we serve. We look to hire people from a variety of backgrounds, including but not limited to race, age, sexual orientation, gender identity and expression, national origin, religion, disability, and veteran status. Our ... (truncated, view full listing at source)