Senior Manager, Provider Network Growth & Quality

Pomelo Care; United States; Remote; USD 130,000 - 150,000; Full time

Benefits offered by this job

Health coverage

Dental and Vision coverage

Equity grant participation

401(k) plan

Paid parental leave

Remote work flexibility (US)

Office options NY/SF

Job summary

Pomelo Care is hiring a Senior Manager of Provider Network Operations to build and scale our clinical network powering the Midlife line of business. You will partner with Recruiting, Licensing & Credentialing, Product, and Clinical Leadership to create processes, programs, and infrastructure that support growth, utilization, retention, and quality across a multi-license-type provider network.

You will own end-to-end provider relationships, define utilization metrics, and build programs to keep

Qualifications

• 5+ years of experience 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 across Clinical, Product, Compliance, and Commercial teams.

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.
• 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 and drive action on outliers in partnership with Clinical leadership.
• Support quality-based remediation and contract termination decisions per clinical/compliance standards.
• Represent the provider network in company-wide planning and flag risks before they become urgent.
• Build reporting and dashboards to provide a clear view of network health.

Skills

Provider network management

Data-driven decision making

Cross-functional collaboration

Analytical storytelling with data

Process improvement

Ambiguity tolerance

Job description

Pomelo Care is hiring a Senior Manager of Provider Network Operations to build and scale our clinical network powering the Midlife line of business. You will partner with Recruiting, Licensing & Credentialing, Product, and Clinical Leadership to create processes, programs, and infrastructure that support growth, utilization, retention, and quality across a multi-license-type provider network.

You will own end-to-end provider relationships, define utilization metrics, and build programs to keep