{"id":4129204,"url":"https://alion.io/job/pomelo-care-manager-payer-enrollments","title":"Manager, Payer Enrollments","company":{"id":685043,"name":"Pomelo Care","domain":"pomelocare.com","url":"https://alion.io/company/pomelocare","size_band":"201-500","is_staffing_agency":false,"employer_type":"direct","is_intermediary":false,"listed_via":null,"ats_vendor":"Ashby","truth_index":null},"role":"Management","role_family":"Management","seniority":"middle","employment_type":"full_time","work_mode":"remote","remote_scope":"stated_countries","remote_scope_basis":"board_field","remote_working_hours":null,"hiring_geo_confidence":"structured","locations":[],"countries":[],"hiring_countries":["US"],"hiring_countries_total":1,"salary":{"min":95000,"max":115000,"currency":"USD","period":"year","gross":null,"usd_annual":115000},"salary_estimate":null,"experience_years_min":3,"visa_sponsorship":false,"relocation_package":false,"has_equity":true,"technologies":[],"status":"live","first_seen_at":"2026-11-06T21:04:10Z","employer_posted_date":"2026-11-06","last_verified_at":"2026-11-12T01:59:16Z","board_verified":true,"closed_at":null,"days_open":5,"trust":{"level":"ok","repost_count":null,"flags":[],"days_open":5},"description":"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.\nAbout the Role\nYour North Star: Substantially contribute to the strategy of, and own the execution of, our payer enrollments across new and existing markets within our midlife (perimenopause and menopause) program. Own the execution of licensing for midlife providers.\nReporting to the Director, Operations and Clinical Quality, you will have the following responsibilities:\nWhat You’ll Do\nManage a team of licensing and credentialing specialists. Oversee the end-to-end process for licensing, credentialing and enrolling providers with states and our health plan partners within our midlife offering.\n\nIn partnership with the Director, Operations and Clinical Quality, own the enrollment strategy across clinical specialties, payers and geographic states to ensure adequate coverage and access to care for midlife patients\n\nLeverage data to proactively identify gaps in both process and clinician enrollment coverage\n\nProactively identify and implement process improvements, both internally and with third parties\n\nWork cross-functionally with our customer success, market operations, and clinical teams to hit our enrollment goals\n\nManage relationship with third-party licensing vendor, including holding them accountable to SLAs\n\nLead audit activities related to midlife licensing, credentialing, and enrollment including delegated credentialing agreements\n\nWho You Are\n3+ years experience enrolling APPs, therapists, registered dietitians, physicians, and/or doulas with payers\n\n2+ years healthcare operations experience, ideally having worked within healthcare delivery or a high-growth startup\n\n2+ years people management experience\n\n1+ years experience managing licensing, credentialing, and enrollment activities\n\nExceptional project management and prioritization skills\n\nResults-oriented operator who moves fast\n\nMeticulous attention to detail\n\nComfort with ambiguity\n\nExceptional ability to work cross-functionally with clinicians, technical teams, and external vendors / contacts\n\nPassionate about women’s health\n\nCompensation\nThe expected base salary range offered for this role is $95,000-$115,000. This role is also eligible for equity, giving you an ownership stake in Pomelo’s mission. Actual compensation may vary based on relevant experience, skills, competencies, and certifications.\nBenefits and Perks\nBy joining Pomelo, you’ll get in on the ground floor of a fast-moving, well-funded startup on a mission to improve outcomes for all mothers and babies. We cultivate a collaborative, patient-first environment where data drives our decisions and team members are challenged to learn, grow, and have fun together. We also offer:\nComprehensive Health, Dental, and Vision coverage for employees and their families\n\nHigh deductible Health Plans with Health Savings Account (HSA) options\n\nFlexible Spending Account (FSA)\n\nEquity grant participation\n\n401(k) program\n\nCompetitive vacation policy\n\n16 weeks paid parental leave\n\nFully remote work flexibility (within the US) with offices in NYC and SF for those who prefer in-person work\n\nWe are committed to hiring the best team to improve outcomes for all mothers and babies. To solve the complex challenges facing the diverse population we serve, we need diverse perspectives, actively welcoming people of all races, ages, sexual orientations, gender identities and expressions, national origins, religions, disabilities, and veteran statuses. We strive to cultivate an inclusive and respectful environment where team members thrive by working across disciplines, moving fast, making data driven decisions, learning continuously, and always putting the patient first.","description_format":"text","description_chars":4128,"description_truncated":false,"requirements":{"experience_years_min":3,"management_years_min":null,"team_size_min":null,"manages_managers":false,"education":null,"security_clearance":false,"languages":[]},"benefits":["Equity","Parental leave"],"hiring_locations":[{"name":"United States","iso":"US","kind":"country"}],"hiring_excludes":[],"relocation_offered":false,"industries":["Telemedicine & Virtual Care","Women’s Health & Maternity"],"lifecycle":[{"event":"open","at":"2026-11-12T01:59:16Z"}],"visa":[],"liveness":{"score":86,"band":"hot","label":"Hiring now","p_open":1,"p_active":0.86,"p_room":1,"age_days":5,"expected_fill_days":62,"reasons":["conf:5","win:early"],"computed_at":"2026-11-12T07:33:24Z"},"pay":{"stated_usd_annual":115000,"is_top_pay":true},"html_url":"https://alion.io/job/pomelo-care-manager-payer-enrollments","json_url":"https://alion.io/job/pomelo-care-manager-payer-enrollments.json","meta":{"generated_at":"2026-11-12T07:33:24Z","cache_seconds":300,"methodology":"https://alion.io/methodology","terms":"https://alion.io/terms","contact":"https://alion.io/contact","api":"https://alion.io/developers","about":"Alion is a live layer of people, companies and AI agents: who they are, whether they are real and active right now, what they do and how to work with them, readable by people and by agents and paid per call.","catalog":"https://alion.io/catalog.json","usage":{"tier":"crawler_verified","counted_by":"address","units_charged":1,"used_today":15123,"day_limit":null,"remaining_today":null,"minute_limit":300,"resets_at":"2026-11-13T00:00:00Z"}},"offers":[{"id":"company.slices","title":"One company in depth, by slice","status":"live","price":{"credits":0.1,"usd":0.01,"plus_per_slice":{"credits":0.05,"usd":0.005}},"unit":"per company, plus each slice with data","note":"the employer in depth","call":{"mcp_tool":"get_company","arguments":{"id":685043},"rest":"https://alion.io/mcp/rest/get_company?id=685043"},"human":"https://alion.io/catalog?offer=company.slices&for=job%2Fpomelo-care-manager-payer-enrollments"},{"id":"market.stats","title":"A market slice: pay, demand and time to fill","status":"live","price":{"credits":2,"usd":0.2},"unit":"per slice","note":"pay, demand and time to fill for this role and place","call":{"mcp_tool":"market_stats"},"human":"https://alion.io/catalog?offer=market.stats&for=job%2Fpomelo-care-manager-payer-enrollments"},{"id":"job.search","title":"Open jobs by role, technology, place, pay and visa","status":"live","price":{"credits":0.1,"usd":0.01},"unit":"per posting in a list","note":"similar open postings","call":{"mcp_tool":"search_jobs"},"human":"https://alion.io/catalog?offer=job.search&for=job%2Fpomelo-care-manager-payer-enrollments"},{"id":"company.verify","title":"Is this company real and active right now","status":"pilot","price":null,"unit":"per company","request":{"url":"https://alion.io/catalog/request","method":"POST","body":"{\"offer\": \"company.verify\", \"for\": \"job/pomelo-care-manager-payer-enrollments\", \"note\": \"what you need it for\"}"},"human":"https://alion.io/catalog?offer=company.verify&for=job%2Fpomelo-care-manager-payer-enrollments"}],"agent":{"mcp":"https://alion.io/mcp/jobs","mcp_open":"https://alion.io/mcp/open","next":[{"tool":"get_job","arguments":{"id":4129204}},{"tool":"search_jobs","arguments":{"company":"pomelocare.com","detail":"compact"}},{"tool":"match_people","arguments":{"job_id":4129204},"note":"people open to offers who fit this vacancy"}],"note":"The same data through MCP tools: https://alion.io/mcp/open needs no sign-in (compact searches, postings, people); https://alion.io/mcp with an Alion account has everything. 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