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Senior Manager, Licensing, Credentialing, & Enrollments

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Pomelo Care

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Location:
United States

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Category:
-

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Contract Type:
Not provided

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Salary:

145000.00 - 170000.00 USD / Year
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Job Description:

Own the strategy and execution of our licensing, credentialing, and Medicaid enrollments across new and existing markets.

Job Responsibility:

  • 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

Requirements:

  • 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
What we 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 Q&A questions, and opportunities for 1-1 mentorship)

Additional Information:

Job Posted:
December 11, 2025

Employment Type:
Fulltime
Work Type:
Remote work
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