Help build the backbone of a virtual care model that actually moves the needle for women’s health. As a Provider Credentialing Specialist, you will keep Pomelo’s clinicians credentialed, compliant, and ready to serve patients across pregnancy, postpartum, perimenopause, and menopause.
About Pomelo Care
Pomelo Care is a multi-disciplinary team of clinicians, engineers, and problem solvers focused on improving outcomes for women and children. They deliver coordinated, evidence based virtual care for pregnant people and babies through pregnancy, NICU stays, and the first postpartum year, and extend that same personalized model to support women through perimenopause and menopause. Powered by a technology driven care platform, Pomelo engages patients early, targets risk, and delivers the right care at the right time while reducing costs across the women’s health continuum.
Schedule
- Full time role
- Remote within the United States
- Standard weekday schedule with core collaboration hours aligned to cross functional teams
- Work is largely independent but highly collaborative with licensing, credentialing, enrollment, and clinical teams
What You’ll Do
- Complete group and practitioner health plan credentialing for Pomelo’s telehealth clinic and care team
- Track credentialing applications from submission through approval, contracting, and agreement, keeping stakeholders informed on milestones and timelines
- Proactively mitigate application delays and denials, rigorously following up to resolve issues and keep processes moving
- Collaborate with Pomelo’s licensing, credentialing, and enrollment teams to ensure clinicians have proper licensure and up to date CAQH profiles
- Partner with nurses, nurse practitioners, doctors, therapists, and registered dietitians to support navigation, answer credentialing questions, and clarify requirements
- Continually refine workflows and documentation to increase efficiency and reduce friction in the credentialing process
What You Need
- 2 to 4 years of experience in a high volume credentialing specialist role
- Deep expertise with commercial health plan credentialing processes, including health plan portals and CAQH
- Highly organized with strong attention to detail and documentation discipline
- Proactive, resourceful problem solver who is comfortable navigating ambiguity and independently finding answers
- Strong written and verbal communication skills with a collaborative, team first mindset
- Excellent prioritization and time management skills, with a habit of proactively sharing timelines, status, and roadblocks
Benefits
- Competitive salary, typically in the range of 55,000 to 75,000 dollars per year depending on experience and location
- Competitive healthcare benefits
- Generous equity compensation with flexibility to balance cash and equity based on your needs
- Unlimited vacation
- Membership in the First Round Network, including events, guides, Q and A, and mentorship opportunities
- Mission driven, well funded startup environment with real opportunity to shape processes and grow your career
- Inclusive culture that values diverse backgrounds and perspectives across the full spectrum of women’s health
Credentialing focused roles at mission driven virtual care companies like this do not sit open for long, so if this feels like your lane, do not overthink it.
If you are ready to put your credentialing expertise to work for a team reshaping care for moms and women across life stages, this is a strong next move.
Happy Hunting,
~Two Chicks…