Manager, Provider Network Operations
P
Pomelo CareHealthcare
United StatesFull-TimeManager
Salary$100,000-$115,000
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Job Details
- Experience
- 3 years of work experience
- Required Skills
- Data AnalysisCross-functional Team LeadershipProcess improvement
Requirements
- 3 years of work experience.
- 1+ years 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.
- Ability to build net new processes and optimize existing ones.
- Strong cross-functional communication skills, specifically working with Clinical, Product, Compliance, and Commercial teams.
- Strong analytical skills with a track record of using data to prioritize investments.
- Comfortable working with ambiguity in an early-stage company environment.
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 as volume scales.
- 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 (e.g., utilization, patient outcomes, complaints) and drive action on outliers, in partnership with Clinical leadership.
- Support quality-based remediation and, when necessary, contract termination decisions in line with Pomelo's clinical and compliance standards.
- Serve as the connective tissue across Licensing, Credentialing, Quality, Clinical Ops, and Product teams.
- Build the reporting and dashboards to provide a clear view of network health.
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