Senior Manager, Provider Network Operations
New
P
Pomelo CareTelehealth healthcare
Location: United States; Workplace: Remote; Fully remote work flexibility (within the US)Full-TimeManager
SalaryThe expected base salary range offered for this role is $130,000-$150,000. This role is also eligible for equity.
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Job Details
- Experience
- 5+ years of experience in provider network management, provider success/experience, or network operations at a telehealth company
- Required Skills
- Data AnalysisCross-functional collaboration
Requirements
- Have 5+ years of experience in provider network management, provider success or experience, or network operations at a telehealth company.
- Demonstrate ownership of key network metrics, including growth, retention, utilization, and quality.
- Have strong analytical skills and a track record of using data to tell a story and prioritize investments.
- Be able to work cross-functionally with Clinical, Product, Compliance, and Commercial teams and translate between them.
- Be comfortable building new processes as well as optimizing existing ones.
- Be comfortable working with ambiguity and at an early-stage pace.
- Nice to have: experience in women’s health or with a clinician network involving multiple license types, such as MDs, NPs, and RDs.
Responsibilities
- Set and report on network capacity targets, and identify gaps before they affect patient access.
- Partner with Recruiting, Licensing & Credentialing, and Learning to keep the time from contract signature to first patient visit efficient as volume scales.
- Own provider relationships across orientation, utilization, and retention.
- Define and track provider utilization metrics, using insights to drive process or product fixes.
- Build and run programs that support clinicians’ active participation in the Pomelo network.
- Partner with Quality to define network standards and translate clinical quality standards into participation criteria.
- Monitor provider-level quality data, including utilization, patient outcomes, and complaints, and address outliers with Clinical leadership.
- Support quality-based remediation and contract termination decisions in line with clinical and compliance standards.
- Build reporting and dashboards that show network health, and represent the network in company-wide planning.
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