# Payer Enrollment Specialist

**Company**: Pomelo Care
**Location**: United States
**Work arrangement**: remote
**Experience**: mid
**Job type**: full-time
**Category**: Healthcare
**Industry**: Healthcare

**Apply**: https://job-boards.greenhouse.io/pomelocare/jobs/5991903004?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply
**Canonical**: https://yubhub.co/jobs/job_16f71731-da8

## Description

As a Payer Enrollment Specialist at Pomelo Care, you will be responsible for managing licensing activities, Medicaid enrollments, payer credentialing, and payer re-credentialing across clinician types for our existing and new markets.

This role reports to the Director, Operations & Clinical Quality and can be based anywhere in the continental US.

Key responsibilities include:

- Owning the end-to-end process for enrolling new providers with state Medicaid and our health plan partners, supporting newly hired clinicians on all requirements for licensing, credentialing, and enrollment

- Working closely with new clinical hires and our third-party vendor to manage new license applications and license renewals

- Partnering with the Licensing, Credentialing, and Enrollment team to enroll providers in Medicaid across existing and new markets

- Identifying opportunities to improve our licensing, payer credentialing, and enrollment processes to shorten the time for clinicians to start seeing patients

To succeed in this role, you will need:

- 3+ years healthcare operations experience, ideally having worked within healthcare delivery or a high-growth startup

- Experience with payer credentialing for roles including APPs, therapists, registered dietitians, physicians, and doulas with Medicaid managed care plans

- Experience enrolling clinicians in state Medicaid

- 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

- Ability to work cross-functionally with clinicians and technical teams

- Passionate about maternal and child health

By joining Pomelo, you will get in on the ground floor of a fast-moving, well-funded, and mission-driven startup that always puts the patient first. You will learn, grow and be challenged, and have fun with your team while doing it.

## Skills

### Required
- Payer credentialing
- Medicaid enrollment
- Licensing
- Project management
- Operational process development

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Source: [Apply at job-boards.greenhouse.io](https://job-boards.greenhouse.io/pomelocare/jobs/5991903004?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply)