Payer Enrollment Specialist at Pomelo Care · United States · Joined
PC
Payer Enrollment Specialist
Pomelo Care · United States · Just now · 0 applicants
NewRemoteFull-timeMiddle
Pay
$55k–$65kListed
Workplace
Remote
Job type
Full-time
Level
Middle
Source: jobright · Posted by joined-scrapper
About the role
Pomelo Care is hiring a Payer Enrollment Specialist to manage provider enrollment and credentialing with health plan partners, supporting licensing and improving operations across markets. The role requires healthcare operations experience, payer credentialing expertise with Medicaid managed care, and strong project management skills.
What you’ll do
Manage provider enrollment and re-enrollment with health plan partners
Support licensing and credentialing processes
Improve operations across markets
Build and scale operational processes for clinicians
What you’ll need
3+ years healthcare operations experience
Experience with payer credentialing for 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
Ability to work cross-functionally with clinicians and technical teams
Original job description
Pomelo Care is a virtual medical practice providing care for women and children. The Payer Enrollment Specialist manages provider enrollment and re-enrollment with health plan partners, supporting licensing and credentialing processes and improving operations across markets.3+ years healthcare operations experience, ideally having worked within healthcare…