Job Description
About us
Pomelo Care is the leading virtual medical practice for women and children, providing care across pregnancy, postpartum, pediatrics, menopause, and perimenopause. We combine proactive, 24⁄7 clinical care with technology that helps us reach patients earlier, identify risks sooner, and deliver personalized care throughout their journey. Our team includes clinicians, technologists, operators, and problem-solvers working together to make high-quality care more accessible for families nationwide.
About The Role:
Your north star: Support the Pomelo clinical practice by owning key insurance, benefits, and administrative processes.
This role reports to the Senior Manager of Midlife Operations and can be based anywhere in the continental US.
What You’ll Do:
- Verify insurance coverage / eligibility for our doula & midlife lines of business
- Initiate, track, and obtain provider referrals & prior authorizations
- Support cost estimation workflows, including use of payer portals & member support lines to verify level of coverage
- Interact directly with patients, providers, and patients via phone, chat, portal, and SMS
- Monitor our member support email & phone line
- Maintain and manage spreadsheets to support key operational workflows
- Collaborate with Midlife & Doula Operations to develop new workflows focused on improving care coordinator efficiency
- Other responsibilities as assigned
- Schedule: Day Shift - Monday - Friday, 9:00am - 6:00pm ET
Who You Are:
- 3+ years healthcare administration experience, ideally having worked within virtual care
- Familiar with insurance verification, in-network referrals, and Rx / Lab orders
- Ability to navigate benefits & insurance questions for Medicaid & Commercial members
- Comfortable interacting directly with patients, providers, and patients via phone, chat, portal, and SMS
- Results-oriented operator who moves fast
- Meticulous attention to detail
- Goes the extra mile for patients
- Comfort with ambiguity
- Ability to work cross-functionally with clinicians
- Passionate about women’s health
Why you should join our team
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.
We strive to create an environment where employees from all backgrounds are respected. We value working across disciplines, moving fast, data-driven decision making, learning, and always putting the patient first.
Benefits and Perks:
- Comprehensive Health, Dental, and Vision coverage for employees and their families
- High deductible Health Plans with Health Savings Account (HSA) options
- Flexible Spending Account (FSA)
- Equity grant participation
- 401(k) program
- Competitive vacation policy
- 16 weeks paid parental leave
- Fully remote work flexibility (within the US)
Compensation
The expected base salary range offered for this role is $55,000-$65,000. This role is also eligible for equity, giving you an ownership stake in Pomelo’s mission. Actual compensation may vary based on relevant experience, skills, competencies, and certifications.
At Pomelo, we are committed to hiring the best team to improve outcomes for all mothers and babies, regardless of their background. We need diverse perspectives to reflect the diversity of problems we face and the population we serve. We look to hire people from a variety of backgrounds, including but not limited to race, age, sexual orientation, gender identity and expression, national origin, religion, disability, and veteran status.
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Potential Fraud Warning
Please be cautious of potential recruitment fraud. With the increase of remote work and digital hiring, phishing and job scams are on the rise with malicious actors impersonating real employees and sending fake job offers in an effort to collect personal or financial information.
Pomelo Care will never ask you to pay a fee or download software as part of the interview process with our company. Pomelo Care will also never ask for your personal banking or other financial information until after you have signed an offer of employment and completed onboarding paperwork that is provided by our People Operations team. All official communication with Pomelo Care People Operations team will come from domain email addresses ending in @pomelocare.com.
If you receive a message that seems suspicious, we encourage you to pause communication and contact us directly at [email protected] to confirm its legitimacy. For your safety, we also recommend applying only through our official Careers page. If you believe you have been the victim of a scam or identity theft, please contact your local law enforcement agency or another trusted authority for guidance.
