by Terrance Ellis | Jan 23, 2026 | Uncategorized
If you’re the kind of person who can keep five plates spinning and still remember who needed what by EOD, this role will feel like home. You’ll support client-facing work for health plans by coordinating timelines, notes, reports, and research that keeps projects moving and clients confident.
About Vheda Health
Vheda Health delivers virtual health engagement programs focused on improving health equity for underserved populations. They partner with health plans to improve outcomes through turnkey chronic care programs, with simple access to care from anywhere.
Schedule
- Fully remote (United States)
- Client Services team
- Specific hours not listed (expect standard business hours and responsiveness around client needs)
What You’ll Do
- Support the Client Services team with research, scheduling, planning, execution, and day-to-day coordination
- Track project requirements, timelines, deadlines, and follow-ups to keep deliverables on time
- Join client status calls, capture meeting notes, and update status reports
- Build working knowledge of Vheda’s offerings and help articulate solutions within accounts
- Prepare agendas for client meetings and handle account administration
- Track, monitor, and generate monthly reports
- Research clients, state initiatives, competitors, and industry trends to support smart decision-making
- Help facilitate smooth team collaboration and internal alignment
- Partner across departments (clinical services, operations, analytics) to meet client expectations
What You Need
- BA/BS degree or equivalent experience
- 1–3+ years in a support role
- Strong follow-through and comfort working within defined processes
- Excellent communication (written and verbal), organization, and time management
- High attention to detail and strong stakeholder trust-building skills
- Ability to initiate and drive projects through completion
- Strong Microsoft Office skills (Word, Excel, PowerPoint, etc.)
Benefits
- Competitive salary
- Comprehensive health insurance (medical, dental, vision)
- LTD, STD, and life insurance
- 401(k)
- Unlimited paid time off
- 12 paid company holidays
- Team events
If you’re more “chaos organizer” than “chaos enjoyer,” this is a good lane. The win here is becoming the steady engine behind client delivery.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Jan 23, 2026 | Uncategorized
This is a numbers-forward, strategy-heavy role where your models directly shape pricing, risk, and how competitive Abarca is when winning (and renewing) big PBM clients. If you like messy claim data, clean assumptions, and walking execs through “here’s why this rate works,” you’ll feel at home.
About Abarca Health
Abarca is building smarter tech to redefine pharmacy benefits. Their Drug Value Strategy team sits at the intersection of network ops, reporting, rebate strategy, and pricing, so this role has real visibility and real impact.
Schedule
Remote.
Note: They mention a “flexible hybrid work model” requiring on-site days for Puerto Rico only. If you’re not in PR, it reads like fully remote.
What You’ll Do
- Underwrite and assess risk for new and renewing large-group contracts
- Partner with Sales, Finance, and leadership on complex RFPs, strategy calls, and recommendations
- Build and maintain complex financial models using multiple data sources to forecast pricing scenarios
- Forecast PBM cost drivers (fixed + variable) and understand what moves pharmacy spend
- Build rebate forecasts based on utilization trends and key rebate drivers
- Identify outliers in prospective client claims to protect pricing accuracy
- Forecast operating costs, ancillary fee revenue, and clinical program ROI to show total value and savings
- Use market intelligence to evaluate competitiveness and create financial comparisons
- Negotiate and clearly explain rate development, pricing components, and underwriting policy applications
- Document your pricing strategy and modeling approach per prospect, and produce client-ready deliverables
What You Need
- Bachelor’s or Master’s in a quantitative or business field (or equivalent relevant experience)
- 6+ years in underwriting/analytics in PBM or non-retail healthcare pharmacy
- Heavy experience responding to large RFPs and translating needs into strategy
- Strong Excel skills (models, scenarios, analysis)
- Root-cause analysis + process improvement experience
- Ability to build dashboards/presentations and tailor the story for execs, internal teams, and clients
- Strong written and verbal communication
Nice to Have
- Experience with rebates, manufacturers, drug pricing, and contract negotiations
- SQL and Tableau
Benefits
- Equal opportunity employer, E-Verify
- U.S. citizen requirement; no visa sponsorship
Real talk (backbone moment): this isn’t an “I’m good with spreadsheets” job. It’s a “I can defend the assumptions, explain the why, and protect margin while staying competitive” job. If your background is more general customer support / ops, this is likely a stretch unless you’ve already lived in PBM underwriting, pricing, or actuarial-adjacent work.
If you want, paste your resume bullets (or your last underwriting-ish role) and I’ll tell you straight whether you’re a fit and how to position it if you are.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Jan 23, 2026 | Uncategorized
If you’re the kind of operator who can juggle patient calls, scheduling, eligibility checks, and referrals without dropping the ball, this role is your lane. You’ll help keep Pomelo’s clinical practice running smoothly while making sure patients get connected to the care and resources they actually need.
About Pomelo Care
Pomelo Care delivers evidence-based virtual healthcare for women and children, spanning reproductive care, pregnancy, infant and pediatric care, and hormonal health through perimenopause and menopause. Their 24/7 multispecialty model supports medical, behavioral, and social needs, partnering with payers, employers, and providers to improve outcomes and expand access.
Schedule
United States (Remote)
Schedule details not specified
What You’ll Do
- Provide care navigation support by helping patients find in-network providers and connect to services like housing, transportation, WIC, and SNAP
- Monitor the member support phone line and respond to patient questions in a timely, helpful way
- Complete eligibility checks for new and existing patients and own the patient offboarding process
- Own patient scheduling, including prioritization, appointment reminders, and optimizing provider schedules
- Manage referrals to health plan Case Management teams
- Partner with the Market Operations Lead to build and improve workflows that increase care coordinator efficiency
- Support additional operational tasks as needed
What You Need
- 4+ years of healthcare administration experience (virtual care experience preferred)
- Familiarity with SDOH platforms and referral workflows
- Strong attention to detail and a bias toward fast, accurate execution
- Comfort working in ambiguity and building order out of it
- Ability to collaborate cross-functionally with clinicians and operational partners
- A patient-first mindset with a genuine interest in maternal and child health
Benefits
- Competitive healthcare benefits
- Generous equity compensation
- Generous PTO policy
Compensation for this role is estimated at $40,000–$50,000, with total compensation also including equity and benefits.
If you like being the calm, capable center of the storm in a healthcare operation, this is a real one.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Jan 23, 2026 | Uncategorized
If you’re the kind of leader who can coach a team, tighten a workflow, and still hop on the phone to close the loop when it matters, this role is built for you. You’ll manage Pomelo’s referral-to-enrollment pipeline for doula care, keeping experiences smooth for members while driving conversion and matching targets.
About Pomelo Care
Pomelo Care delivers evidence-based virtual healthcare for women and children, spanning reproductive care, pregnancy, infant and pediatric care, and hormonal health through perimenopause and menopause. Their 24/7 multispecialty model supports medical, behavioral, and social needs, partnering with payers, employers, and providers to improve outcomes and expand access.
Schedule
United States (Remote)
Schedule details not specified; role includes active referral outreach via phone, SMS, and email
What You’ll Do
- Manage and coach a team of three Referral Specialists through daily guidance, weekly 1:1s, and clear accountability
- Monitor and drive KPIs like outreach volume, enrollment conversion rates, and doula matches
- Improve and scale workflows by identifying bottlenecks in the referral-to-match pipeline and implementing fixes
- Serve as the first escalation point for complex enrollments, eligibility discrepancies, and sensitive partner inquiries
- Directly manage a high-priority portfolio of referrals, driving enrollment and doula matching via phone, SMS, and email
- Maintain system accuracy by ensuring real-time documentation of member interactions and matches
- Coordinate with health plan case managers and external providers to ensure smooth handoffs and timely updates
- Run quality audits to ensure compliance with partner standards and Pomelo’s member experience expectations
What You Need
- 1–2+ years of experience in a lead or supervisory role in healthcare, patient navigation, or high-volume enrollment operations
- Strong ability to turn ambiguity into repeatable workflows and clear frontline documentation
- Experience coaching to daily metrics and driving teams toward ambitious performance targets
- Familiarity with healthcare referral systems and insurance verification (ACH/Portals)
- Comfort rolling up your sleeves as both a people leader and an individual contributor
- Passion for maternal health equity and the impact of doulas on birth outcomes
Benefits
- Competitive healthcare benefits
- Generous equity compensation
- Unlimited vacation
- Membership in the First Round Network (events, guides, Q&A library, mentorship)
This role is estimated at $90,000–$115,000 plus a bonus, with total compensation also including equity and benefits.
If you’re ready to lead from the front and make a measurable difference in maternal care access, this one’s worth a hard look.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Jan 23, 2026 | Uncategorized
If you love building strong teams and clean systems, this role puts you right at the center of it. You’ll own onboarding and training for Pomelo’s outreach specialists, drive quality during ramp, and keep operations tight so new hires hit the ground running and stay on track.
About Pomelo Care
Pomelo Care delivers evidence-based virtual healthcare for women and children, spanning reproductive care, pregnancy, infant and pediatric care, and hormonal health through perimenopause and menopause. Their 24/7 multispecialty model supports medical, behavioral, and social needs, partnering with payers, employers, and providers to improve outcomes and expand access.
Schedule
United States (Remote)
Willingness to work some nights and weekends as needed
May flex into inbound and outbound calling coverage as needed
What You’ll Do
- Train all new outreach hires through live trainings, shadowing sessions, and training material creation
- Performance manage new hires through onboarding, ensuring 100% milestone completion during ramp
- Project manage training operations: equipment delivery, training cycles, and onboarding schedules
- Own onboarding quality assurance by listening to calls, scoring them, and providing clear, actionable feedback to people managers
- Build and maintain knowledge bases inside internal software systems
- Support outreach operations through admin work such as eligibility checks, process documentation, and fixing call documentation errors
- Manage support tickets with the telephony vendor and handle time card support tasks
- Manage inbound calls from prospective patients
- Conduct outbound calls and digital outreach (SMS/email) to educate patients on Pomelo services when needed
What You Need
- Experience training in a call center environment
- Experience performance managing in a call center environment
- Bachelor’s degree in education, healthcare, or a related field (health coaching certification is a plus)
- Strong organizational and time-management skills
- High-quality execution, reliability, and attention to detail
- Ability to work independently and as part of a team
- Remote-ready: reliable internet and ability to work from home
- Willingness to work some nights and weekends as needed
Benefits
- Competitive healthcare benefits
- Generous equity compensation
- Unlimited vacation
- Membership in the First Round Network (events, guides, Q&A library, mentorship)
This role is estimated at $70,000–$85,000, with total compensation also including equity and benefits.
If you’re the person who can turn onboarding into a repeatable machine, while still coaching humans like a human, this is your shot.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Jan 23, 2026 | Uncategorized
If you love leading from the front, coaching teams to hit goals, and using data to tighten up the operation, this role is built for you. You’ll manage and motivate an outreach team to drive enrollment and activation, while keeping quality, compliance, and patient experience rock solid.
About Pomelo Care
Pomelo Care delivers evidence-based virtual healthcare for women and children, spanning reproductive care, pregnancy and postpartum, infant care and pediatrics, and perimenopause and menopause. Their 24/7 multispecialty model combines clinical, behavioral, and social support, partnering with payers, employers, and providers to expand access and improve outcomes.
Schedule
United States (Remote)
Monday–Friday, 8:30am–5:00pm CT
Some evening hours required to supervise and coach outreach specialists during evening shifts
What You’ll Do
- Lead, coach, and manage a team of outreach specialists to achieve enrollment and activation KPIs
- Onboard and train new specialists, including facilitating ongoing training and performance coaching
- Analyze outreach performance metrics (qualitative and quantitative) to spot trends and improve KPIs like enrollments and CAC
- Monitor call quality and protocol adherence through audits of call recordings and specialist interactions
- Ensure accurate documentation of outreach interactions, outcomes, and follow-ups while maintaining privacy and confidentiality standards
- Identify and implement process improvements to strengthen inbound and outbound calling efficiency and effectiveness
- Conduct regular performance evaluations of specialist calls and documentation
- Build and maintain team schedules to ensure consistent coverage
- Ensure compliance with government regulations and guidelines across all outreach activities
- Foster a supportive, inclusive team culture that encourages growth and development
What You Need
- Bachelor’s degree in healthcare management, public health, or a related field
- Proven experience in healthcare management with a focus on outbound calling and proactive outreach
- Strong knowledge of Medicaid policies, procedures, and value-based care
- Demonstrated leadership experience managing and motivating teams
- Strong communication and interpersonal skills with diverse patient populations
- Comfortable using metrics and reporting to drive performance improvement
- Detail-oriented with strong organization and documentation habits
- Ability to adapt quickly in a fast-paced, evolving environment
- Familiarity with healthcare software systems and CRM tools
Benefits
- Competitive healthcare benefits
- Generous equity compensation
- Unlimited vacation
- Membership in the First Round Network (events, guides, Q&A library, and mentorship)
Compensation for this role is estimated at $90,000–$115,000 base plus bonus, with total comp also including equity and benefits.
If you’re ready to lead a team that turns outreach into real access and real outcomes, jump on it.
Happy Hunting,
~Two Chicks…
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