Provider Credentialing Specialist – Remote

Help build a smoother, safer care experience for women and families from anywhere with Wi-Fi. This role is perfect for a credentialing pro who loves tracking details, managing moving pieces, and making sure clinicians are fully set up to serve patients.

About Pomelo Care
Pomelo Care is a technology-driven virtual care company focused on improving outcomes for women and children across pregnancy, postpartum, perimenopause, and menopause. Their multi-disciplinary team of clinicians, engineers, and problem solvers delivers evidence-based, compassionate care at scale. Pomelo Care stands out by using data and technology to reduce preterm births, NICU admissions, c-sections, maternal mortality, and long-term health risks while lowering healthcare costs.

Schedule
Full-time, remote role.
Work closely with the New Ventures, licensing, credentialing, and clinical teams across time zones.
Requires reliable internet, strong availability for cross-functional collaboration, and comfort working independently in a virtual environment.

What You’ll Do

  • Complete group and individual practitioner credentialing with commercial health plans for Pomelo’s telehealth clinic and care team.
  • Manage credentialing applications end-to-end, tracking progress from submission through approval, contracting, and agreement execution.
  • Maintain visibility into key milestones and timelines, keeping New Ventures and other teams updated on status.
  • Proactively identify, mitigate, and resolve application delays and denials, including rigorous follow-up with health plans.
  • Collaborate with licensing, credentialing, and enrollment teams to ensure clinician licensure is current and CAQH profiles are complete and accurate.
  • Work closely with nurses, nurse practitioners, physicians, therapists, and registered dietitians to answer questions and support navigation of credentialing requirements.
  • Continuously refine workflows and processes to improve efficiency, reduce bottlenecks, and accelerate health plan credentialing.

What You Need

  • 2–4 years of experience in a high-volume provider credentialing specialist role.
  • Deep expertise with commercial health plan credentialing processes, including plan portals and CAQH.
  • Strong organizational skills with excellent attention to detail and documentation habits.
  • Proven ability to operate in a fast-paced, ambiguous environment while independently seeking answers and solutions.
  • A proactive, resourceful problem-solver mindset with strong follow-through on commitments.
  • Clear, confident written and verbal communication skills for cross-functional and external collaboration.
  • Exceptional prioritization and time management skills, including the ability to set and communicate realistic timelines and flag roadblocks early.

Benefits

  • Competitive salary range of $55,000–$75,000 per year, depending on experience, location, and skillset.
  • Generous equity compensation with flexibility to balance cash and equity based on your preferences.
  • Competitive healthcare benefits and supportive resources for employee well-being.
  • Unlimited vacation policy within a culture that values ownership and balance.
  • Membership in the First Round Network, providing access to events, guides, Q&A resources, and mentorship opportunities.
  • Opportunity to join a well-funded, mission-driven startup at the ground floor and have a direct impact on the patients served.

This is a strong fit if you’re already “the credentialing person” on your team and want to bring that expertise to a mission-led, fully remote environment.

If you’re ready to grow your career while helping clinicians deliver better care at scale, this is your moment.

Happy Hunting,
~Two Chicks…

APPLY HERE.