Managed Care Provider Relations Manager jobs in Richmond, VA

Role Description

Your North Star: Provide direct patient care and clinical oversight that optimizes outcomes for pregnant people and newborns through population-based implementation of evidence-based care.

In this role you will:

• Be accountable for improving clinical outcomes for empaneled patients, by overseeing their medical care 
• Lead daily clinical huddles focused on collaboration across a clinical pod,  including RNs, LCSW, and RDs
• Review complex patient cases, develop care plans, and support other members of the clinical team in providing them with evidence-based care
• Monitor adverse events and hold clinical retros to identify any areas for improvement in Pomelo’s protocols
• Lead development and review of evidence-based medical protocols and algorithms related to obstetric and women’s health
• Engage in patient care as a Pomelo provider and serve as a collaborating physician for APPs
• Actively participate in on-call schedules including overnight and on weekends 

Requirements

• Extensive obstetric experience, including treating high-risk patients, as well as some experience caring for infants
• A passion for and demonstrated effectiveness in optimizing evidence-based care and perinatal outcomes 
• Experience using data to drive patient engagement, activation, and outcomes
• Experience leading successful teams, with track record of outstanding collaboration and teamwork
• A sense of urgency to improve outcomes coupled with exceptional organization and attention to detail
• A growth mindset with the ability to approach process change and ambiguous situations with enthusiasm, creativity, and accountability 
• Facility using multiple tech platforms, with an eagerness for advising about platform improvements and adapting to new systems
• Eager to thrive in a fast-paced, metric-driven environment
• Phenomenal interpersonal and communication skills

Education and training 

• NP or CNM with significant experience in obstetrics and some experience in infant care
• Active, unrestricted license to practice in VA and willingness to obtain licenses in all US states
• If an NP, residence in a nursing compact state

Bonus points for

• Telehealth and/or remote monitoring experience
• Experience in outpatient or home-based management of higher-risk patients

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 where you will have a profound impact on the patients we serve. And you'll learn, grow, 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. We also offer:

• Competitive healthcare benefits
• Generous equity compensation
• Unlimited vacation
• Membership in the First Round Network (a curated and confidential community with events, guides, thousands of Q&A questions, and opportunities for 1-1 mentorship)

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.

Our salary ranges are based on paying competitively for our company’s size and industry, and are one part of the total compensation package that also includes equity, benefits, and other opportunities at Pomelo Care. In accordance with New York City, Colorado, California, and other applicable laws, Pomelo Care is required to provide a reasonable estimate of the compensation range for this role. Individual pay decisions are ultimately based on a number of factors, including qualifications for the role, experience level, skillset, geography, and balancing internal equity. A reasonable estimate of the current salary range is $110,000-$135,000. We expect most candidates to fall in the middle of the range. We also believe that your personal needs and preferences should be taken into consideration, so we allow some choice between equity and cash.

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