Job Opportunities API

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 Pomelo Midlife care by owning key insurance, operations, 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 midlife line 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 Maintain and manage spreadsheets to support key operational workflows  Collaborate with Midlife 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: 3-4+ years healthcare administration experience, ideally having worked within virtual care Familiar with insurance verification, in-network referrals, and Rx / Lab orders Comfortable interacting directly with patients, providers, and patients via phone, chat, portal, and SMS Eager to thrive in a fast-paced environment and are willing to roll up your sleeves to get the job done. Strong organizational skills and problem-solving aptitude 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 hourly rate range offered for this role is $26.44-$31.25, with an estimated annual base of $55,000-$65,000 depending on the hours worked. 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. #LI-Remote 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 im